918 results
73y · Female·neck compression by ligature
Sofija Dobrijevic, a 73-year-old woman detained under the Mental Health Act, died by ligature strangulation in a closed psychiatric ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histr…
52y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest due to unknown aetiology
James Halloran, age 52, collapsed during chiropractic treatment and suffered cardiac arrest of unknown aetiology. He remained unconscious despite resuscitation and died from hypoxic-ischaemic encephalopathy. Initially su…
35y · Female·pulmonary thrombo-emboli
A 35-year-old woman with treatment-resistant schizophrenia detained under Mental Health Act died from pulmonary thromboembolism while an inpatient in a psychiatric ward. In the final days, she reported leg pain and possi…
28y · Male·Multiple injuries due to blunt chest and abdominal trauma
Adam McNamara, aged 28, died from multiple injuries due to blunt chest and abdominal trauma sustained in a motorcycle accident on Elizabeth Way, Elizabeth after losing control while being pursued by police. McNamara had …
81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram
Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…
20y · Male·hypoxic encephalopathy
Matthew Lynn, aged 20, died from hypoxic encephalopathy after sustaining head injuries in a motor vehicle collision. While hospitalised in ICU, his endotracheal tube (ETT) became displaced around 12:20am on 23 January 20…
83y · Female·Congestive cardiac failure due to ischaemic and valvular heart disease
An 83-year-old woman with Down syndrome and cardiac disease died from congestive cardiac failure at Royal Adelaide Hospital following accidental medication administration error in a community group home. On 1 July 2007, …
39y · Male·Multi organ failure complicating acute paraquat and diquat toxicity
A 39-year-old man with depression and alcohol misuse died from multi-organ failure following acute paraquat and diquat toxicity. He ingested herbicide stored in a Coca-Cola bottle on 10 June 2006, arriving at hospital si…
54y · Male·hanging by ligature
Peter Ross Blunden, a 54-year-old man with chronic schizophrenia detained under the Mental Health Act, died by hanging in the shower room of Cramond Clinic open ward. He had expressed suicidal ideation throughout his adm…
44y · Male·epilepsy with contributing factors of hypertensive heart disease and coronary ar…
A 44-year-old man with a history of epilepsy died from a seizure while detained in police custody under the Public Intoxication Act. He was intoxicated and apprehended after walking in traffic. During a cell inspection a…
62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia
Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdominal pain…
Unknown·John Eric Mitchell: aortic laceration. Graham Bryant: closed head injury.
Two unrelated motor vehicle fatalities occurred at the same rural South Australian intersection, seven years apart, both caused by the same driver's failure to give way. John Mitchell (69) died in April 2000 from aortic …
77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…
A 77-year-old man with advanced dementia died from hypoxic-ischaemic encephalopathy caused by upper airway obstruction from a handkerchief. An agency carer placed a handkerchief in his breast pocket during morning care, …
49y · Male·hanging (suicide)
Antonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adelaide Hospital. He had been admitted with severe depression and active su…
66y · Male·hepatorenal failure and biliary sepsis complicating common bile duct obstruction
A 66-year-old man incarcerated in Port Lincoln Prison died from hepatorenal failure and biliary sepsis complicating common bile duct obstruction. He presented with progressive jaundice, dark urine, and signs of liver fai…
64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…
Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…
41y · Male·end-stage liver disease and pneumonia
Hans Heinrich von Spreckelsen, aged 41, died of end-stage liver disease and pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He had hepatitis C and alcohol abuse history, with severe hepat…
65y · Female·heatstroke
A 65-year-old woman with recent memory decline went for a walk on an extremely hot day (39°C) without water, hat, or money. She became lost due to cognitive deterioration and walked approximately 8 kilometres from the ci…
49y · Male·blunt force head and chest trauma from explosion and falling masonry
Francesco Levato, 49-year-old café proprietor, died from blunt force head and chest trauma when an explosion destroyed his café premises in Adelaide in May 2006. The coroner concluded Levato deliberately set the fire usi…
18y · Female·Multiple injuries sustained in motor vehicle collision
An 18-year-old Aboriginal woman died from multiple injuries following a high-speed police pursuit. She was a passenger in a stolen utility driven by her cousin, who was attempting to evade police following a robbery. The…
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