2,427 results
38y · Female·neck compression due to hanging
Margaret Lindsay, 38, died by hanging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite…
33y · Male·lobar pneumonia (Streptococcus pneumonia with septic shock)
Owen King, a 33-year-old Aboriginal man, died of lobar pneumonia on 24 June 2002 at Alice Springs Hospital following brief police custody for alleged intoxication. He was apprehended twice on 23 June under protective cus…
19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…
A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…
38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…
A 38-year-old woman in persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurre…
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
Geoffrey Douglas Nicholls, aged 41, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing …
16y · Male·fresh water drowning
Jason Sammut-Smith, a 16-year-old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries co…
48y · Male·Acute cardiac dysrhythmia of unknown cause; acute alcohol toxicity was a signifi…
Mark Corbett, a 48-year-old Aboriginal man, died from acute cardiac dysrhythmia while in police protective custody in Tennant Creek. He was apprehended twice for public intoxication on 10 July 2002. After leaving a sober…
39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…
Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, …
29y · Female·severed spinal cord between the first and second cervical vertebrae sustained wh…
29-year-old Aboriginal woman died when thrown from a vehicle during a police pursuit that lasted 3-4 minutes over 9.2 km on Alice Springs Airport Road. She suffered a severed spinal cord between C1-C2 vertebrae, consiste…
45y · Male·Bullet wound to the head - self-inflicted
A 45-year-old man with recurrent major depression died by self-inflicted gunshot wound in April 2000. His psychiatrists documented recent suicidal ideation and unstable mental state but determined he was not actively sui…
66y · Female·acute necrotising haemorrhagic mediastinitis
Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…
23y · Male·neck compression due to hanging
A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health services. In March 2001, he was…
5y · Female·disseminated candidiasis secondary to protein-energy malnutrition
Eliana Diskin, aged 5 months, died from disseminated candidiasis secondary to severe protein-energy malnutrition. After ceasing breastfeeding in late October 2000, her parents fed her exclusively with unfortified rice mi…
72y · Female·haemorrhage from penetrating duodenal ulcer
A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…
24y · Male·hanging
Alexander Varcoe, a 24-year-old Aboriginal man, died by hanging in Yatala Labour Prison while on remand awaiting trial for serious charges. He had a complex history including prior self-harm in 1995-96, alleged prison ra…
40y · Male·ischaemic heart disease due to coronary atherosclerosis
A 40-year-old man presented to an Emergency Department with chest pain lasting approximately a week and a half, presenting with symptoms including arm pain and associated cough. He was triaged as Category 3 (non-urgent) …
35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…
A 35-year-old previously healthy male sustained blunt chest trauma during an assault. He presented to ED with chest pain but was triaged as category 4. After collapse and retriage to category 3, he received an ECG at 1:0…
28y · Male·Ligature compression of the neck (hanging)
Evan Charles Slater, 28, died by ligature compression of the neck (hanging) in Cell D7, Unit 10 of Hakea Prison on 12 March 2001. He was on remand facing assault and restraining order breach charges stemming from domesti…
59y · Female·multiple cerebral infarction due to infective endocarditis
A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…
41y · Female·intra-abdominal haemorrhage caused by a ruptured spleen due to blunt force traum…
A 41-year-old Aboriginal woman died from a ruptured spleen caused by blunt force trauma from her intoxicated boyfriend after police failed to provide adequate care and protection. Officers Goldstein and Cook took her int…
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