918 results
29y · Male·hydrocarbon inhalation/asphyxia
A 29-year-old Aboriginal man died from hydrocarbon inhalation and asphyxia after placing a petrol-filled tin tightly over his nose and mouth. The death occurred in a remote Aboriginal community where petrol sniffing was …
1y · Male·hanging from curtain cord with neck compression
A 13-month-old boy died by hanging from a Roman blind cord in his bedroom cot. The child was able to stand and pull himself up, gaining access to the cord which hung into the cot. His father left him alone briefly while …
18y · Male·neck compression due to hanging
Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emer…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…
29y · Male·air embolus complicating gunshot wounds to chest
A 29-year-old male died from air embolus complicating gunshot wounds to the chest sustained during a police confrontation. Initial medical stabilization appeared successful; he was intubated, chest drains inserted, and t…
71y · Male·Positional asphyxia
A 71-year-old man with severe dementia died from positional asphyxia when his neck became wedged in a gate at an aged care facility. He had demonstrated multiple escape attempts within days of admission, with staff docum…
35y · Male·neck compression due to hanging
A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…
27y · Male·freshwater drowning
A 27-year-old Malaysian citizen died by freshwater drowning in the River Murray after evading police apprehension at a random breath testing station. He was detained under the Migration Act 1958 (Commonwealth) for being …
52y · Male·salt water drowning
A 52-year-old man drowned after his fishing boat's hydraulic steering system failed catastrophically. The threaded connection between the hydraulic steering ram rods had become unscrewed, likely due to lack of threadlock…
28y · Male·hanging
A 28-year-old man with treatment-resistant paranoid schizophrenia and substance abuse died by hanging while detained under the Mental Health Act in a closed psychiatric ward. He had chronic auditory hallucinations comman…
60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…
Richard Allen, a 60-year-old man with a permanent pacemaker for sick sinus syndrome, died from haemopericardium due to rupture of the right ventricle during pacemaker lead extraction on 2 November 2005. The 14mm perforat…
76y · Male·ruptured abdominal aortic aneurysm
Kenneth Carter, 76, died from a ruptured abdominal aortic aneurysm (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two e…
31y · Female·right cerebellar cerebrovascular accident (cerebellar infarction with obstructiv…
31-year-old woman presented with acute onset headache, dizziness, vomiting, facial numbness and speech difficulties. Initial CT brain showed equivocal left temporal hypodensity. Dr B. diagnosed acute migraine/benign posi…
33y · Male·Respiratory failure due to mixed drug toxicity (amitriptyline, oxycodone, morphi…
A 33-year-old man with chronic back pain, depression, morbid obesity and sleep apnoea died in psychiatric custody from respiratory failure due to mixed drug toxicity and probable aspiration. He was heavily medicated with…
Zara Schupelius: suffocation; Callum Smith: undetermined; Jake Hackett: suffocat…
Concurrent inquests into five sudden unexpected deaths in infancy (SUDI), three attributed to suffocation and two undetermined but with suffocation as a significant possibility. All deaths occurred in infants aged 2-7 mo…
29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…
Grant Austin, a 29-year-old man with intellectual disability and morbid obesity, died from aspiration pneumonia complicating Wernicke's encephalopathy. He presented with prolonged refusal to eat and drink from December 2…
51y · Male·neck compression due to hanging
A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk during nine months of incarcerat…
45y · Male·choking on food
Richard Mann, a 45-year-old man with intellectual disability and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and mon…
0y · Male·hypoxic ischaemic encephalopathy
Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus d…
23y · Male·gunshot wounds to the head
A 23-year-old male was fatally shot in the head by a 17-year-old assailant on 28 February 2004. The coroner identified systemic police failures preceding the death that presented opportunities for intervention. Police fa…
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