4,987 results
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…
58y · Male·hanging
A 58-year-old man remanded in custody awaiting trial died by hanging in prison. He had a history of depression treated with fluoxetine and was assessed by a forensic psychiatrist who found no evidence of depression or su…
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…
15y · Male·salt water drowning
Damian Alan Benson, aged 15, died by salt water drowning in the Southern Ocean near Carpenter Rocks, South Australia on 26 July 1998 during a fishing trip with his father. They departed in a 25-30 year old dinghy with a …
26y · Male·respiratory arrest complicating hydrocarbon inhalation (sudden sniffing death)
A 26-year-old man with schizophrenia, antisocial personality disorder, and polysubstance abuse died from sudden sniffing death syndrome after inhaling fly spray in a psychiatric ward smoking room. Three days prior, staff…
18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…
An 18-year-old woman died from hypoxic encephalopathy due to severe closed head injury sustained when she fell from a shade sail structure at a playground. While climbing on the sail with friends after consuming minimal …
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. …
25y · Male·positional asphyxia in a man with extensive old hypoxic brain damage, acute ches…
Corey Paddy, a 25-year-old Aboriginal man with severe hypoxic brain injury from a 1998 car accident, died at Katherine Hospital from positional asphyxia while receiving concurrent morphine therapy and suffering from acut…
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…
26y · Male·.357 magnum gunshot wounds to the chest and abdomen
Luke Donaghey, a 26-year-old man with untreated psychotic illness, was shot by police after threatening his parents with a knife. Critical clinical lesson: his general practitioner failed to utilize available mental heal…
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 …
29y · Female·asphyxiation due to ligature compression of the neck (hanging)
Wendy Anne Eadie, 29, died by suicide in Graylands Hospital's Frankland Centre on 1 November 1998 while detained following charges of unlawful wounding against her parents. She had a longstanding history of depression, c…
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…
17y · Female·Neck injury sustained when struck by a motor vehicle (Toyota Celica Hatch Regist…
Emma Anne Motteram, aged 17, died from a neck injury sustained when struck by a motor vehicle on Roe Highway, High Wycombe, Western Australia on 22 March 1998. She had been walking with four companions on the central med…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforati…
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…
37y · Male·Multiple injuries including lung lacerations and contusions, multiple rib fractu…
Andrew Grant Baulderstone, aged 37, died from multiple injuries when refractory material collapsed from the lining of a pellet kiln at BHP's Whyalla plant while he was jackhammering. The collapse resulted from failures i…
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…
Unknown·Traumatic injuries caused by the collapse of the Alpine Way fill embankment trig…
On 30 July 1997, a landslide at Thredbo Village killed 18 of 19 people in two lodges. The Alpine Way embankment, constructed in the 1950s as a temporary construction road, was marginally stable and had a history of lands…
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