5,655 results
Male, female, male·Matthew James Neck: multiple injuries consistent with forceful compression of th…
Three young adults died in a motor vehicle rollover on 31 December 1999 on the Lasseter Highway near Yulara after a bus driven by Gillian Tomes (aged 26) initiated a right-hand turn onto a fire trail without giving way t…
30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology
Giovanni Mario Franco, a 30-year-old man with schizophrenia, died on 10 March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed se…
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
Eduardo Concepcion, a 26-year-old man experiencing mental health crisis and acute intoxication, died from multiple gunshot wounds inflicted by Northern Territory Police. Following days of deteriorating mental state, self…
34y · Female·incineration and inhalation of products of combustion from motorised wheelchair …
Sandra Lee Rothwell, aged 34, died from incineration and inhalation of combustion products when a fire started in her motorised wheelchair while she was at home. She had severe cerebral palsy and was completely dependent…
Unknown for majority of cases; one case (Marrakai Plains, circa 1976) determined…
This consolidated inquest concerned 15 sets of unidentified skeletal remains discovered at various remote and rural locations across the Northern Territory, including Cartier Island, Marrakai Plains, Malay Bay, Katherine…
74y · Male·disseminated carcinoma (widespread cancer); specifically haemorrhage into right …
Ronald Smallwood, a 74-year-old man with chronic paranoid schizophrenia and renal cancer, died in hospital from disseminated carcinoma. The key clinical lesson relates to institutional knowledge rather than direct patien…
33y · Male·carbon monoxide poisoning consistent with inhalation of car exhaust fumes
A 33-year-old man with major depressive disorder and multiple suicide attempts died by carbon monoxide poisoning after premature discharge from psychiatric inpatient care. He was admitted to Lyell McEwin Health Service o…
36y · Male·Cardiac failure associated with intravenous methylamphetamine abuse and exertion
A 36-year-old man died from cardiac failure associated with intravenous methylamphetamine abuse and exertion. He had injected methylamphetamine and subsequently engaged in intense physical activity (running, climbing fen…
29y · Male·hanging
A 29-year-old man remanded in custody at Adelaide Remand Centre died by hanging on 15 January 2000. At admission, he denied self-harm risk and psychiatric history; no warning signs were identified. He was found hanging f…
58y · Male·hanging
A 58-year-old man remanded in custody awaiting trial died by hanging in prison. He had a history of depression treated with fluoxetine and was assessed by a forensic psychiatrist who found no evidence of depression or su…
45y · Female·haemorrhage due to traumatic rupture of the liver
A 45-year-old woman with a long history of bipolar disorder and personality disorder presented to the ED at 2:30 AM after cutting her wrist deeply with a carving knife. The treating casualty officer did not properly docu…
26y · Male·respiratory arrest complicating hydrocarbon inhalation (sudden sniffing death)
A 26-year-old man with schizophrenia, antisocial personality disorder, and polysubstance abuse died from sudden sniffing death syndrome after inhaling fly spray in a psychiatric ward smoking room. Three days prior, staff…
18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…
An 18-year-old woman died from hypoxic encephalopathy due to severe closed head injury sustained when she fell from a shade sail structure at a playground. While climbing on the sail with friends after consuming minimal …
25y · Male·positional asphyxia in a man with extensive old hypoxic brain damage, acute ches…
Corey Paddy, a 25-year-old Aboriginal man with severe hypoxic brain injury from a 1998 car accident, died at Katherine Hospital from positional asphyxia while receiving concurrent morphine therapy and suffering from acut…
26y · Male·Closed head injury with extradural and subdural haemorrhage resulting from a sku…
26-year-old Marcio Jose Lay Nheu died from a closed head injury with extradural haemorrhage caused by a blow to the head with a Maglite torch at Karama Shopping Centre. He was struck by Rodney Foster during an altercatio…
1y · Male·neck compression due to hanging from curtain cord
A 15-month-old boy died from neck compression caused by entanglement in a curtain cord while sleeping in his cot. The cord, used to close nearby curtains, became wrapped around his neck despite the mother's belief it had…
62y · Female·ventricular fibrillation associated with congestive cardiomyopathy
A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety following cardiomyopathy diagnosis died from ventricular fibrillation ass…
26y · Male·.357 magnum gunshot wounds to the chest and abdomen
Luke Donaghey, a 26-year-old man with untreated psychotic illness, was shot by police after threatening his parents with a knife. Critical clinical lesson: his general practitioner failed to utilize available mental heal…
37y · Male·Sergeant Huitson: gunshot wound to chest and abdomen; Ansell: multiple gunshot w…
This coronial inquiry examined a shooting incident on 3 August 1999 where Rodney Ansell, a man suffering from deteriorating mental health and chronic amphetamine abuse, opened fire on the Stuart Highway killing Sergeant …
28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…
A 28-year-old Aboriginal male died from anaphylactoid reaction to Haemaccel, a plasma volume expander administered pre-hospital following a severe laceration to the radial artery. Initial management was appropriate, but …
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