2,427 results
20y · Male·hanging
A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P.. The next da…
25y · Male·acute heat stroke
Trooper Angus Lawrence, a 25-year-old soldier, died from acute heat stroke on 10 November 2004 during a military training exercise at Mount Bundey, NT. He collapsed during a patrol and despite rapid evacuation and intens…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…
Male·Suffocation as a result of acute petrol vapour inhalation
Three Aboriginal males died from acute petrol vapour inhalation while sniffing in remote Northern Territory communities. Napthan Presley (14 years, Willowra), Wallace Coulthard (21 years, Mutitjulu), and Trevor Brumby (3…
47y · Male·Myocardial ischaemia as a result of undiagnosed coronary artery disease; cerebra…
Thomas Creegan, a 47-year-old UK tourist, died during a second introductory resort dive at the Great Barrier Reef after becoming separated from his instructor and ascending rapidly to the surface. He lost consciousness s…
Male·Gunshot wounds sustained when Damien Coates shot Perry Irwin and then shot himse…
This inquest examined the deaths of Senior Sergeant Perry Irwin (killed by gunshot) and Damien Coates (suicide by gunshot) on 22 August 2003 in Caboolture, Queensland. The coroner found the death preventable, resulting f…
21y · Female·Multiple blunt trauma with acute alcohol toxicity as a significant contributing …
Anne Chantell Millar, a 21-year-old Aboriginal woman, was beaten to death by her partner Gregwyn Green on 28 March 2003 despite a domestic violence restraining order in place since January 2003. Multiple breaches of the …
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…
57y · Female·right bronchopneumonia following hypoxic brain damage secondary to cardiac arres…
A 57-year-old woman with chronic schizophrenia and non-insulin dependent diabetes was admitted to a psychiatric ward after detention under the Mental Health Act. She was found in cardiac arrest on 8 December 2001 and suf…
35y · Male·Disseminated Lymphoblastic Lymphoma
A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…
34y · Male·Septicaemia resulting from Melioidosis
Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …
28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…
A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after inducti…
20y · Male·diffuse cerebral oedema caused by hyponatraemia caused by excessive self-induced…
Jamie Johnson, 20, was intellectually disabled and lived in supported accommodation with carers. In June 2000, he was admitted with severe hyponatraemia and seizure from excessive water drinking (psychogenic polydipsia).…
69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…
A 69-year-old woman presented to the Emergency Department with abdominal pain and vomiting. The doctor did not take adequate history, perform thorough physical examination, or order basic investigations including blood t…
64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…
A 64-year-old woman died from respiratory arrest secondary to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but c…
0y · Male·cardiogenic shock and neonatal encephalopathy
Matthew Hutchinson, born at 1 day of age at Flinders Medical Centre, died from cardiogenic shock and neonatal encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. Critical fail…
45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage
Ian McLeod, a 45-year-old lawyer with alcohol dependence and depression, died from hypoxic brain damage and bronchopneumonia following a hanging while in custody at Yatala Labour Prison. Multiple system failures contribu…
30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…
Candice Mackenzie Wallace-Mohlmann, a 30-year-old woman with chronic schizophrenia and substance abuse history, died from hypoxic brain injury caused by self-injection of vecuronium and atropine obtained from a hospital …
54y · Male·Coronary Atherosclerosis contributed to by Pulmonary Emphysema
A 54-year-old Aboriginal male died at home in Maningrida from acute coronary atherosclerosis complicated by emphysema. He experienced chest pain and dyspnea during the night and his family made three telephone calls to t…
7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…
A 7-year-old girl with spina bifida died from cardiac tamponade caused by total parenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous line inserted during bowel obstruction surgery. Clini…
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