873 results
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…
64y · Male·bronchopneumonia in a man receiving palliative care for terminal cancer of the r…
Bill Portelli, a 64-year-old man with chronic paranoid schizophrenia and terminal rectum cancer with liver metastases, died of bronchopneumonia (from aspirated vomit) while receiving palliative care at Alma Street Centre…
28y · Male·ligature compression of the neck (hanging)
Robert Kenneth Scott, a 28-year-old man with schizophrenia, died by hanging on 22 May 2008 after absconding from Graylands Hospital where he was an involuntary patient. He was last seen at 4:30pm on an open ward with 60-…
76y · Male·gunshot wound to the head
Ian Shardlow, a 76-year-old experienced sailor, died from a gunshot wound to the head on 16 August 2012 while sailing alone in Geographe Bay. His boat was found unmanned with blood and brain matter in the cockpit; a spen…
56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely
Delray Beasley, a 56-year-old Aboriginal man with chronic liver cirrhosis from longstanding alcohol abuse, was admitted to Kalgoorlie Hospital in May 2010 following an alleged assault. He was initially evaluated for poss…
33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…
Amy Tinker, a 33-year-old Aboriginal woman with unrecognised cirrhosis from chronic alcohol abuse, died from sepsis-related multi-organ failure while imprisoned. She had been admitted to Royal Perth Hospital in 2004 with…
14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…
Haley Diamond, 14, died from acute cerebral hypoxia following inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain damage and bronchopneumonia. Clinical lessons: volatile substan…
20y · Male·Drowning
A 20-year-old Malaysian national drowned at Yanchep Lagoon while abalone fishing on 4 November 2012 during atrocious weather conditions (northwesterly winds 20-30 knots, 1-1.5m swell). He was swept into the lagoon by wav…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
A 57-year-old man with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibi…
84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…
An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act status. She was found unresponsive in the TV lounge approximately 10 min…
32y · Male·ligature compression of the neck (hanging)
A 32-year-old Japanese-American freelance photographer died by hanging in prison custody while remanded for importing prohibited material. He was comprehensively assessed on admission by experienced prison reception and …
38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…
Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially treated successfully in 2002 with recovery to normal cardiac function by…
84y · Male·Unknown
Arnold James King, an 84-year-old man, disappeared from Ravensthorpe, Western Australia between 7-13 November 2011. He was grieving his wife's death, had recently been treated for depression with hospitalization, was in …
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…
45y · Male·multiple injuries sustained from a 25-metre fall down an unprotected stope when …
A 45-year-old experienced loader operator died when his vehicle fell 25 metres down an unprotected underground stope while attempting to place a rock bund at its edge. The incident occurred due to multiple contributing f…
26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack
A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…
38y · Male·Ligature compression of the neck (hanging)
Peter Philip Humes, a 38-year-old Aboriginal man, died by suicide by hanging in Hakea Prison while on remand. He was assessed by prison officer Trevena and nurse Lee on admission using the MR011 'At-Risk' checklist and d…
50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…
Kevin Maxwell Collins, a 50-year-old man with chronic schizophrenia, chronic obstructive pulmonary disease, and morbid obesity, died from bronchitis due to pandemic influenza A/H1N1 2009 while an involuntary patient at G…
28y · Male·ligature compression of the neck (hanging)
Luke Isaac Forkin, a 28-year-old man with a long history of substance abuse and mental health issues, died by suicide while absent without leave from Graylands Hospital. He had been admitted involuntarily due to psychoti…
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