391 results
Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…
Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Anthony Edwards) died within 24 hours of discharge; two (Carly Elliott and Michael Thomas) died shortly…
Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…
Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…
48y · Female·Head injury
Frances May Cooper, a 48-year-old woman with chronic paranoid schizophrenia, died from head injuries after being struck by a train on 30 October 2011 while on unescorted leave from the mental health unit at Kalgoorlie Re…
Female·Multiple injuries
Yvonne Henderson was a middle-aged woman with chronic delusional disorder who died in a motor vehicle collision on 6 December 2010 while on approved leave from psychiatric hospitalisation. She was an involuntary patient …
65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…
Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently transferred to a rehabilitation unit for reassessment…
70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers
David Weiser, 70, presented to an emergency department with melaena and dizziness on 11 November 2012. An advanced trainee in emergency medicine, Dr H., examined him and found a haemoglobin of 92 g/L and elevated urea/cr…
18y · Male·Multiple injuries sustained in motorcycle crash
Sean Bruce, 18, died from multiple injuries sustained in a motorcycle crash on 17 May 2012. He was riding a stolen motorcycle at excessive speed (90-134+ km/h in a 60 km/h zone) when he lost control at a roundabout. He h…
28y · Female·combined drug toxicity (heroin and prescribed psychiatric medications)
Priscilla Stephenson, a 28-year-old Aboriginal woman with longstanding mental illness and polysubstance abuse, died from combined drug toxicity (heroin plus prescribed psychiatric medications) shortly after discharge fro…
62y · Male·fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy
A 62-year-old prisoner with severe ischaemic heart disease, diabetes, and cardiomyopathy died from a fatal cardiac arrhythmia in hospital. He had extensive cardiac history including pacemaker insertion, coronary stents, …
55y · Male·ruptured dissection of the thoracic aorta
Tien Chung Nguyen, a 55-year-old male prisoner, died from rupture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 Novem…
2y · Female·pneumonia in a child with reported recent flu-like illness (multiple viral detec…
Armarnie-Bree Elliott, a 2-year-old with Angelman syndrome, died from pneumonia complicated by oxycodone toxicity. She developed flu-like symptoms in late April while at a women's refuge. On 2 May evening, appearing incr…
31y · Male·ligature compression of the neck (hanging)
A 31-year-old man with depression, suicidal ideation, and recent HIV diagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying…
29y · Male·Multiple drug toxicity
Shane John Robinson, a 29-year-old prisoner with complex medical conditions including Crohn's disease, pulmonary embolism, anaemia and schizoaffective disorder, died from multiple drug toxicity in prison. He had been pre…
0y · Male·intrapartum hypoxia due to placental abruption
A second twin boy was born at home despite medical advice that twin pregnancies require hospital care. The mother, who strongly preferred home birth, disengaged from hospital when her preferences for birth management (va…
50y · Male·coronary atherosclerosis
A 50-year-old Tamil Sri Lankan man in immigration detention at Curtin IDC died from severe coronary atherosclerosis. He was assessed using a temporary "fast track" health screening process due to overcrowding at Christma…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…
49y · Male·Carbon monoxide toxicity
John Vincent Kearney, 49, with a history of depression and previous suicide attempt presented to Sir Charles Gairdner Hospital ED on 26 March 2010 with suicidal ideation triggered by work stress. Psychiatric clinicians c…
2y · Male·Myocarditis secondary to Kawasaki Disease
Christopher Tao, aged 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September…
28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…
Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She presented to Fremantle Hospital …
31y · Male·Head and chest injury
Gyan Murray Jeffery, age 31, died from head and chest injuries sustained when struck by two motor vehicles on the South Western Highway at Argyle, Western Australia, on 30 September 2011. He had a longstanding history of…
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