918 results
23y · Male·exsanguination from amputation of right leg through hip joint
A 23-year-old professional scallop diver was fatally attacked by a great white shark off South Australia's coast. He died from exsanguination following amputation of his right leg. The coroner identified two critical fai…
23y · Male·neck compression due to hanging
A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health services. In March 2001, he was…
72y · Female·haemorrhage from penetrating duodenal ulcer
A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…
26y · Male·gastric aspiration
A 26-year-old remanded prisoner died from gastric aspiration at Adelaide Remand Centre. He was a heroin user experiencing withdrawal, having been offered but declined infirmary treatment and methadone on arrival. Cellmat…
80y · Male·bilateral pulmonary thromboembolism
An 80-year-old man with dementia was detained under the Mental Health Act at Howard House (Hillcrest Hospital) for confusion, aggression, and behavioural disturbance. He died three days after admission from bilateral pul…
67y · Male·cancer of the stomach with metastasis liver
A 67-year-old man serving a life sentence died of metastatic stomach cancer in hospital. He was diagnosed with terminal gastric cancer in April 2000 and underwent a palliative gastric bypass procedure. Due to inability t…
27y · Male·propoxyphene toxicity
A 27-year-old man with schizophrenia died of propoxyphene toxicity while in police custody. He ingested a fatal dose of Doloxene capsules prescribed by Dr R. on 27 June 2000. The doctor prescribed 100 capsules to a patie…
77y · Male·multi-organ failure secondary to myocardial infarction
A 77-year-old man admitted to a nursing home after hip replacement surgery for a fractured neck of femur died from multi-organ failure secondary to myocardial infarction. He had multiple comorbidities including diabetes,…
24y · Male·hanging
Alexander Varcoe, a 24-year-old Aboriginal man, died by hanging in Yatala Labour Prison while on remand awaiting trial for serious charges. He had a complex history including prior self-harm in 1995-96, alleged prison ra…
40y · Male·ischaemic heart disease due to coronary atherosclerosis
A 40-year-old man presented to an Emergency Department with chest pain lasting approximately a week and a half, presenting with symptoms including arm pain and associated cough. He was triaged as Category 3 (non-urgent) …
53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…
A 53-year-old woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospita…
71y · Female·massive acute haemolysis leading to severe anaemia and multi-system failure as a…
Ruth Stoll, 71, died from massive acute haemolysis and multi-system failure after receiving incompatible blood transfusions during aortic aneurysm repair. Pre-operative blood samples from Stoll and another patient (Koven…
35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…
A 35-year-old previously healthy male sustained blunt chest trauma during an assault. He presented to ED with chest pain but was triaged as category 4. After collapse and retriage to category 3, he received an ECG at 1:0…
63y · Male·raised intracranial pressure due to cerebellar metastasis arising from primary b…
Francis Seery, aged 63, died of raised intracranial pressure from cerebellar metastasis secondary to bronchogenic large cell carcinoma. Diagnosed with lung cancer in May 2001 while imprisoned, he received radiotherapy wi…
59y · Female·multiple cerebral infarction due to infective endocarditis
A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…
29y · Male·Hanging
Craig Mark Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The…
Multiple severe traumatic injuries sustained in motor vehicle accident
Two people died when a car lost control on a recently resealed rural road with loose aggregate still present. The female driver was traveling at approximately 90 km/h on a straight sealed section, but lost control about …
77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)
A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …
18y · Male·left haemopneumothorax due to traumatic rupture of the lower lobe of the left lu…
An 18-year-old male riding a motorcycle died when the vehicle crashed into a culvert while being pursued by police. The deceased was riding whilst disqualified from holding a licence and fled from police at moderate spee…
21y · Male·Cardiorespiratory arrest associated with butane abuse by inhalation
A 21-year-old detained psychiatric patient died from cardiorespiratory arrest following deliberate butane inhalation in a hospital wardrobe. He was admitted to an open mental health ward following acute psychosis, with d…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.