5,655 results
36y · Male·Acute on Chronic Myocardial Infarction
Mark Anselo Ugle, a 36-year-old Aboriginal man with a significant history of cardiac problems, seizures, and non-compliance with medication, died in East Perth Lockup on 9 December 2000 from acute on chronic myocardial i…
23y · Male·exsanguination from amputation of right leg through hip joint
A 23-year-old professional scallop diver was fatally attacked by a great white shark off South Australia's coast. He died from exsanguination following amputation of his right leg. The coroner identified two critical fai…
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…
48y · Male·Multiple injuries with incineration (Gard); Incineration (Glass)
Two experienced aviation and power industry professionals died when their helicopter struck a spur power line during a routine fault-finding inspection. Anthony Gard (48), an experienced helicopter pilot, and Errol Glass…
37y · Male·primary intracerebral haemorrhage, contributed to by acute alcohol intoxication
Eric Gaykamangu, a 37-year-old Aboriginal man, died of primary intracerebral haemorrhage whilst in hospital ICU, nine days after initial presentation. He was found intoxicated outside Centrelink on 7 December 2001 with m…
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…
38y · Female·Multiple injuries sustained in a motor vehicle accident in which the deceased wa…
Rita Dandy, a 38-year-old Aboriginal woman with chronic alcohol use disorder, died from multiple injuries after being struck by a motor vehicle while lying on the Stuart Highway near Darwin. She had been released from pr…
26y · Male·Multiple injuries sustained in aircraft accident - Cessna 210 stall and loss of …
Robert John Baxter, aged 26, died in a Cessna 210 aircraft crash on 4 February 2001 near Gapuwiyak airstrip, Arnhem Land. The pilot took control of an unfamiliar aircraft without conducting a pre-flight inspection and at…
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…
48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …
Cheryl Hoggins, aged 48, died on 1 July 2000 from cardiac tamponade following perforation of the right atrium during central venous catheter exchange in ICU. She was recovering from emergency liver transplantation compli…
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) …
71y · Female·massive acute haemolysis leading to severe anaemia and multi-system failure as a…
Ruth Stoll, 71, died from massive acute haemolysis and multi-system failure after receiving incompatible blood transfusions during aortic aneurysm repair. Pre-operative blood samples from Stoll and another patient (Koven…
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…
22y · Male·severe head injury sustained in motor vehicle collision
Mark Kristian Ewout Loohuys, a 22-year-old serving police officer, died from severe head injury on 18 February 2000 when the unmarked police vehicle he was a passenger in crashed on Great Eastern Highway near Glen Forres…
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…
0y · Male·Cardiorespiratory failure due to failure of anaesthetic rebreathe bag
Taylor Ainalidis, aged 3 weeks, died on 21 June 2000 at the Royal Children's Hospital following cardiorespiratory failure during resuscitation after surgery for Tetralogy of Fallot. The primary cause was failure of an an…
29y · Male·Hanging
Craig Mark Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The…
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