1,981 results
28y · Female·Complications of a seizure in the setting of prescription drug abuse (pregabalin…
Samantha Leech, 28, died from complications of a seizure in the setting of prescription drug abuse, particularly pregabalin. She obtained approximately 4000 pregabalin tablets over three months by visiting multiple GPs, …
24y · Male·multiple stab wounds to the chest that he inflicted upon himself
A 24-year-old man with diagnosed schizophrenia experienced a relapse and engaged in a dangerous spree involving vehicle theft, assault, and police pursuit. Despite psychiatric treatment with antipsychotics, he stopped me…
62y · Male·Diabetic ketoacidosis in a man with coronary atherosclerosis and cardiomegaly
Phillip Sealey, 62, presented to his local GP on 27 June 2019 with three weeks of thirst, urinary frequency, nocturia, blurred vision, dizziness and vomiting. The GP diagnosed hypertension and suspected diabetes mellitus…
37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…
MWJ, aged 37, was fatally stabbed by his intimate partner EW on 24 December 2016 during an escalating domestic argument. The coroner identified significant systemic failures in Community Corrections management of both of…
52y · Female·Presumed SUDEP (Sudden Unexplained Death in Epilepsy)
Mariza Beretta, a 52-year-old woman with Trisomy 21 and early-onset Alzheimer's disease, died from presumed SUDEP (Sudden Unexplained Death in Epilepsy) at Royal Melbourne Hospital. She was diagnosed with genetic general…
64y · Male·metastatic adenocarcinoma of the lung (palliated)
Lajos Szabo, a 64-year-old prisoner, died from metastatic adenocarcinoma of the lung with brain metastases. He presented to prison medical services in November 2018 with neck swelling and fever, was promptly investigated…
75y · Female·Multiple injuries including stab wounds to the chest
A 75-year-old woman was fatally stabbed by her son during a family violence incident. Her son had a 20-year history of schizophrenia and schizoaffective disorder with poor medication compliance, documented aggression tow…
71y · Male·Mixed drug toxicity
A 71-year-old man with multiple chronic conditions including obesity, diabetes, heart failure, and chronic pain died from mixed drug toxicity involving oxycodone, codeine, diazepam, and alcohol. The coroner determined he…
45y · Male·Hanging
A 45-year-old man with depression died by hanging after experiencing significant workplace stress. He had consulted his GP in October 2014 regarding grief over his mother's terminal illness and was prescribed sleeping ta…
37y · Male·Combined drug toxicity (methadone, fentanyl, diazepam and pregabalin)
Daniel Joseph Herbert, aged 37, died from combined drug toxicity involving methadone, fentanyl, diazepam and pregabalin. He had a 17-year history of opioid dependence stemming from prescription OxyContin for a work-relat…
32y · Male·Multiple injuries sustained in a fall from a height
Adam Laufer, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the early hours of 24 November, his father called tr…
52y · Male·Aspiration Pneumonia
Gregory Bennett, a 52-year-old man with congenital rubella syndrome causing profound disabilities including dysphagia, epilepsy, and spastic quadriparesis, died from aspiration pneumonia. He was living in DHHS-managed ac…
55y · Female·Complications of metastatic colorectal carcinoma
Lorinda Ruff, a 55-year-old woman with intellectual disability and bipolar disorder, died from complications of metastatic colorectal carcinoma. She presented to her GP on 29 July 2019 with three days of appetite loss an…
84y · Female·complications of a fractured left hip suffered in an unwitnessed fall in aged ca…
An 84-year-old woman with dementia and osteoporosis residing in aged care suffered an unwitnessed fall in a corridor, sustaining a left hip fracture. She underwent high-risk surgical repair on day 3 post-fall. Post-opera…
56y · Female·acute pentobarbitone toxicity
56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health issues, depression, substance use, and prior self-harm. She had recently obtain…
8y · Male·acute exacerbation of chronic asthma
An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…
42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…
Anthea Ryder Moketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitte…
30y · Male·Hanging
Joshua Stachor, aged 30, died by hanging in Yatala Labour Prison on 19 November 2017. He was a remand prisoner on charges of domestic violence. The coroner found critical failures in his admission assessment on 6 Novembe…
59y · Female·Diffuse hypoxic brain injury complicating aspiration of gastric contents during …
Janine Hunn, a 59-year-old woman with Angelman syndrome, severe intellectual disability, kyphoscoliosis, and a history of epilepsy and recurrent aspiration pneumonia, died from hypoxic brain injury following aspiration o…
40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…
Teresa Bradford, aged 40, was killed by her husband David Bradford in a premeditated domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe.…
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