63 results
67y · Male·metastatic prostate cancer
Ian McAuliffe, a 67-year-old man serving a custodial sentence, died from metastatic prostate cancer. The case examined whether his cancer treatment as a prisoner was adequate compared to community care. His oncologist Dr…
53y · Male·Complications of hepatocellular carcinoma with significant contributing patholog…
Michael Rex Clark, aged 53, died in Long Bay Hospital from hepatocellular carcinoma with cirrhosis and hepatitis C while serving a custodial sentence. He had received appropriate treatment for hepatitis C, which was clea…
63y · Male·metastatic small cell lung carcinoma with ischaemic heart disease as a significa…
A 63-year-old man serving a custodial sentence died of metastatic small cell lung carcinoma with contributing ischaemic heart disease. One month before death, he presented with constitutional symptoms and was diagnosed w…
60y · Male·Congestive Cardiac Failure
A 60-year-old Aboriginal man with end-stage COPD, congestive cardiac failure, and ischaemic heart disease died in prison custody. He likely suffered cardiac collapse around 8:30-9:00pm on 25 October 2014, pressed his cel…
Organising pneumonia (Sandra Boney and Norman Boney); Organising pneumonia compl…
Three Aboriginal Australians from Walli Reserve (Sandra Boney, 40; Norman Boney, 46; Roger Adams, 37) died within two months in early 2015 following consumption of illegally home-distilled methanol-containing alcohol ('m…
90y · Male·Complications arising from a gastrointestinal obstruction; incarcerated inguinal…
William MacDonald, a 90-year-old prisoner, died from complications of gastrointestinal obstruction caused by an incarcerated inguinal hernia. He presented to Prince of Wales Hospital with severe abdominal pain, nausea, a…
61y · Male·pulmonary thromboembolus
David Fleming, a 61-year-old man with multiple comorbidities including above-knee amputation, ischaemic heart disease, emphysema, and recent laryngeal cancer surgery, died in Long Bay Correctional Hospital from pulmonary…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…
33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…
Dr D., a 33-year-old physicist, was admitted to Hornsby Hospital on 27 December 2012 with abdominal pain, nausea, vomiting and joint pain. His presentation included hypotension (97/61), tachycardia (116/min), hyponatraem…
47y · Male·acute renal failure caused by bilateral ureteral obstruction due to metastatic c…
Sean Waygood, an Extreme High Security prisoner, died from acute renal failure caused by metastatic colorectal cancer. He presented with abdominal pain, constipation, and blood per rectum in March 2011 but received subop…
33y · Male·Multiple injuries sustained from falling from height (fifth-floor window ledge) …
AB, a 33-year-old male, died on 20 April 2013 after falling from the fifth-floor window ledge of Liverpool Hospital while under police negotiation. He had been transferred from prison to immigration detention on 9 April …
68y · Male·bronchopneumonia with underlying Chronic Obstructive Pulmonary Disease
Robert Gordon Britten, a 68-year-old forensic patient under the Mental Health (Forensic Provisions) Act 1990, died of bronchopneumonia with underlying chronic obstructive pulmonary disease at Macquarie Hospital. He had b…
48y · Male·large cell carcinoma of lung with metastases
Neal Richardson, a 48-year-old man serving a 28-year prison sentence, died of large cell carcinoma of lung with metastases while receiving palliative care at Prince of Wales Hospital. He had presented to prison health se…
39y · Male·dilated cardiomyopathy
Stanley Allan Lord, a 39-year-old man, died from dilated cardiomyopathy while in custody at Prince of Wales Hospital. He had a long-standing cardiac history including prior myocardial infarction, presenting acutely with …
70y · Female·Aspiration pneumonia, associated with Huntington's disease
Beryl Watson, a severely disabled 70-year-old with advanced Huntington's disease and dementia, died of aspiration pneumonia following a three-week respite stay at a BUPA aged care facility. Critical failures included: om…
Male·Suicide: hanging (Al-Akabi, Saunders); diving from balcony (Rauluni)
Three immigration detainees died by suicide at Villawood Detention Centre in Sydney within three months in 2010. Josefa Rauluni (Fijian) jumped from a balcony on 20 September after being informed of imminent removal desp…
29y · Male·acute bronchopneumonia complicated by multi-drug toxicity
Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clon…
Unknown·Lignocaine toxicity following dental surgery with atherosclerotic and valvular h…
George Godden died at Prince of Wales Hospital on 22 February 2007 from lignocaine toxicity following dental surgery. His post-extraction gingival bleeding was treated with gauze soaked in co-phenylcaine spray, a medicat…
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
A 32-year-old woman with schizophrenia, well-controlled on clozapine, became pregnant. Poor communication between her general practitioners, community mental health service, and the hospital meant the hospital was unawar…
68y · Male·Complications following colon surgery on a background of cirrhosis of the liver;…
Ian Donald Patience, 68, died on 10 June 2007 from complications following colon surgery in the setting of cirrhosis. He underwent right hemicolectomy at Sydney South West Private Hospital on 31 May 2007 for colorectal c…
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