64 results
61y · Male·Complications of metastatic adenocarcinoma
JM, a 61-year-old man incarcerated at Long Bay Correctional Centre, died from complications of metastatic adenocarcinoma (stage 4 lung cancer with liver lesions). He was diagnosed in February 2022 after presenting to Wag…
68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…
Irene Charlish, a 68-year-old woman with longstanding schizoaffective disorder and multiple comorbidities, fell at her residential facility on 6 June 2017, sustaining a pneumothorax and rib fracture. She was admitted to …
41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…
Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …
6y · Male·cardiopulmonary arrest on a background of earlier cardiac arrests and resuscitat…
Austin Facer, a 6-year-old boy, suffered multiple cardiac arrests at school on 21 October 2019, initially resuscitated successfully, but died during transfer preparation to a higher-level hospital that evening. Autopsy r…
48y · Male·Fatal cardiac arrhythmia which was the result of obstructive sleep apnoea
Jason Radford, a 48-year-old First Nations man, died of fatal cardiac arrhythmia secondary to obstructive sleep apnoea while in custody at Junee Correctional Centre. He had multiple comorbidities including obesity, type …
43y · Male·Hypoxic Ischaemic Encephalopathy due to out of hospital cardiac arrest, secondar…
Richard Navarro, a 43-year-old man with severe obstructive sleep apnoea (OSA), morbid obesity, hypertension, and recurrent pneumonia, died of hypoxic ischaemic encephalopathy following cardiac arrest while in custody at …
76y · Male·Pleuropulmonary Malignancy on the background of End-Stage Obstructive Pulmonary …
John Little, a 76-year-old man in custody, died from pleuropulmonary malignancy on a background of end-stage COPD. He had significant long-standing health problems including COPD related to smoking and asbestos exposure,…
70y · Male·complications of chronic obstructive pulmonary disease and ischaemic heart disea…
A 70-year-old man with end-stage COPD, ischaemic heart disease, and obstructive sleep apnoea collapsed in his prison cell and was transferred to hospital in respiratory distress. Despite having documented 'not for resusc…
66y · Male·Complications of chronic obstructive pulmonary disease. A significant contributi…
Walter Clough, aged 66, died from complications of COPD and cardiomegaly while incarcerated. He had significant respiratory compromise from prior chest trauma causing hemidiaphragm paralysis. Days before death, he was ho…
78y · Male·cardiorespiratory failure due to complications of tracheal stenosis
Bruce Hodges, a 78-year-old man with a 20-year-old tracheostomy following laryngeal cancer surgery, presented to hospital with progressive shortness of breath and tracheal stenosis. Over 48 hours of admission, his respir…
74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …
William Berger, a 74-year-old man serving a life sentence for murder, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contributing condition. …
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…
36y · Male·bronchial asthma
Nathan Reynolds, a 36-year-old Aboriginal man with severe asthma, died from bronchial asthma in prison on 1 September 2018. His death exposed critical failings in both immediate emergency response and chronic disease man…
24y · Female·Cardiac conducting system disease leading to asystole against a background of a …
A 24-year-old woman with complex congenital cardiac disease, cerebral palsy, and hydrocephalus was admitted to a secondary hospital with a respiratory tract infection and bradycardia with left bundle branch block. She de…
26y · Male·drowning
Benjamin Lippiatt, 26, disappeared from a cruise ship in the Coral Sea on 29 March 2019. After consuming approximately 13 standard drinks over 8 hours, he was found on FLIR camera footage lowering himself over the ship's…
70y · Male·Complications of Ischaemic cardiomyopathy and Chronic Obstructive Pulmonary Dise…
Stephen Pitty, aged 70, died from complications of ischaemic cardiomyopathy and chronic obstructive pulmonary disease whilst in custody at Long Bay Correctional Centre. He had significant cardiac history including seven …
45y · Male·abdominal sepsis on a background of metastatic lung carcinoma
A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with terminal lung …
66y · Male·respiratory infection on a background of metastatic carcinoma
Thomas Kedwell, aged 66, died in custody at Prince of Wales Hospital from respiratory infection secondary to metastatic carcinoma. He had undergone laryngectomy and tracheostomy for throat cancer in 2017, and presented w…
74y · Male·Ischaemic heart disease and coronary atherosclerosis
Mr Robert Howlett, a 74-year-old man with extensive comorbidities including chronic lung disease, hypertension and severe hearing disability, died of ischaemic heart disease and coronary atherosclerosis while in custody …
3y · Male·respiratory failure, with spinal muscular atrophy an antecedent cause
Tory Ganderton, a 3-year-old boy with spinal muscular atrophy (SMA) Type 1, died of respiratory failure during inter-hospital transfer. Admitted to Shoalhaven Hospital on 7 September 2014 with pneumonia and severe malnut…
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