24y · Female·Immersion (drowning due to hypoxic brain injury)
Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…
4y · Female·Immersion (drowning)
Kaitlin Alyce Gubanyi, a healthy 4-year-old girl who could swim, drowned in a backyard swimming pool on 30 March 1999. While being supervised by a neighbour, Mrs Vicki Parr, the child was discovered face down in the pool…
34y · Female·hypoxic brain damage complicating fresh water drowning
Alice Louise McTye, a 34-year-old woman with severe intellectual disability and epilepsy, died from hypoxic brain damage following fresh water drowning in a bath at a disability services residence. The coroner found she …
30y · Male·acute combined heroin and alcohol toxicity; ingestion of alcohol and heroin
Michael James Dwyer, a 30-year-old man, died on 17 June 1999 at Royal Perth Hospital from acute combined heroin and alcohol toxicity. On 11 June, after returning from Melbourne, he consumed approximately one litre of gin…
20y · Male·Ligature Compression of the Neck (Hanging)
Steven Charles Indich, a 20-year-old Aboriginal man with schizophrenia and a long history of psychotic symptoms, violent behaviour and substance abuse, died by suicide in Smith Ward at Graylands Hospital on 13 November 1…
33y · Male·Postural asphyxia due to restraint (Posey Poncho vest)
A 33-year-old male admitted after drug overdose died from asphyxiation while restrained in a Posey Poncho vest. Successfully treated for overdose complications, he developed drug-induced delirium with agitation, promptin…
0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…
Nathan Wrench, 11 weeks old, presented to Queanbeyan Hospital on 14 October 1996 with persistent vomiting for 3 days. GP Dr R. diagnosed viral infection with possible reflux, admitted for observation, and managed conserv…
69y · Female·Asthma
June Sylvia Long, aged 69, suffered an asthma attack at home on 28 June 1994 and was transported to Alfred Hospital. She deteriorated overnight in the hospital's Respiratory Ward despite initial improvement in Emergency …
19y · Male·complications of ligature compression of the neck
Stanley John Inman, 19-year-old Aboriginal male, died by suicide at St John of God Midland Hospital on 13 July 2020, two days after ligature compression of the neck at Acacia Prison. He was on low-level ARMS (at-risk man…
24y · Male·complications of ligature compression of the neck (hanging)
Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement …
18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration
An 18-year-old female, a naive drinker, consumed approximately 19-21 standard drinks over a few hours at her birthday party, including vodka cruisers, a full-strength Midori drinking game, and Polmos (95% alcohol). She r…
69y · Female·Intra-abdominal sepsis and shock with multi-organ failure following intestinal p…
A 69-year-old woman died from intra-abdominal sepsis and multi-organ failure following a perforated caecum that occurred after lumbar spine surgery. Post-operatively, she developed abdominal distension and pain initially…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …
0y · Female·Subdural and subarachnoid haemorrhages due to late onset vitamin K deficiency bl…
A 33-day-old exclusively breastfed baby died from subdural and subarachnoid haemorrhages caused by late-onset vitamin K deficiency bleeding (VKDB). The parents, exercising informed choice based on spiritual beliefs, decl…
49y · Female·Blunt force head injury from pedestrian-pushbike collision
A 49-year-old woman died from catastrophic head injuries sustained in a pedestrian-bicycle collision on a footpath in Darwin. She exited a gate with obscured visibility and stepped directly into the path of a 12-year-old…
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