918 results
50y · Male·gunshot wounds to chest and abdomen
Alexander Kuskoff, aged 50, was fatally shot by STAR Group officer DA on 16 September 2015 following a mental health crisis. Kuskoff displayed florid psychotic symptoms including paranoid delusions, was heavily armed, an…
26y · Female·neck compression due to hanging
Juanita Lee McNamara-Cutler, a 26-year-old mother of three with a complex history of mental illness, substance abuse, and prior suicide attempts, died by hanging on 7 September 2014, three days after release on home dete…
79y · Female·multi-organ failure as a result of ischaemic and valvular heart disease with uri…
Janet Ann Cook, aged 79, died of multi-organ failure complicated by hydromorphone toxicity on 30 September 2015. She was mistakenly administered 16mg hydromorphone intended for another patient (room 28 vs room 26) on 21 …
64y · Male·Multi organ failure due to metastatic adenocarcinoma of the lung
A 64-year-old man died of multi-organ failure secondary to metastatic adenocarcinoma of the lung while serving a sentence on home detention. He had a significant cardiac history including bypass surgery and stent placeme…
84y · Male·dilated cardiomyopathy with cardiomegaly due to pulmonary hypertension and valvu…
An 84-year-old man with advanced cardiac disease (dilated cardiomyopathy, pulmonary hypertension, atrial septal defect) and chronic schizophrenia died of natural causes while subject to a Mental Health Act detention orde…
82y · Female·bilateral pulmonary thromboembolism due to left calf deep vein thrombosis
Jean Harrap, 82, died from bilateral pulmonary embolism secondary to left calf deep vein thrombosis while detained under a Mental Health Act Inpatient Treatment Order. She presented to ED with altered mental state, self-…
4y · Male·acute lymphoblastic leukaemia
An Hoang Le Nguyen, a 4-year-old boy, died from acute lymphoblastic leukaemia with CNS involvement. He presented with a 4-day history of abdominal pain, lethargy, fever, and respiratory symptoms at Royal Darwin Hospital …
68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia
Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting…
59y · Male·Chronic liver disease due to alcoholism and chronic hepatitis C infection with c…
Martin Norman Wright, aged 59, died in Yatala Labour Prison on 26 August 2015 from chronic liver disease due to alcoholism and chronic hepatitis C infection, with contributing ischaemic heart disease and chronic obstruct…
45y · Male·mixed drug toxicity (methadone and pregabalin) with possible contributing factor…
A 45-year-old man died in prison from mixed drug toxicity involving methadone and pregabalin, with possible contribution from morbid obesity. He had a history of opioid use and chronic pain from a foot injury. Despite re…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating…
59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction
Glenda Rae Field, aged 59, died from hypoxic-ischaemic encephalopathy due to acute upper airway obstruction by food bolus while eating dinner at her aged care facility. She was a resident at Clearview Manor, a locked car…
30y · Male·exsanguination due to division of left brachial artery
Philip Michael Harris, aged 30, died in Yatala Labour Prison from exsanguination following self-inflicted lacerations to his left forearm that severed the brachial artery. He had a longstanding history of self-harm behav…
31y · Male·ischaemic heart disease
A 31-year-old male prisoner with significant pre-existing cardiac disease (previous myocardial infarction with stenting, cardiomegaly, left ventricular hypertrophy, coronary atherosclerosis) and poorly controlled diabete…
54y · Female·malignant melanoma with brain metastases
A 54-year-old woman with metastatic melanoma died from brain metastases while detained under a Mental Health Act order at the Royal Adelaide Hospital. She had undergone surgery and radiotherapy for melanoma that had spre…
50y · Male·carcinomatosis due to metastatic, poorly differentiated renal cell carcinoma unc…
Michael Sfyris, a 50-year-old prisoner, died of metastatic renal cell carcinoma in April 2016. A CT scan performed in September 2015 revealed an adrenal lesion but the radiology report was misfiled and not reviewed for 2…
64y · Male·respiratory failure and sepsis on a background of end-stage disseminated small c…
A 64-year-old prisoner with end-stage disseminated small cell lung cancer died from respiratory failure and sepsis at Royal Adelaide Hospital. He had presented with collapse, fever, and hypotension in January 2016. Inves…
43y · Male·morphine (heroin) toxicity
Lucas Pike, aged 43, died from heroin toxicity after injecting heroin in a general practitioner's surgery in Adelaide. The heroin was procured by Mark Campbell and administered by Campbell in the practice's pathology roo…
91y · Male·ischaemic and hypertensive heart disease
Giovanni Catino, aged 91, died of ischaemic and hypertensive heart disease while detained under a Mental Health Act inpatient treatment order at Repatriation General Hospital. He had advanced Alzheimer's dementia with be…
45y · Female·methicillin resistant staphylococcus aureus (MRSA) endocarditis of the mitral va…
A 45-year-old woman with chronic renal failure requiring dialysis and bipolar disorder died of MRSA endocarditis of the mitral valve. She was detained under a Mental Health Act order due to manic episodes and non-complia…
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