918 results
35y · Male·Cerebral lacerations associated with comminuted fractures of cranial vault and b…
David Cunliffe, aged 35, died from severe cerebral lacerations and comminuted skull fractures sustained when ejected from a vehicle during a rollover accident on Jungfer Road, Lobethal, South Australia on 27 February 200…
41y · Male·haemorrhage due to incised wounds to left and right cubital fossae
Jeffrey Ronald Fredericks, aged 41, died in Adelaide Remand Centre custody from haemorrhage due to self-inflicted incised wounds to both cubital fossae. Critical clinical lessons: screening tools identified significant s…
36y · Male·hanging
Troy Phillip Turner, aged 36, died by hanging in his prison cell on 2 September 2001 while on remand for serious domestic violence-related offences. The coroner identified several preventable failures: (1) Duty Superviso…
59y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis
Colin Eric Betts, a 59-year-old man with alcoholic dementia and Korsakoff's syndrome, died from pulmonary thromboembolism due to left deep calf vein thrombosis while detained in a psychiatric hospital. He was on multiple…
81y · Male·myocardial infarction
An 81-year-old man with dementia died of myocardial infarction while detained under Mental Health Act orders at Glenside Hospital. He was admitted for aggression and cognitive deterioration. Over three weeks, his psychia…
64y · Male·hypoxic encephalopathy, secondary to cardiac arrest, secondary to myocardial inf…
A 64-year-old man with paranoid psychosis, poorly controlled diabetes, ischaemic heart disease, atrial fibrillation, congestive cardiac failure, and chronic obstructive airways disease died from hypoxic encephalopathy fo…
14y · Male·closed head injury
A 14-year-old male died from a closed head injury following a high-speed collision while driving a stolen vehicle being pursued by police. The driver, aged 17, panicked when police attempted to intercept the vehicle and …
12y · Female·raised intracranial pressure due to ventriculo-peritoneal shunt blockage
A 12-year-old girl with congenital hydrocephalus and a ventriculo-peritoneal shunt presented to the ED with severe unrelieved headache after head trauma. An inexperienced junior doctor (6 weeks in role, minimal neurosurg…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…
46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis
A 46-year-old woman with schizo-affective disorder died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing f…
50y · Female·respiratory arrest on a background of left lower lobe pneumonia in a person with…
Centella Theresa Hynes, a 50-year-old woman with schizoaffective disorder, intellectual disability, and primary pulmonary hypertension, died from respiratory arrest due to left lower lobe pneumonia while detained under m…
83y · Male·inanition with lobar pneumonia
An 83-year-old man with organic brain syndrome and severe malnutrition was detained under the Mental Health Act after being found in severe self-neglect. He was admitted to hospital where he received comprehensive multid…
60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…
A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …
0y · Male·drowning
Christopher Smith, aged 7 months, drowned in a bath after both legs slipped into one leg hole of a Fisher-Price Stay 'n' Play Bath Ring while his mother was on the telephone in another room. With only 12.5-15cm of water …
27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…
Michael Jason Taylor, aged 27, died on 26 February 2000 while detained at Glenside Hospital under the Mental Health Act 1993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-se…
44y · Female·salt water drowning due to ascent barotrauma (cerebral arterial gas embolism)
Jennifer Lee Barrington, age 44, died from salt water drowning due to ascent barotrauma (cerebral arterial gas embolism/CAGE) during a recreational scuba dive. She had significant undisclosed medical conditions including…
42y · Female·saltwater drowning
Deborah Campbell, aged 42, died from saltwater drowning while scuba diving at Nora Creina, South Australia. She was obese, physically unfit, and had not undergone proper diving medical evaluation. Contributing factors in…
52y · Male·salt water drowning
A 52-year-old experienced recreational diver died from salt water drowning whilst diving near Marion Bay, South Australia. Multiple medical and equipment factors contributed: severe obesity (132kg), emphysema with lung b…
58y · Male·salt water drowning following air embolism due to ascent barotrauma
A 58-year-old male experienced cerebral arterial gas embolism (CAGE) during recreational scuba diving ascent, resulting in drowning. Pleural adhesions from prior motor vehicle accident restricted lung expansion during as…
55y · Male·Ascent barotrauma resulting in cerebral arterial gas embolism (CAGE) and drownin…
A 55-year-old man with undiagnosed viral myocarditis and cardiomegaly died from cerebral arterial gas embolism (CAGE) during a scuba dive at 37 metres depth. Despite being advised by his cardiologist not to dive, he igno…
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