918 results
71y · Male·general inanition on a background of end-stage mixed pattern dementia and acute …
Bryan Robert Hall, age 71, died from general inanition secondary to end-stage mixed dementia and acute renal failure while under a Level 2 Inpatient Treatment Order at Repatriation General Hospital. He had a complex medi…
70y · Male·ischaemic heart disease
A 70-year-old man with ischaemic heart disease, dementia, diabetes, hypertension and aortic stenosis died suddenly of acute myocardial infarction while in compulsory mental health detention. He had fallen the previous mo…
16y · Female·upper airway occlusion due to aspiration of a foreign body (disposable latex glo…
Sophia Nisco, a 16-year-old with severe cerebral palsy and intellectual disability, died from airway obstruction after aspirating a disposable latex glove at a respite care facility. She had documented oral fixation beha…
48y · Female and male·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…
This inquest examined the deaths of two people in a violent domestic relationship. Ms Dailler, aged 48, was killed by her partner Mr Muir through blunt force trauma and stab wounds. Mr Muir subsequently died by suicide. …
79y · Male·ischaemic heart disease complicating chronic obstructive airways disease
Jon Bickley, aged 79, died of ischaemic heart disease complicating chronic obstructive airways disease while subject to an Inpatient Treatment Order at Flinders Medical Centre. He presented with acute delirium and agitat…
19y · Female·2,4-dinitrophenol toxicity
A 19-year-old woman died from 2,4-dinitrophenol (DNP) toxicity after intentionally ingesting approximately 50 x 250mg capsules purchased online. She presented to Flinders Medical Centre with an Inpatient Treatment Order …
80y · Male·inanition complicating end stage dementia
An 80-year-old man with end-stage dementia died from inanition (severe malnutrition/dehydration) while subject to Mental Health Act inpatient treatment orders. He had been admitted after becoming aggressive at home due t…
47y · Female·Carbon monoxide toxicity
A 47-year-old woman died from carbon monoxide toxicity while showering in a bathroom equipped with a non-compliant, unflued instantaneous gas hot water heater installed circa 1996. The heater, at least 45 years old when …
84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…
Aldona Mariana Playford, an 84-year-old woman with extensive medical comorbidities including ischaemic heart disease, chronic renal failure, and severe biventricular dysfunction, died of sepsis and cardiac failure. She w…
60y · Female·neck compression by ligature strangulation
Martina Morgan, aged 60, died from ligature strangulation by her own leggings while in police custody at Sturt Police Station in March 2015. She was significantly intoxicated (BAC 0.23%) and taking benzodiazepines when a…
89y · Male·pneumonia on a background of advanced Parkinson's disease and dementia
An 89-year-old man with advanced Parkinson's disease and dementia died of aspiration pneumonia following hospital admission for behavioural management. He was subject to an Inpatient Treatment Order and required chemical…
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
An 83-year-old man with dementia and ischaemic heart disease underwent elective left total knee replacement under spinal anaesthesia to avoid general anaesthesia, as advised by geriatrician. Despite optimal anaesthetic t…
14y · Female·electrocution
Heidi Singh was a 14-year-old Aboriginal girl who died by electrocution at a railway pylon on 21 August 2014. She had suffered from foetal alcohol spectrum disorder since early childhood, experienced multiple losses (par…
Salt water drowning
Three children drowned at Glenelg Beach near a rock groyne: Thiery Niyomungere (11) and Frank Ndikuriyo (11) on 1 January 2016, and Nitisha Negi (15) on 10 December 2017. All three were non-competent swimmers who encount…
34y · Male·neck compression due to hanging
A 34-year-old male on home detention bail died by hanging. He had a history of mental health issues, depression, and prior suicide threats, but did not disclose these to correctional services staff. In the 24 hours befor…
87y · Male·aspiration pneumonia, urinary tract infection and general inanition complicating…
Graham Pemberton, 87 years old with advanced Alzheimer's dementia, died of aspiration pneumonia, urinary tract infection, and general inanition. He was admitted to hospital multiple times in 2015 with behavioural disturb…
53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…
Anthony Stephen Gibson, aged 53, died in hospital from aspiration pneumonia secondary to oesophageal cancer and ischaemic heart disease. He was serving a prison sentence and was shackled to his bed throughout most of his…
Female·pentobarbitone toxicity
Two veterinary-associated women (a veterinary student and a practicing veterinarian) died from pentobarbitone toxicity via ingestion, with evidence of intentional self-harm. The coroner identified that both women had acc…
68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …
Brian John Schulze, aged 68, died of ischaemic heart disease (operated) while subject to a Mental Health Act inpatient treatment order at Flinders Medical Centre. He presented with falls, confusion, and agitation followi…
60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…
A 60-year-old man with frontotemporal dementia, diabetes, and ischaemic heart disease died from sepsis secondary to pressure ulcers while subject to a Mental Health Act inpatient treatment order. He developed sacral and …
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