391 results
51y · Male·ischaemic heart disease with myocarditis
Sajidu Rahman, a 51-year-old Rohingya man, died suddenly from ischaemic heart disease with myocarditis at a Christmas Island detention centre shortly after arrival by boat. He had a pre-existing history of diabetes, hype…
38y · Male·hypoxic brain injury and organ failure following compression of the neck (hangin…
A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who …
14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis
A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…
23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…
Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…
84y · Male·upper airway obstruction in a man with a clinical history of dementia
Brian Keith Wood, 84, died from upper airway obstruction due to choking on softened toast while residing in an aged care facility. He had advanced dementia and was unable to make healthcare decisions. The food provided w…
29y · Male·fracture dislocation of the upper cervical spine
Aaron Genovese, 29, died after his motorcycle collided with a Toyota Prado at an intersection during a police pursuit. The collision caused a fracture dislocation of the upper cervical spine with complete spinal cord tra…
Male·Mahdi Arjomand: unsurvivable head injury incurred at time of motor vehicle crash…
Three men died in a single-vehicle motor vehicle crash in Western Australia on 15 October 2012. All three were significantly intoxicated with methylamphetamine and other drugs at the time of the crash. The driver (Arjoma…
Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…
Three men died in a high-speed motor vehicle crash while intoxicated with methylamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the rear seat passenger (Hiron) sustained severe …
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …
A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…
17y · Male·ligature compression of the neck (hanging)
Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…
41y · Male·unascertained
David Davidson Lawson, a 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the Dampier Peninsula in October 2010. H…
25y · Male·ligature compression of the neck (hanging)
A 25-year-old man with dexamphetamine-induced psychosis died by suicide while an involuntary psychiatric patient. He was transferred from a locked to an open ward on 19 April 2013 after appearing to improve clinically. H…
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan). He manipulated multiple GPs by misreprese…
64y · Female·multiple injuries sustained in head-on motor vehicle collision
A 64-year-old remote area nurse died in a head-on vehicle collision on a remote unsealed road whilst transporting a critically ill patient to hospital for emergency care. The coroner found that the primary cause was driv…
Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…
Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two died by suicide within 24 hours of discharge; one disappeared and was found deceased; one ab…
Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…
Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-March 2012). Two died within 24 hours of discharge, demonstrating critical failures in mental health ser…
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…
Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…
Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappeared and died; one absconded while detained and died. Clinical less…
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