391 results
9y · Male·Sudden infant death in a boy with bronchitis and otitis media (cause unascertain…
A 9-week-old Aboriginal foster child died of sudden infant death (SUID) whilst in approved foster care. The baby was in the Department's care following removal from biological parents due to maternal health issues and pa…
69y · Male·unknown
John Joseph Moran, a 69-year-old man with a history of mental health problems including schizophreniform psychosis and organic delusional disorder following a stroke, disappeared in February 2006 while in a remote area o…
Unknown·unascertained
An 8-week-old infant in out-of-home care died suddenly while asleep in a porta cot. Post-mortem examination revealed no infectious disease, injury, or toxicological abnormality. The cause remained unascertained despite e…
90y · Male·Pneumonia in a man with traumatic brain injury
Francis Robert Ward, age 90, died of pneumonia following traumatic brain injury sustained from multiple falls while imprisoned. He had numerous comorbidities including hypertension, renal impairment, and age-related frai…
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
A 62-year-old woman with chronic schizophrenia died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. She had been on escitalopram (SSRI) for depress…
10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …
Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marg…
86y · Male·head injury with acute subdural haemorrhage
Leon Caporn, 86-year-old resident at Bethanie Waters aged care facility, suffered an unwitnessed fall on 2 July 2010 striking his head, resulting in acute subdural haemorrhage. He was examined by nursing staff who found …
15y · Male·Head Injury
Benjamin Alfred Ware, aged 15, died from unsurvivable head injuries following a motor vehicle crash on an unsealed road during a police pursuit. He was intoxicated with methylamphetamine (0.08 mg/L) at the time, a potent…
66y · Male·multiple organ failure associated with the combined effects of complications of …
Daniel Lahengking, a 66-year-old Indonesian visiting family in Esperance, was diagnosed with rheumatoid arthritis by locum GP Dr H. and prescribed methotrexate 5-10mg daily, a grossly excessive dose (normal: 7.5-20mg wee…
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
Nola Inez Daniel, 83, died from complications following a hip fracture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fall at Regis Forrest Ga…
60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…
Adrian Bernard Williams, a 60-year-old man with advanced metastatic cancer, chronic obstructive airways disease, and ischaemic heart disease, died from pneumonia while in prison custody. He was appropriately classified a…
24y · Male·unknown
William Maddison French, a 24-year-old male, disappeared in December 1997 while travelling around Australia. He was last confirmed sighted on 17 December 1997 in Carnarvon. Extensive investigations, including police coll…
64y · Male·plastic bag asphyxia
A 64-year-old man with long-standing depression, personality disorder, and chronic pain died by plastic bag asphyxiation in a psychiatric hospital open ward. He had been admitted involuntarily after expressing suicidal i…
28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…
Sarah Jane Rutherford, a 28-year-old woman with bipolar affective disorder and schizophrenia, died on 27 December 2009 after falling from a pedestrian bridge onto the Mitchell Freeway in Perth. She was an involuntary pat…
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…
56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely
Delray Beasley, a 56-year-old Aboriginal man with chronic liver cirrhosis from longstanding alcohol abuse, was admitted to Kalgoorlie Hospital in May 2010 following an alleged assault. He was initially evaluated for poss…
14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…
Haley Diamond, 14, died from acute cerebral hypoxia following inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain damage and bronchopneumonia. Clinical lessons: volatile substan…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
A 57-year-old man with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibi…
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…
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