743 results
30y · Male·mixed butane, isobutane and propane toxicity
Justin Lee Gibson, a 30-year-old Indigenous man on home detention bail, died from inhalation of butane/propane causing fatal cardiac arrhythmia. He had a documented history of substance abuse (alcohol, cannabis, and buta…
44y · Male·End stage non-small cell lung carcinoma
Victor Courtney, aged 44, died from end-stage non-small cell lung carcinoma with hepatic metastases while incarcerated at Wolston Correctional Centre. He was diagnosed with lung cancer in November 2012 after presenting w…
51y · Male·Coronary atherosclerosis
A 51-year-old Aboriginal man with a 26-year prison history died from coronary atherosclerosis while incarcerated. He had extensive cardiac disease documented since 1996, with multiple heart attacks in 2011-2012, yet rema…
24y · Male·Head injuries from blunt force trauma
Kyle Canisi, a 24-year-old remanded prisoner with a violent history, died from severe head injuries sustained in an unprovoked assault by fellow inmate Scott O'Connor on 27 December 2011 at Arthur Gorrie Correctional Cen…
53y · Male·decompensated alcoholic liver disease in the setting of gastro-intestinal haemor…
A 53-year-old man with advanced alcoholic liver disease (Child-Pugh C) died of decompensated liver disease with gastrointestinal haemorrhage. He was arrested for drunk in public place, lodged in police cells, and release…
58y · Male·Ischaemic and hypertensive heart disease
John Christopher Mayger, aged 58, died of ischaemic and hypertensive heart disease while in custody at Adelaide Pre-release Centre. He had a significant cardiac history including two previous myocardial infarctions with …
44y · Male·Early bronchopneumonia in a man receiving palliative medical care for liver fail…
Robert James, a 44-year-old prisoner with end-stage hepatitis C cirrhosis, died from early bronchopneumonia while receiving palliative care. He had been terminally ill for over a year, with progressively deteriorating li…
51y · Male·Metastatic small cell lung cancer
David John Scott, a 51-year-old inmate at Port Phillip Prison, died from metastatic small cell lung cancer on 22 December 2013. He presented with chest pain in April 2013, was diagnosed with small cell lung cancer, and u…
52y · Male·Acute coronary syndrome caused by coronary artery embolus secondary to infective…
Mark Proberts, a 52-year-old man with multiple chronic conditions (diabetes, liver disease, hypertension), died in hospital from acute coronary syndrome secondary to infective endocarditis. He was transferred from correc…
90y · Male·Pneumonia in a man with traumatic brain injury
Francis Robert Ward, age 90, died of pneumonia following traumatic brain injury sustained from multiple falls while imprisoned. He had numerous comorbidities including hypertension, renal impairment, and age-related frai…
37y · Male·hypoxic brain injury secondary to airway obstruction
Jayson Peter Hawkins, 37 years old, died from hypoxic brain injury secondary to airway obstruction while on remand at Melbourne Assessment Prison in December 2009. He died by asphyxiation using a plastic bag and ligature…
38y · Male·Hanging
Charles Hurst, a 38-year-old man with schizophrenia, depression and anxiety, died by hanging in his prison cell while in custody at Maryborough Correctional Centre in November 2012. He had been assessed using the Queensl…
73y · Male·complications of lung carcinoma in a man with multiple comorbidities
John William Macfie, a 73-year-old man with extensive medical comorbidities (COPD, ischemic heart disease, prior CABG surgeries, cardiac stents, hypertension, hyperlipidemia) and a chronic smoking history, died from comp…
46y · Male·Gunshot wound to chest inflicted by NSW police officer
Mark David Bennett, 46, died on 23 November 2012 after being shot twice in the chest by Leading Senior Constable Damien Livermore during a police pursuit in Redfern, Sydney. Bennett had stolen a truck and driven it dange…
60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…
Adrian Bernard Williams, a 60-year-old man with advanced metastatic cancer, chronic obstructive airways disease, and ischaemic heart disease, died from pneumonia while in prison custody. He was appropriately classified a…
39y · Male·cardiac arrest caused by alcoholic cardiomyopathy
Ryan Smiler was a 39-year-old Aboriginal man who died from cardiac arrest caused by alcoholic cardiomyopathy while in custody at Darwin Correctional Centre. He had a long history of alcohol abuse, hypertension, and heart…
17y · Female·fatal motor vehicle collision during police pursuit
Sarah Booth, 17, died as a passenger in a vehicle fleeing police on 31 December 2006. This coroner's finding addresses systemic failures in Victoria Police's approach to pursuits rather than immediate clinical care issue…
63y · Male·Complications of Metastatic Non Small Cell Lung Cancer
Peter Swanston, a 63-year-old prisoner, died from complications of metastatic non-small cell lung cancer. He was diagnosed in November 2012 following a CT scan investigating chest symptoms and weight loss. His care invol…
42y · Female·Heroin toxicity, self-administered
Tracylee Brannigan, a 42-year-old woman in custody at Dillwynia Correctional Centre, died from heroin toxicity on 24-25 February 2013. The coroner found she self-administered a potentially fatal dose of heroin after bein…
40y · Male·Suicide by hanging while on remand in custody
A 40-year-old man remanded in custody on homicide charges died by hanging in his prison cell 7 months after arrest. He had been assessed as at risk of self-harm initially and placed under 'green card' (two-person cell) s…
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