1,232 results
79y · Male·external neck compression as a result of hanging
A 79-year-old man with bipolar affective disorder and a documented history of medication non-compliance died by suicide while living in rural NSW. He had been subject to a Victorian Community Treatment Order (CTO) requir…
67y · Female·Sepsis as a result of gastric perforation
Margaret Pegum, aged 67, died from sepsis following gastric perforation after an intragastric balloon (IGB) procedure for weight loss. She had undergone fundoplication for hiatus hernia in 2012. Despite prior gastric sur…
51y · Male·combined effect of gunshot injuries to the chest and abdomen
Stephen Hodge, a 51-year-old postal worker with a history of depression, anxiety, and alcohol use disorder, was shot by police after advancing on them with a large kitchen knife. He had consumed substantial alcohol and p…
20y · Male·drowning
Brendan Vickery, a 20-year-old, died by drowning in a quarry reservoir after jumping from a cliff. He was an adequate swimmer who appeared fit and well before jumping. After his initial jump, witnesses observed him expre…
14y · Male·multiple blunt force injuries after his mini-motorcycle collided with another ve…
Corey Kramer, aged 14, died from multiple blunt force injuries when his unregistered mini-motorcycle collided with a utility vehicle while being pursued by police. At the time, the motorcycle was travelling at approximat…
54y · Male·aspiration pneumonia caused by multiple drug toxicity
Paul Lau, aged 54, died from aspiration pneumonia caused by opioid toxicity following ACL reconstruction surgery. The death resulted from a prescribing error where anaesthetist Dr K. inadvertently prescribed a 100mcg/hou…
1y · Male·Drowning
Braxton Slager, a 22-month-old in temporary foster care, drowned in an unregistered swimming pool at his carers' home. The placement was inappropriate: the carer (Julie Tarlinton) lacked emotional capacity after losing a…
64y · Male·Arteriosclerotic coronary artery and hypertensive heart disease
Clifford Deas, a 64-year-old man in custody at Long Bay Hospital Correctional Centre since December 2015, died on 5 March 2016 from arteriosclerotic coronary artery disease and hypertensive heart disease, with end-stage …
44y · Male·Hodgkin's Lymphoma
Saker Mohamed, a 44-year-old man serving a custodial sentence, died of Hodgkin's Lymphoma on 31 December 2015 at Long Bay Hospital. He presented with symptoms including lumps under armpits (August), headaches and dizzine…
22y · Male·Unknown - likely drowning in Boundary Creek/Nepean River but unable to be determ…
Jordan Morris, aged 22, disappeared on 24 April 2015 following a police pursuit of a stolen vehicle in Penrith, NSW. After the vehicle stopped, Jordan fled into bushland adjacent to Boundary Creek. Police searched extens…
1y · Male·hypoxic-ischaemic encephalopathy due to near-drowning
Jake Rhodes, a 21-month-old boy, drowned in a backyard swimming pool during construction before a Final Occupation Certificate had been issued. Contributing factors included: absence of supervision in moments before he e…
26y · Female·sepsis
Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 October with severe pain, tachycardia (125 bpm), and …
79y · Male·hypoxic brain injury due to cardio-respiratory arrest caused by opioid toxicity
Yongxing Wang, 79, died from hypoxic brain injury caused by opioid toxicity from combined morphine and oxycodone. After a minor back injury on 21 August, he received a cortisone injection on 22 August with complications.…
28y · Female·complications of epilepsy
Carney Schultz, a 28-year-old woman with severe cerebral palsy, hydrocephalus, and epilepsy, died on 21 April 2015 at a group home. She experienced a seizure around 3:20am managed by a disability support worker (DSW) wit…
37y · Male·crush injuries to the head, chest, abdomen and pelvis sustained when a wall of t…
Daniel Howard, a retained firefighter with FRNSW in rural Cobar NSW, died from crush injuries when a wall collapsed on him during a structural fire at the Occidental Hotel on 17 August 2014. Key clinical lessons include:…
67y · Male·metastatic prostate cancer
Ian McAuliffe, a 67-year-old man serving a custodial sentence, died from metastatic prostate cancer. The case examined whether his cancer treatment as a prisoner was adequate compared to community care. His oncologist Dr…
28y · Male·Neck compression consistent with hanging
A 28-year-old man with severe depression, persistent suicidal ideation and previous suicide attempts died by hanging in a mental health inpatient unit while under involuntary detention. Despite being assessed as high sui…
53y · Male·Complications of hepatocellular carcinoma with significant contributing patholog…
Michael Rex Clark, aged 53, died in Long Bay Hospital from hepatocellular carcinoma with cirrhosis and hepatitis C while serving a custodial sentence. He had received appropriate treatment for hepatitis C, which was clea…
Male·unknown
Ning Dong, a Chinese national who arrived in Australia in 1996, disappeared on 10 December 2000 after a regular shift at a restaurant in Enfield, NSW. He was last seen being dropped at Burwood station at 10:45pm. After 1…
29y · Male·blood loss due to multiple gunshot wounds
Khaled Khawaji, a 29-year-old man with a history of criminal involvement, was shot six times by an unknown assailant outside a residential address in Greenacre on 15 March 2013, dying from blood loss. Despite comprehensi…
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