1,232 results
19y · Male·Hanging
Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre in January 2016. Critical clinical lessons …
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac a…
49y · Male·atherosclerotic and hypertensive cardiovascular disease, with type 2 diabetes me…
Elias Melhem, aged 49, died in custody from atherosclerotic and hypertensive cardiovascular disease with contributing type 2 diabetes. On 8 December 2019, he experienced chest pain at work but reported feeling better aft…
75y · Male·Stab wound to the heart
Albert Metledge, aged 75, died from a stab wound to the heart inflicted by Vladimir Kondakov, a construction worker, at a building site in St Peters on 6 November 2019. This was a homicide, not a medical case. Kondakov, …
25y · Male·Multiple organ failure due to acute paracetamol poisoning
Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …
1y · Female·unrecognised oesophageal intubation
A 19-month-old girl died from unrecognised oesophageal intubation during anaesthesia for finger laceration repair. The anaesthetic team failed to recognise multiple clinical indicators of tube misplacement: absence of pe…
57y · Male·penetrating injury to the neck sustained from a piece of metal propelled from a …
Mr Huy Neng Ngo, age 57, died on 13 July 2017 from a penetrating neck injury caused by a metal fragment propelled from a defective Takata airbag that ruptured during a minor motor vehicle collision. The vehicle's driver-…
85y · Male·metastatic prostate cancer
An 85-year-old man died of metastatic prostate cancer while in custody serving a sentence for historical child sexual offences. He had declined investigation and treatment for prostate cancer when an enlarged prostate wa…
75y · Male·Complications of chronic renal disease on a background of hypertension and type …
Conway Perrie, a 75-year-old man in lawful custody at Long Bay Correctional Complex, died from complications of chronic renal disease (stage 4) with hypertension and type 2 diabetes mellitus. He had been reviewed at Prin…
77y · Male·Complications of metastatic squamous cell carcinoma, likely urothelial origin
Jack King, aged 77, died of metastatic squamous cell carcinoma (likely urothelial origin) while in custody at Long Bay Correctional Centre Hospital's Aged Care Rehabilitation Unit on 20 September 2020. He had been diagno…
3y · Female·complications of Influenza B viral infection
Three-year-old Caitlin Cruz presented to a medical centre unwell and collapsed, requiring resuscitation. She was transferred by ambulance to Children's Hospital at Westmead but critical information about her collapse and…
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…
31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…
Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…
17y · Female·Pressure to the neck (strangulation) and drowning
This is a coronial finding into the 1973 death of Bronwynne Anne Richardson, a 17-year-old found in Horseshoe Lagoon with injuries consistent with strangulation and drowning. She had been abducted from Albury, NSW and ph…
54y · Male·Multiple injuries from collision with motor vehicle
Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lacked required authorization. The supervisor cited Mr Gr…
68y · Male·Metastatic Pancreatic Adenocarcinoma
Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…
23y · Female·Multiple injuries received in a deliberate motor vehicle collision
Liselle Houbert, 23, died in a deliberate head-on motor vehicle collision caused by her partner Joshua Booth on 28 May 2020. Booth had been experiencing significant mental health issues including depression, PTSD, anxiet…
34y · Male·hanging
A 34-year-old man died by hanging in a correctional centre in December 2018. He was placed on a mental health waitlist in June 2018 but was never seen by a mental health nurse due to insufficient staffing—only 1.5 FTE po…
72y · Male·Hanging
A 72-year-old male inmate at Long Bay Correctional Centre died by hanging in April 2017. He had a documented history of depression managed with antidepressant medications, and his medication (mirtazapine) was adjusted tw…
Male·Unknown - cause of death could not be determined
In August 1976, unidentified skeletal remains were discovered in bushland on the eastern bank of the Macdonald River near St Albans, NSW. Forensic examination determined the skeleton belonged to a male, estimated aged 25…
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