524 results
55y · Male·Acute myocardial infarction due to coronary thrombosis and coronary atherosclero…
Leonard Fraser, a 55-year-old prisoner, died from acute myocardial infarction on 1 January 2007 following a second cardiac event. He presented to prison medical centre on 7 December 2006 with chest pain, sweating, and le…
45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…
Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with bowel obstruction and underwent adhesion surgery. Following …
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
Ellen O'Connor, a 90-year-old woman with renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A single 2…
13y · Female·Complex congenital heart disease (operated) and sepsis
Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…
48y · Male·drowning
John Tuffy, 48, died by drowning after absconding from a mental health waiting room at Bayview House while awaiting transfer to hospital. He had returned from Ireland with acute psychosis triggered by his mother's sudden…
15y · Male·drowning
A 15-year-old boy with poor swimming ability drowned at South Melbourne Beach on 29 December 2009 in rough conditions (45-75cm waves, active rips and gutters). He had consumed minimal alcohol and fish and chips before sw…
33y · Male·Longstanding atheromatous coronary artery disease with severe stenosis and cardi…
A 33-year-old Aboriginal man died in custody from longstanding atheromatous coronary artery disease with cardiac hypertrophy. On presentation to the prison clinic with non-specific symptoms (headache, throat pain, arm an…
37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…
Steven Andrew Forbes, age 37, died of acute viral pneumonia secondary to H1N1 influenza, complicated by chronic rheumatic heart disease. He died in police/correctional custody following arrest at hospital discharge for a…
38y · Female·Pulmonary Thromboembolism
Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…
26y · Female·Head and chest injuries sustained in a motor vehicle collision
Robin Sara Paul, a 26-year-old registered nurse, died from head and chest injuries sustained as a pedestrian struck by a motor vehicle on 26 December 2007. The driver, Khanh Truong, experienced a syncopal episode due to …
46y · Male·Ventricular arrhythmia in a man with epilepsy and documented episodes of bradyca…
Garry John Stephens, aged 46, died in Port Phillip Prison on 7 September 2007 from ventricular arrhythmia in a man with epilepsy and documented bradycardia episodes. The coroner accepted this as consistent with sudden un…
62y · Male·Ischaemic heart disease due to coronary atherosclerosis
Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…
8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma
An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…
68y · Male·Ischaemic heart disease and coronary artery atherosclerosis
Patrick Paul, a 68-year-old man with significant cardiac history including prior myocardial infarction and coronary stents, died of ischaemic heart disease while in prison custody. He presented to hospital with symptoms …
69y · Male·Injuries sustained as a result of aviation accident - controlled flight into ter…
A Piper PA-31T Cheyenne aircraft carrying six occupants crashed into terrain near Benalla, Victoria on 28 July 2004 while conducting a GPS approach in instrument meteorological conditions. The pilot, Kerry Endicott, was …
33y · Female·Injuries sustained as a result of aviation accident—specifically, controlled fli…
A Piper PA-31T Cheyenne aircraft collided with terrain near Benalla, Victoria on 28 July 2004, killing all six occupants including pilot Kerry Endicott and passenger Jacqueline Henderson. The pilot was highly experienced…
34y · Female·Injuries sustained as a result of aviation accident (collision with terrain)
On 28 July 2004, Belinda Anne Andrews, aged 34, died along with five others when Piper PA-31T aircraft VH-TNP collided with terrain near Benalla, Victoria during a GPS approach in instrument meteorological conditions. Th…
42y · Male·Ischaemic heart disease due to severe triple-vessel coronary artery atherosclero…
A 42-year-old man with known severe triple-vessel coronary artery disease died from acute ischaemic heart disease while working at height. He had refused recommended coronary artery bypass graft surgery in December 2008,…
36y · Male·infective endocarditis
John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…
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