35 results
31y · Male·asphyxia due to self-inflicted hanging
Benjamin Marshall, aged 31, died by self-inflicted hanging in October 2019, over two years after discharge from the Royal Australian Navy. He suffered from Bipolar Affective Disorder (BPAD), a genetic condition not causa…
41y · Female·frontal lobe ischaemic infarcts (strokes) caused by cerebral artery vasospasm co…
A 41-year-old woman died from frontal lobe ischaemic infarcts caused by cerebral vasospasm complicating subarachnoid haemorrhage from a ruptured aneurysm. She presented to multiple healthcare providers over five days wit…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
A 77-year-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousne…
91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…
Shirley Dorothy Dawn Martin, an 91-year-old with advanced Alzheimer's disease and multiple comorbidities, sustained a hip fracture from an unwitnessed fall at an aged care facility on 8 August 2022. She underwent surgica…
17y · Male·epileptic seizure complicating idiopathic epilepsy
17-year-old Codie Mansell-Moore died from epileptic seizures on 10 December 2018. An ambulance was called at 6:09am while he was seizing, but paramedics staged around the corner and did not enter his home for 48 minutes …
Male·suicide
Benjamin Laurence Marshall, a former Royal Australian Navy sailor, died by apparent suicide in October 2019. This coronial ruling addresses the scope of the inquest rather than final findings. The coroner examined whethe…
29y · Male·blunt trauma of the chest
A 29-year-old male died from blunt chest trauma sustained in a mountain bike crash at Maydena Bike Park, Tasmania. He was an intermediate rider on an appropriate blue-trail track when he crashed, likely due to his front …
1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…
An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he ingested the screw and began choking. Parent…
64y · Male·coronary atherosclerosis with early myocardial infarction
A 64-year-old man suffered acute myocardial infarction at home. His wife called triple-0 at 10:34 am reporting classic cardiac symptoms: sudden sweating, shortness of breath, and shoulder pain. The emergency dispatch sys…
20y · Male·Blunt traumatic injuries from fall from height
Carter Jim Taylor, a 20-year-old apprentice builder, died following a fall from a 30-metre cliff at Clifton Beach, Tasmania on 2 April 2022. While walking near the cliff edge with friends, he lost his footing, slid down …
36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…
Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and midazolam stolen f…
71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis
71-year-old woman presented to ED with signs of circulatory failure (hypotension, tachycardia, tachypnoea, hypoxia) and progressive leg pain/swelling over one week. ECG showed S1Q3T3 pattern consistent with pulmonary emb…
83y · Male·aspiration pneumonia
Ellis Newton Hughes, 83-year-old retired mining engineer with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 a…
82y · Male·bronchopneumonia
William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…
31y · Male·global hypoxic brain injury secondary to positional asphyxia following an epilep…
KL, a 31-year-old male with longstanding epilepsy, died from global hypoxic brain injury caused by positional asphyxia following an epileptic seizure at home on 26 April 2019. He fell in the toilet during a seizure, beca…
56y · Male·blunt trauma of head
Scott Glanville, a 56-year-old electrician, died from blunt head trauma sustained in a workplace traffic accident. His van rolled on black ice on Frankford Road, Tasmania. While he survived initial impact with minor inju…
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
A 63-year-old man with multiple chronic conditions including psoriatic arthritis, depression, prostate cancer, and recent dental issues died by self-inflicted sharp force wounds while on approved leave from a mental heal…
55y · Female·asphyxia due to choking on food (steak)
A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…
41y · Male·heart failure related to exsanguination due to traumatic rupture of an arteriove…
Nicholas Summers, a 41-year-old kidney transplant recipient, died from traumatic rupture of an arteriovenous fistula with massive hemorrhage on 16 February 2016. He had returned to Tasmania under nephrologist Dr Mathew's…
58y · Male·chest and abdominal injuries sustained in motor vehicle collision
A 58-year-old experienced motorcycle rider died from massive chest and abdominal injuries after losing control on a rural curve and colliding with an oncoming vehicle. He was initially conscious with three doctors presen…
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