3,729 results
83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…
An 83-year-old woman with severe aortic stenosis, atrial fibrillation, and heart failure died from pulmonary embolism one day after discharge following transcatheter aortic valve replacement (TAVI). Clinical lessons cent…
5y · Female·Drowning
Alison Johns, aged 5 years, drowned in Lake Nagambie on 27 December 2022 while swimming with a borrowed inflatable ring in shallow water. A brief lapse in supervision occurred when her mother went swimming to a buoy; des…
1y · Female·Multiple injuries (subdural clot, multiple rib fractures, injuries to liver, blo…
A 20-month-old girl died from fatal injuries inflicted by her mother's partner. She presented to hospital twice in two weeks with suspicious injuries: facial injuries on 7 June attributed to a puppy, and more extensive f…
1y · Female·Head injuries sustained in a motor vehicle incident
Chloe Moore, aged 16 months, died from head injuries sustained when struck by her father's utility vehicle reversing in the driveway of their rural property. While reversing, the father did not see the child due to poor …
0y · Unknown·unascertained
A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was…
25y · Male·Gunshot injury to the head
SK, a 25-year-old man with ADHD, borderline personality disorder, PTSD, depression and anxiety, died from a self-inflicted gunshot wound while handling an unregistered revolver under the influence of amphetamines, cannab…
31y · Female·unlawful homicide (manslaughter); specific cause could not be determined due to …
NW, aged 31, was killed by her partner on 9-10 October 2021 in Kununurra, Western Australia. She had a history of domestic violence victimization and had obtained a Family Violence Restraining Order. On the evening of he…
59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…
Michael King, 59, died from aspiration pneumonia secondary to recurrent anal squamous cell carcinoma following total pelvic exenteration surgery in December 2021. He was admitted to Dandenong Hospital with vomiting, leth…
27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…
Michael Peachey, a 27-year-old First Nations man, died in custody following a police-initiated restraint during an acute psychotic episode. Over preceding days, his family repeatedly sought mental health intervention. On…
59y · Male·Respiratory failure with paraplegia as a significant contributing factor
Michael Ruawai Robin, a 59-year-old man with paraplegia and incomplete quadriplegia (C4-C6), died from respiratory failure at Werribee Mercy Hospital on 22 June 2023. He presented with a rash and urinary tract infection …
48y · Female·Pneumonia with anaphylaxis (treated), cerebral palsy, and epilepsy as contributi…
Narelle Sanders, a 48-year-old woman with cerebral palsy and epilepsy living in disability accommodation, died of pneumonia complicated by anaphylaxis. She was admitted with shortness of breath and cough following recent…
Female·Domestic violence homicides: Miss Yunupiŋu—stab wound to chest; Ngeygo Ragurrk—b…
This landmark coronial finding examines four domestic violence deaths of Aboriginal women in the Northern Territory—Miss Yunupiŋu (2018), Ngeygo Ragurrk (2019), Kumarn Rubuntja (2021), and Kumanjayi Haywood (2021)—all ki…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years with multiple admissions for bowel was…
56y · Male·Basal ganglia haemorrhage with intraventricular extension in the context of moya…
Mr Ho Hai Vu, a 56-year-old with moyamoya disease and history of prior basal ganglia haemorrhages, died from acute basal ganglia haemorrhage with intraventricular extension. He was found unresponsive and vomiting in his …
2y · Male·Pneumonia
A 2-month-old Aboriginal infant died of pneumonia on 17 July 2019. Key clinical lessons: (1) Fever in infants <3 months requires careful evaluation per RCH guidelines, including investigations and admission for observati…
7y · Male·Hypoxic ischaemic encephalopathy in the setting of a breech delivery
A neonate born at home in breech presentation without medical assistance suffered hypoxic ischaemic encephalopathy and died at 7 days old. The mother had been counselled by hospital obstetricians about risks of home bree…
36y · Male·Complications of thermal burn injuries
Daniel Surtees, aged 36, died from complications of extensive thermal burn injuries (>80% body surface area) sustained during a domestic violence incident. After consuming 14 cans of bourbon at a party, Daniel returned h…
31y · Male·Undetermined
Ashley Washington, a 31-year-old Kamilaroi man, died after police restraint and sedation during arrest in Toowoomba. He was apprehended following a report of property theft and stabbed a police dog and officer with sciss…
29y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)
Dean Broughton, a 29-year-old man with hyperekplexia and possible epilepsy living in an assisted living facility, was found deceased at home. Autopsy and review of medical records confirmed Sudden Unexpected Death in Epi…
2y · Male·accidental drowning
A 2-year-old boy drowned at a public pool in a remote Australian community during a childcare centre excursion. Critical clinical and organisational failures contributed: no formal risk assessment was documented for the …
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