3,729 results
18y · Male·neck compression due to hanging
Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emer…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…
29y · Male·air embolus complicating gunshot wounds to chest
A 29-year-old male died from air embolus complicating gunshot wounds to the chest sustained during a police confrontation. Initial medical stabilization appeared successful; he was intubated, chest drains inserted, and t…
Female·death by drug toxicity
Melanie Boyd, a teenager, died from drug toxicity at an unsupervised youth party where she consumed illicit drugs, prescription medications, and excessive alcohol. The inquest revealed critical failures in recognising he…
85y · Male·Cachexia due to esophagitis due to HIV infection
An 85-year-old prisoner with long-standing HIV infection died from cachexia due to esophagitis while receiving palliative care at a hospital secure unit. He had been admitted with falls and back pain, and investigations …
57y · Female·acute pulmonary embolism
Sandra McRae, age 57, died from pulmonary embolism on day 13 of hospitalisation following pelvic fractures sustained in a motor vehicle accident. The coroner found the death was potentially preventable due to failure to …
35y · Male·neck compression due to hanging
A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…
26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident
John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he collided and suffered extensive injuries including ruptured …
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
A 62-year-old woman died of uncontrollable haemorrhage following an abdominoperineal excision of the rectum (APER) at a remote hospital. The coroner found the operation itself was inappropriate: performed for undiagnosed…
47y · Female·Cardiac arrhythmia due to severe coronary artery atherosclerosis
A 47-year-old woman presented to a level one rural hospital with chest pain. The doctor diagnosed muscular pain (99% certain) and discharged her without troponin testing or admission, despite chest pain being the present…
64y · Male·Sepsis and lung collapse precipitated by burns to 35% of body sustained while sm…
Michael Warren, a 64-year-old man with rapidly progressive Motor Neurone Disease (MND), died from sepsis and respiratory complications following severe burns sustained while smoking in a hospital courtyard. He was alone,…
10y · Female·Head injuries due to fall from a bunk bed
Elise Neville, aged 10, fell from a non-compliant bunk bed and sustained a head injury. At her first ED presentation to Caloundra Hospital at 3:25am, Dr D.—a junior house officer 19 hours into a 24-hour shift—failed to p…
36y · Male·morphine toxicity
A 36-year-old man with morbid obesity, possible sleep apnoea, and respiratory symptoms died from morphine toxicity after taking three 100mg MS Contin tablets within 6 hours, despite being opioid-naïve. He presented to ED…
38y · Male·coronary atherosclerosis
Robert Taylor Daly, a 38-year-old Aboriginal man, died of coronary atherosclerosis with severe coronary artery blockage and pulmonary edema. He collapsed in a drinking area after consuming alcohol while acutely ill with …
78y · Male·pneumonia with dehydration and exposure to heat as contributing factors
Peter Limbunya, a 78-year-old Aboriginal elder, died from pneumonia complicated by dehydration and exposure after being left unattended at a remote airstrip following hospital discharge. He was not accompanied by a requi…
33y · Male·cerebral hypoxia due to compression of the neck (suspension)
Leim Matthew Benson, 33, died from cerebral hypoxia due to neck compression by suspension on 4 April 2007. He died 3 days after being found hanging from a residential balcony on 1 April 2007 following an argument with hi…
76y · Male·ruptured abdominal aortic aneurysm
Kenneth Carter, 76, died from a ruptured abdominal aortic aneurysm (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two e…
31y · Female·right cerebellar cerebrovascular accident (cerebellar infarction with obstructiv…
31-year-old woman presented with acute onset headache, dizziness, vomiting, facial numbness and speech difficulties. Initial CT brain showed equivocal left temporal hypodensity. Dr B. diagnosed acute migraine/benign posi…
26y · Male·Multiple injuries sustained from a fall of 12 metres through an open hatch on Se…
Colin Arthur Greaves, a 26-year-old casual hydroblaster, died after falling 12 metres through an unsecured hatch (Hatch A) on a Settler tank at Queensland Alumina Limited's Gladstone plant. The hatch should have been wel…
41y · Male·Head Injury in a Man with Acute Alcohol Intoxication; basal skull fracture with …
Ronald Gregory Kidner, 41, died from a basal skull fracture and severe head trauma on 25 October 2004, four days after falling at a recreation club while acutely intoxicated. He presented to Nickol Bay Hospital with sign…
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