62 results
47y · Female·Multiple injuries from being struck by a train
A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiatric t…
66y · Female·Pneumonia in a woman with multiple medical comorbidities
Shirley Goodall, 66, with intellectual disability, bipolar disorder, and aortic valve regurgitation, died of pneumonia in November 2016. She had been admitted to hospital in late September with upper respiratory tract in…
75y · Female·multiple injuries due to or as a consequence of motor vehicle collision
Ruth Capps, 75, died in a motor vehicle collision after drifting into oncoming traffic. She had multiple medical conditions including diabetes, sleep apnoea, chronic back pain, osteoarthritis, and recurrent falls. Despit…
Male·Gunshot wound to the head
Five family members were killed by gunshot on the evening of 8 September 2014 at Watch Hill farm, NSW. Geoffrey Hunt shot his wife Kim and their three children (Fletcher aged 10, Mia aged 8, and Phoebe aged 6) before tak…
93y · Female·Subdural haemorrhage in the setting of a fall (palliated)
A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Discharge planning included a home assessment by occupational therapy, during which t…
58y · Female·Multiple injuries sustained in collision with train (pedestrian)
Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demonstrated substantial improvement and was disc…
39y · Female·smoke inhalation
Cheryl May Currie, 39, with complete paraplegia from a 1998 spinal cord injury, died from smoke inhalation in a bedroom fire on 12 June 2009. The fire was caused by smoking in bed. Investigation revealed critical systemi…
27y · Male·Electrocution causing cardiac arrest
A 27-year-old labourer, Jason Garrels, died from electrocution after contacting a metal construction switchboard with live 240V wiring on 27 February 2012. The coroner found critical failures in electrical safety complia…
2y · Female·pneumonia in a child with reported recent flu-like illness (multiple viral detec…
Armarnie-Bree Elliott, a 2-year-old with Angelman syndrome, died from pneumonia complicated by oxycodone toxicity. She developed flu-like symptoms in late April while at a women's refuge. On 2 May evening, appearing incr…
67y · Female·Pulmonary thromboembolus secondary to deep vein thrombosis in the setting of con…
A 67-year-old woman with obesity (BMI 35.88), type 2 diabetes and hypercholesterolaemia fell from a ladder on 14 December 2011, sustaining a partial Achilles tendon rupture. She was immobilised in plaster and discharged …
36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…
Nilesh Sharma, a 36-year-old Fiji Indian man, killed his wife Preetika, son Divesh (5 years old), and daughter Divya (3 years old) between 28-29 April 2012, then died by hanging. Evidence suggests he exposed them to chlo…
37y · Male·stab wound to the chest penetrating the heart
A 37-year-old man with schizophrenia and a history of command auditory hallucinations died by self-inflicted stab wound to the chest. Released from psychiatric hospital on 11 April 2011 on voluntary arrangements without …
29y · Male·severe burns sustained in motor vehicle fire following collision
29-year-old Benjamin Wilton was killed in a horrific car fire following a rear-end collision with a vehicle driven by 67-year-old Robert Spencer on a Darwin highway. Spencer had suffered a stroke in 2003 with residual co…
51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia
Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…
69y · Male·Perforated bowel/septicaemia as a result of diverticulitis
A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days later critically unwell and died of per…
55y · Male·Staphylococcal sepsis, complications of pressure sores and hypostatic pneumonia,…
Stephen Summers, a 55-year-old man with cerebral palsy and profound disability, died from Staphylococcal sepsis after rapid deterioration following deinstitutionalisation from Kew Cottages to community residential accomm…
59y · Female·Incised wound to right thigh and exsanguination
Mrs Margaret Grace McCreddan, a 59-year-old widow with multiple health conditions including limited mobility and frequent falls, died from exsanguination following an incised wound to her right thigh sustained in a fall …
56y · Male·Head injuries sustained in a fall from a height
Keith Dickman, a 56-year-old experienced plumber, died from severe head injury sustained in a fall from a 2-metre 'A' frame ladder while installing air conditioning ducting at height in a ceiling cavity. Working on the f…
82y · Female·acute pyelonephritis complicating base of bladder malignancy
Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of…
87y · Male·asphyxia due to neck entrapment between bedpole and mattress
An 87-year-old man with dementia and a history of falls died from asphyxia when his neck became entrapped between a bedpole and the mattress after falling from bed in an aged care facility. The bedpole was positioned uno…
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