204 results
38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …
Holly Anne Davidson, a 38-year-old police officer, died from a subdural haemorrhage sustained 3-5 days before her death. She had been in a coercive, controlling, and violent relationship with her police officer partner f…
31y · Male·Blunt force head and neck injury caused by all-terrain vehicle landing on deceas…
Benjamin Watts, 31, died from blunt force head and neck trauma when an ATV he was driving at Darwin Correctional Centre rolled over and landed on him. He was not wearing a seatbelt or helmet despite manufacturer warnings…
42y · Male·Blunt force head and chest injuries caused by a traffic crash where he was the d…
Patrick Wayne Bloomfield, a 42-year-old Aboriginal man, died from blunt force head and chest injuries when his vehicle rolled on the Plenty Highway after police initiated a pursuit from a random breath testing (RBT) stat…
61y · Male·end stage renal failure, in the context of type 2 diabetes mellitus and chronic …
Robert Curtis, a 61-year-old Aboriginal man with end-stage renal disease, end-stage liver disease, and poorly controlled diabetes, was imprisoned for driving while disqualified on 4 February 2019. He fell in the prison s…
56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…
Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an o…
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…
Three Aboriginal teenage girls aged 15-17 years died by hanging in remote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government …
51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…
Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…
23y · Male·sea snake bite with neurotoxic venom causing neuromuscular paralysis and respira…
Harry Evans, a 23-year-old deckhand from England, died from neurotoxic sea snake envenomation while working on a prawn trawler in the Gulf of Carpentaria. Bitten on the finger at 8:20am, he developed progressive neuromus…
34y · Male·self-inflicted hanging
34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamp…
57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection
Joanne Craig, a 57-year-old Aboriginal woman, presented to Katherine District Hospital on 24 January 2018 with fever, vomiting, and cough. She had streptococcus pneumoniae sepsis with elevated inflammatory markers from 1…
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, foll…
Blunt force trauma from motor vehicle accident (four deceased: head injuries in …
Four people died in a single vehicle rollover on Kakadu Highway, NT. The driver (Robin Riley, 46) and three unrestrained passengers (Thomas Turpin, 39; Cassandra Martin, 32; Fabian Andrews, 45) were killed when their veh…
39y · Male·acute myocardial ischaemia, coronary artery thrombosis and coronary artery ather…
Jeremy Tunkin, an Aboriginal man with severe hearing loss, died of acute myocardial infarction while in prison custody. On 6 August 2017, he presented to the medical clinic with what prisoners identified as chest pain, b…
Unknown·Environmental heat injury
Wilfried Thor (75) and Gisela Thor (73), German tourists, died of environmental heat injury after becoming lost at Trephina Gorge, NT. They embarked on a planned short walk on 10 February 2017 when temperatures reached 3…
45y · Male·gunshot wound to the neck
Matthew Rosewarne, a 45-year-old man with chronic alcohol use disorder and recent relationship breakdown, was found dead in his shed with a gunshot wound to the neck. Although initially investigated as suicide, the coron…
77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…
A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis…
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
David Fensom, 67, underwent elective fundoplication for hiatus hernia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings a…
26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis
Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…
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