391 results
45y · Female·multiple organ failure following thermal injuries (severe burns)
Wendy Bearfoot, a 45-year-old DEC (Department of Environment and Conservation) employee, died from multiple organ failure following severe thermal burns (80% of body) sustained in a bushfire burnover on 12 October 2012. …
35y · Male·bronchial asthma
A 35-year-old man with mild asthma died from severe bronchial asthma within hours of arriving at a Christmas Island immigration detention centre. He was initially identified as asthmatic at the jetty but not transferred …
53y · Male·Penetrating injuries to the right arm and chest
A 53-year-old male died from penetrating injuries to the right arm and chest on 25 November 2011. The coroner found the cause of death was stab wounds but made an Open Finding as to manner of death due to unexplained cir…
44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…
Maureen Mandijarra, a 44-year-old Aboriginal woman with poorly controlled diabetes and recurrent skin infections, was arrested at Male Oval on 29 November 2012 for street drinking under a zero-tolerance police approach. …
34y · Male·ligature compression of the neck (hanging)
Troy William Murray, a 34-year-old man with a long history of substance abuse (primarily amphetamine and alcohol), psychiatric illness, and multiple previous suicide attempts, died by hanging on 11 March 2012. He had bee…
50y · Male·aspiration of vomit in a man with focal coronary arteriosclerosis
Subhas Chandra, a 50-year-old man, died between 3-4 November 2013 from aspiration of vomit in the setting of focal coronary arteriosclerosis. He had been involved in a physical altercation with a housemate shortly before…
0y · Female·acute necrotising pneumonia
Masaly Mosby, a 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days but never being seen by a doctor for formal assessment…
49y · Male·ligature compression of the neck (hanging)
Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…
23y · Female·chronic hydrocephalus with brain swelling
A 23-year-old registered nurse with undiagnosed chronic hydrocephalus presented to the ED with neck pain, headache and vomiting. Dr B. assessed her briefly without formal examination or detailed history, prescribed ketor…
2y · Female·chest injury - tear to right atrium with haemopericardium caused by television s…
A 2-year-old girl died from chest injury after a 15.8kg television set fell on her when she climbed onto an unsecured wooden cabinet. Despite prompt ambulance response and resuscitative efforts, she suffered a tear to th…
22y · Female·staphylococcal septicaemia and pneumonia complicating osteomyelitis of a right 1…
Julieka Dhu, a 22-year-old Aboriginal woman, died on 4 August 2014 from staphylococcal septicaemia and pneumonia complicating osteomyelitis of a rib fracture sustained in April 2014. She was detained in police custody on…
75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…
Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCar…
33y · Female·Methylamphetamine intoxication leading to agitated delirium and extreme exertion…
A 33-year-old female with a history of methylamphetamine use consumed the drug and became acutely intoxicated, exhibiting agitated delirium and bizarre behaviour searching for her son. She was violently assaulted by resi…
37y · Male·multiple injuries in a man with methylamphetamine effect (suicide by jumping fro…
Simon John Rowe, a 37-year-old man with a history of drug use and imprisonment, died by suicide on 12 April 2012 after deliberately jumping from a 12th-floor hotel window during a police siege. He had smashed the window,…
15y · Male·Severe traumatic brain injury resulting from motor vehicle crash
Giovani Wade Ryan, 15 years old, died from severe traumatic brain injury sustained when the stolen panel van in which he was a front seat passenger rolled at high speed on an unsealed intersection. Young intoxicated male…
30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…
A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…
48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…
A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receiving training and instruction…
35y · Male·head injury in a man with chronic liver disease
A 35-year-old male prisoner with chronic hepatitis C cirrhosis and thrombocytopenia died from traumatic brain injury sustained during an unprovoked assault by another prisoner. A single punch caused him to fall backward …
79y · Male·Bronchopneumonia and acute bronchiolitis
Donald Broadribb, 79, died of bronchopneumonia and acute bronchiolitis after presenting to York Hospital on 12 October 2012 with vomiting, cough, and abdominal pain. He was discharged after nurses focused on treating con…
42y · Male·unascertained
Anthony Charles Eura, a 42-year-old Aboriginal man with long-standing mental health problems, alcohol and drug dependency, and chronic suicidality, disappeared in November 2006 and is presumed deceased. In the month befo…
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