3,729 results
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
Eduardo Concepcion, a 26-year-old man experiencing mental health crisis and acute intoxication, died from multiple gunshot wounds inflicted by Northern Territory Police. Following days of deteriorating mental state, self…
33y · Male·carbon monoxide poisoning consistent with inhalation of car exhaust fumes
A 33-year-old man with major depressive disorder and multiple suicide attempts died by carbon monoxide poisoning after premature discharge from psychiatric inpatient care. He was admitted to Lyell McEwin Health Service o…
36y · Male·Cardiac failure associated with intravenous methylamphetamine abuse and exertion
A 36-year-old man died from cardiac failure associated with intravenous methylamphetamine abuse and exertion. He had injected methylamphetamine and subsequently engaged in intense physical activity (running, climbing fen…
29y · Male·hanging
A 29-year-old man remanded in custody at Adelaide Remand Centre died by hanging on 15 January 2000. At admission, he denied self-harm risk and psychiatric history; no warning signs were identified. He was found hanging f…
45y · Female·haemorrhage due to traumatic rupture of the liver
A 45-year-old woman with a long history of bipolar disorder and personality disorder presented to the ED at 2:30 AM after cutting her wrist deeply with a carving knife. The treating casualty officer did not properly docu…
69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…
Helena Czekajlo, aged 69, died from respiratory obstruction by aspirated food (Brussels sprout) at a nursing home. She had dementia and schizophrenia with a documented obsession about food and tendency to eat hurriedly. …
26y · Male·Closed head injury with extradural and subdural haemorrhage resulting from a sku…
26-year-old Marcio Jose Lay Nheu died from a closed head injury with extradural haemorrhage caused by a blow to the head with a Maglite torch at Karama Shopping Centre. He was struck by Rodney Foster during an altercatio…
62y · Female·ventricular fibrillation associated with congestive cardiomyopathy
A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety following cardiomyopathy diagnosis died from ventricular fibrillation ass…
37y · Male·Sergeant Huitson: gunshot wound to chest and abdomen; Ansell: multiple gunshot w…
This coronial inquiry examined a shooting incident on 3 August 1999 where Rodney Ansell, a man suffering from deteriorating mental health and chronic amphetamine abuse, opened fire on the Stuart Highway killing Sergeant …
28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…
A 28-year-old Aboriginal male died from anaphylactoid reaction to Haemaccel, a plasma volume expander administered pre-hospital following a severe laceration to the radial artery. Initial management was appropriate, but …
41y · Male·closed chest injuries (ruptured hemi-diaphragm with displacement of abdominal co…
Trevor Coppins, a 41-year-old plant operator, died from closed chest injuries sustained when a road roller he was operating failed to brake while reversing down a steep hill and overturned. Investigation revealed the bra…
27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…
A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using a 27 French bougie, smalle…
39y · Female·neck compression due to hanging
A 39-year-old woman with bipolar disorder, depression, substance abuse (alcohol and cannabis), and multiple past suicide attempts died by hanging at home on 11 February 1998. She had been discharged from psychiatric hosp…
26y · Male·neck compression due to hanging
A 26-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric ward whilst detained under a Mental Health Act order. Key cl…
19y · Male·heroin toxicity
Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…
37y · Male·Traumatic intracranial haemorrhages/brain damage and fractured skull
A 37-year-old male died from traumatic intracranial haemorrhage and skull fracture after being punched and falling onto concrete. The critical clinical lesson is that head injuries may be completely undetectable on exter…
29y · Male·left cerebrovascular accident (stroke) due to thromboembolism in the middle cere…
A 29-year-old male bodybuilder died from left cerebrovascular accident (stroke) caused by thromboembolism. He had a history of anabolic steroid use and presented after a minor motor vehicle accident on 6 April 1999. Imag…
54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…
A 54-year-old man with chronic schizophrenia and intellectual disability died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attemp…
24y · Female·Immersion (drowning due to hypoxic brain injury)
Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…
84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…
An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…
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