3,729 results
60y · Female·undetermined; natural causes not excluded (possible paraganglioma infarction, pn…
A 60-year-old woman with depression, recent acute kidney injury from dehydration, and suicidal ideation was discharged from hospital on 27 August 2021 after psychiatric improvement. She was prescribed increased Sertralin…
52y · Male·Gastric adenocarcinoma
Dimitrios Alexandrou, a 52-year-old man with severe cerebral palsy, intellectual disability, and drug-resistant epilepsy, died from gastric adenocarcinoma. He presented in July 2021 with weight loss and reduced appetite;…
76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…
Wayne Douglas Tedmanson, aged 76, died from ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations…
41y · Male·haemothorax due to ruptured thoracic aortic aneurysm in a man with Marfan syndro…
A 41-year-old man with Marfan syndrome and a thoracic aortic aneurysm managed conservatively with blood pressure medications died from aneurysm rupture while imprisoned. Methylamphetamine in his system significantly elev…
58y · Female·thermal burns
A 58-year-old woman with schizophrenia died from extensive thermal burns after a fire originated in a wall-mounted heat pump that lacked a required residual current device (RCD). The heat pump was installed in 2012 witho…
52y · Male·Ischaemic heart disease
Vivian Anderson, aged 52, died of ischaemic heart disease while remanded in custody at Long Bay Correctional Centre. He had significant cardiac history including two previous myocardial infarctions (2000, 2006), high cho…
60y · Male·sepsis and aspiration pneumonia in a man with oral squamous cell carcinoma and m…
Henry Allen, a 60-year-old man with oral squamous cell carcinoma, lung cancer, and multiple comorbidities died from sepsis and aspiration pneumonia while in prison custody at Fiona Stanley Hospital. He received appropria…
72y · Male·Choking on a food bolus
A 72-year-old man with vascular dementia, stroke history, and dysphagia died from choking on food while being fed by a nurse in aged care. The coroner found the death was preventable due to staff lack of training in safe…
85y · Male·Incised wounds to the wrist
An 85-year-old man with myelodysplasia and severe hip pain from an ischiorectal abscess died from incised wrist wounds sustained in a nursing home while in palliative care. He had expressed wishes to die, discussed eutha…
53y · Male·Multiple gunshot injuries
53-year-old man with longstanding unresolved childhood trauma, affected by COVID-19 pandemic restrictions, developed acute paranoia and anxiety. Believed people were hacking his devices and tracking him. When school welf…
70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…
Ronald Joseph Buckland, aged 70, died in custody at Fiona Stanley Hospital from bronchopneumonia with intra-abdominal carcinoma and multiple comorbidities. A life-sentenced prisoner, he had extensive medical conditions i…
55y · Female·asphyxia due to choking on food (steak)
A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…
47y · Female·Probable sudden unexpected death in epilepsy (SUDEP)
Vasiliki Simopoulos, a 47-year-old woman with severe Lennox-Gastaut Syndrome living in residential care, was found unresponsive in the bathroom at 1:20am on 7 February 2019. Autopsy revealed probable sudden unexpected de…
37y · Male·Complications of electrocution and injuries sustained in a fall
Gregory Roberts, a 37-year-old builder, died from complications of electrocution and injuries sustained in a fall after inadvertently touching a 22,000-volt high-voltage aerial powerline with a metal tape measure while w…
33y · Male·multiple gunshot wounds to the head, trunk and limbs
Daniel King died following multiple gunshot wounds sustained during a police operation. He had acquired a firearm and attended three locations in western Sydney, discharging it before arriving at Penrith Police Station w…
26y · Male·ligature compression of the neck (hanging)
Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisoci…
43y · Male·Hypoxic Ischaemic Encephalopathy due to out of hospital cardiac arrest, secondar…
Richard Navarro, a 43-year-old man with severe obstructive sleep apnoea (OSA), morbid obesity, hypertension, and recurrent pneumonia, died of hypoxic ischaemic encephalopathy following cardiac arrest while in custody at …
41y · Male·heart failure related to exsanguination due to traumatic rupture of an arteriove…
Nicholas Summers, a 41-year-old kidney transplant recipient, died from traumatic rupture of an arteriovenous fistula with massive hemorrhage on 16 February 2016. He had returned to Tasmania under nephrologist Dr M.'s car…
21y · Male·complications of ligature compression of the neck (hanging)
Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose att…
57y · Male·brainstem and cerebellar infarction due to vertebrobasilar artery thrombosis
A 57-year-old man with multiple cardiovascular risk factors presented to an ED with vertigo, blurred vision, and 'not feeling right' caused by an evolving posterior circulation stroke. A junior doctor discharged him afte…
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