137 results
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital o…
51y · Male·Pulmonary thromboemboli due to deep vein thrombosis on a background of a leg bur…
Stephen Kline, a 51-year-old Aboriginal man, died from pulmonary thromboembolism due to deep vein thrombosis following a leg burn wound sustained when NSW Police deployed a taser during a confrontation on 8 March 2016. H…
21y · Male·unascertained natural causes
Sione Moala'eua, a 21-year-old man, was found deceased in his apartment on 29 August 2017, having died on 27 August. Despite thorough investigation including autopsy, toxicology, and radiology, the cause of death could n…
37y · Male·Haemopericardium secondary to aortic dissection
Alexander Costello, 37, presented to Gunnedah Hospital ED with acute onset severe chest pain, back pain, diaphoresis and nausea. Dr G., the sole ED physician, conducted initial assessment including ECG and troponin testi…
32y · Male·sudden cardiac arrhythmia
Craig Catley, aged 32, died of sudden cardiac arrhythmia while in prison custody one day after discharge from Prince of Wales Hospital following neurosurgery for a pituitary tumour. The coroner found his hospital care wa…
82y · Male·Acute kidney failure due to possible sepsis or cardiogenic shock, with congestiv…
Ian Turnbull, a 82-year-old man in custody, died from acute kidney failure due to possible sepsis or cardiogenic shock with congestive cardiac failure. He had multiple comorbidities including ischaemic heart disease, hyp…
56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…
A 56-year-old man with diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. The anaesthetist failed to conduct an adequate pre-operative assessment, u…
Unknown·Diane Michel: sharp force injuries to neck and wrists. John McCain: projectile i…
A married couple, both terminally ill with COPD and other serious conditions, died together at home in December 2016. Diane Michel (74) died from sharp force injuries to her neck and wrists; John McCain (76) died from se…
72y · Male·Ruptured abdominal aortic aneurysm
A 72-year-old man died from a ruptured abdominal aortic aneurysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinic…
84y · Male·Complications of hypertensive and atherosclerotic cardiovascular disease
An 84-year-old prisoner with multiple chronic conditions (hypertensive and atherosclerotic cardiovascular disease, diabetes, hepatitis B, previous bowel cancer, heart failure) suffered a fatal cardiac arrest whilst attem…
73y · Male·Consequences of myocardial infarction with coronary artery atherosclerotic disea…
Leonard Bartholomeusz, aged 73, died of myocardial rupture on 6 May 2013, six days after hip fracture surgery. He suffered a fall on 30 April 2013 following which ECG testing revealed cardiac abnormality. A first ECG at …
91y · Male·complications of pneumonia
Richard Lewis, a 91-year-old man in custody, died of pneumonia complicated by underlying ischaemic heart disease and chronic lung disease. He was transferred from the Aged Care and Rehabilitation Unit at Long Bay Hospita…
Female·Sudden Unexpected Death in Infancy (SUDI), otherwise undetermined
Two infants died suddenly and unexpectedly. The first child died at home at 3 months of age in an unsafe sleeping environment with multiple soft items in her cot; the second died in temporary care at 19 days of age. Both…
78y · Male·Heart failure or arrhythmia, secondary to ischaemic heart disease
Peter Woodcroft, 78, suffered a medical emergency (heart failure or arrhythmia secondary to ischaemic heart disease) at 4:32am and called Triple Zero but could not articulate what he needed. Police did not attend his Wat…
76y · Male·congestive cardiac failure
Richard John O'Connor, a 76-year-old prisoner, died of congestive cardiac failure at Prince of Wales Hospital after a two-week admission. He had a long history of cardiac disease including previous valve replacement and …
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 …
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…
41y · Male·Complications of blunt force injuries of the head
Colin Parker, aged 41, suffered an unwitnessed fall with head injury while experiencing syncope from atrial fibrillation in early May 2014. He was admitted to Campbelltown Hospital but his serious intracranial pathology …
13y · Male·borderline myocarditis, most likely due to influenza A virus infection
A 13-year-old previously healthy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was disc…
42y · Male·Fatal cardiac arrhythmia
A 42-year-old male with undiagnosed chronic coronary artery disease died of fatal cardiac arrhythmia at an immigration detention centre. Key contributing factors were: ingestion of methamphetamine (toxic levels) in the h…
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