3,425 results
51y · Female·Head and neck injuries
A 51-year-old woman was murdered by her husband in a brutal attack in their garage, with head and neck injuries as the cause of death. The coroner found that problem gambling was a significant contributing stressor to th…
73y · Male·Multiorgan dysfunction in the setting of severe heart failure in a man with mult…
A 73-year-old man with Fragile X syndrome, intellectual disability, Barrett's oesophagus, and epilepsy died from multiorgan dysfunction in severe heart failure. He had experienced progressive health decline over months, …
59y · Male·Multiple stab injuries
A 59-year-old man was fatally stabbed by his former partner in a context of longstanding family violence. The deceased had perpetrated significant violence against the perpetrator, who had mental illness and housing inst…
41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity
Emma Terrill, 41, died from aspiration pneumonia in the setting of mixed drug toxicity. Post-mortem toxicology revealed elevated tramadol with benzodiazepines (alprazolam, diazepam, temazepam, oxazepam) causing synergist…
69y · Male·Haemopericardium secondary to ischaemic heart disease
Brian Matthew McDonald, a 69-year-old man with autism, intellectual disability, and epilepsy living in specialist disability accommodation, died from haemopericardium secondary to ischaemic heart disease. He collapsed in…
60y · Male·End stage multiple system atrophy
Mr B, a 60-year-old man with end-stage multiple system atrophy, was admitted to Box Hill Hospital on 5 June 2025 with respiratory distress, dysphagia, and recent upper respiratory tract infection. His condition progressi…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did not recognize her de…
28y · Male·Head injuries sustained in an electric scooter incident
A 28-year-old man died from head injuries sustained when he lost control of a high-powered electric scooter (Kaabo Mantis 10 Elite, dual 1000W motors, 65 km/h capable) while riding at 50-60 km/h on a residential road. He…
54y · Female·Respiratory failure secondary to pneumonia, due to multiple sclerosis
A 54-year-old woman with multiple sclerosis residing in specialist disability accommodation died of respiratory failure secondary to pneumonia. She presented with breathing difficulty and vomiting on 10 January 2024, was…
50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…
William Heddergott, 50, died from asphyxiation with head injuries while intoxicated, in circumstances suggesting his mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include…
78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…
A 78-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for…
86y · Male·Complications of blunt force trauma in a man with cardiac amyloidosis and athero…
An 86-year-old man with dementia, cardiac amyloidosis and atherosclerotic cardiovascular disease died from complications of blunt force trauma sustained in an assault by his adult son. The deceased had been diagnosed wit…
74y · Male·Sepsis complicating pyelonephritis and pseudo large intestinal obstruction (pall…
A 74-year-old man with intellectual disability, Parkinson's disease, and dysphagia died from sepsis complicating pyelonephritis and pseudo-obstruction after prolonged hospitalisation. He was admitted in February 2024 wit…
9y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)
Aluel Ajak, a 9-year-old girl with autism spectrum disorder, severe developmental delay, and moderate intellectual disability, died from injuries sustained when struck by a motor vehicle after absconding from her home. S…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …
47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…
A 47-year-old NDIS participant with a history of stroke, diabetes, and complex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support serv…
43y · Female·Head and neck injuries
GVY, aged 43, was fatally attacked by her husband MJN with an axe and knife on 3 December 2022 after she initiated separation. MJN had a documented history of coercive control, physical violence, jealousy, and financial …
71y · Female·Aspiration pneumonia complicating dysphagia and status epilepticus
Ann Williams, a 71-year-old woman with severe intellectual disability and chronic dysphagia, died of aspiration pneumonia complicated by status epilepticus while residing in specialist disability accommodation. She prese…
32y · Male·1(a) Aspiration of gastric contents; 1(b) Combined drug toxicity
A 32-year-old Eritrean refugee died on 22 August 2017 in a mental health unit from aspiration of gastric contents and combined drug toxicity. During his six-day admission, Mr SWX received 64 doses of 11 medications with …
75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis
A 75-year-old woman died from infective complications of a left hand wound sustained in a fall from a ladder in November 2023, complicated by undiagnosed diabetic ketoacidosis. Despite family encouragement to seek medica…
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