3,729 results
70y · Male·hypovolaemic shock due to the consequences of fractured femur
Thomas Fulcher, a 70-year-old man with intellectual disability and osteoporosis in a group home, fell on 19 January 2018 and sustained a spiral femur fracture with internal bleeding. Care workers failed to seek medical a…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…
46y · Male·Neck compression by ligature suspension
Mr Y, a 46-year-old man with a history of alcohol use and family violence perpetration, died by suicide via neck compression by ligature suspension in May 2020. He had expressed suicidal ideation to his wife on multiple …
56y · Male·acute exacerbation of chronic obstructive pulmonary disease (bronchial asthma) i…
Ashley Adrian Lane, a 56-year-old Aboriginal man from the Ngaanyatjarra Lands, died in custody at Kalgoorlie Regional Hospital from acute exacerbation of chronic obstructive pulmonary disease (asthma). He was a remand pr…
42y · Female·hanging
Holly Thredgold, aged 42, died by hanging on 28 August 2016, less than 40 hours after inappropriate discharge from Royal Adelaide Hospital ED. She presented on 26 August 2016 severely intoxicated with suicidal ideation a…
58y · Male·Pneumonia and urosepsis
Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing ureth…
heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…
Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…
68y · Male·Aspiration pneumonia (due to cerebral palsy and dysphagia)
Dana John Walter, 68, died of aspiration pneumonia following cerebral palsy and severe dysphagia. He was readmitted to hospital on 11 August 2020 with acute respiratory distress three days after discharge. Despite thicke…
68y · Male·Complications of metastatic cholangiocarcinoma
Dennis Alfred Goudge, a 68-year-old man with metastatic cholangiocarcinoma, prostate cancer, depression and angina, died in the hospital ward of Port Phillip Prison from complications of his metastatic cholangiocarcinoma…
28y · Female·hypovolaemia due to spleen laceration due to blunt force trauma to the torso
Roberta Curry, 28, was killed by her former partner Lorenzo Deegan after repeated assaults, with a fatal blow causing splenic laceration. Critical failures included: police misclassifying her 000 calls as general disturb…
42y · Female·multiorgan failure complicating hyperthermia and metabolic acidosis following su…
A 42-year-old woman with long-standing depression, substance use issues, and multiple mental health presentations died from multi-organ failure following ingestion of caustic soda. She was found unresponsive at home on 1…
33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)
Desmond Jack, a 33-year-old with longstanding bipolar affective disorder and psychotic symptoms, died from a single gunshot wound to the anterior trunk after being shot by police officer Senior Constable Harrison on 28 M…
68y · Male·Complications following myocardial infarction and its treatment in a man with mu…
Salvatore Otranto, a 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and its treatme…
Male·Gunshot wound to chest (Aleksander Stefanovic); gunshot wound to head (AD)
Joint inquest into the deaths of two males at their shared Lewisham home on 4 September 2020. AD (aged 55), with documented depression, anxiety and recent suicidal ideation, shot his flatmate Aleksander Stefanovic (aged …
64y · Male·Pneumonia in a man with Lennox-Gastaut syndrome
Raymond Dempster, a 64-year-old man with severe Lennox-Gastaut syndrome and dysphagia, died of pneumonia following aspiration. He had experienced recurrent aspiration pneumonia episodes over several years. Critical clini…
24y · Male·Gunshot wounds to the chest and abdomen
Jesse Aaron Kermode, 24, died after being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented p…
40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…
Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…
18y · Male·Multi organ failure due to sepsis from a Group A streptococcus infection
Alex Braes, an 18-year-old from Broken Hill NSW, died of multi-organ failure due to Group A streptococcus sepsis. He presented to Broken Hill Base Hospital three times over 24 hours with knee pain that progressed to seps…
47y · Female·Traumatic closed head injury likely sustained in a fall from standing
TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …
Unknown·Sally-Anne Wills: multiple stab wounds to the chest; Christopher Polden: single …
This coronial finding concerns three deaths occurring in Melbourne on 11-12 March 2020 resulting from violent acts by Mohammed Ibrahim. Sally-Anne Wills (aged 30) died from multiple stab wounds to the chest; Christopher …
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.