1,969 results
86y · Female·Metastatic ovarian cancer (high-grade serous carcinoma)
An 86-year-old woman serving a life sentence died of metastatic ovarian cancer in palliative care. After diagnosis in April 2023, treatment was appropriately limited to symptom management given her advanced dementia, mak…
43y · Male·methadone toxicity
Frank Coleman, a 43-year-old First Nations man, died of methadone toxicity after being supplied diverted methadone by another inmate while imprisoned at Long Bay Correctional Complex. Mr Coleman had repeatedly requested …
66y · Male·multiple injuries sustained in motor vehicle collision
A 66-year-old cyclist was struck and killed from behind by a driver with left absolute homonymous hemianopia (left-sided visual field loss) who was not scanning to compensate for his disability. The driver had suffered a…
39y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to methadon…
A 39-year-old woman with opioid dependency died from cardiac arrest caused by methadone toxicity. She had been prescribed up to six take-away doses of 120mg methadone per week by her GP under Queensland's Opioid Treatmen…
27y · Female·Hanging
Ms YPM, a 27-year-old woman with a long history of borderline personality traits, depression, anxiety and eating disorder, died by hanging on 17 May 2020. In the preceding two weeks, she presented to Alfred Hospital foll…
43y · Male·Hanging
A 43-year-old First Nations man died by hanging while remanded in custody for domestic violence offences. Initial risk assessments on admission were adequate—a psychologist appropriately assessed him as not requiring enh…
31y · Male·Hanging
31-year-old male with borderline personality disorder, alcohol use disorder, and history of self-harm died by hanging. He had multiple presentations to emergency services and mental health services from March to July 202…
57y · Male·Pneumonia with contributing factors of epilepsy and congestive cardiac failure d…
Stephen Ross Stronach, a 57-year-old man with intellectual disability living in specialist disability accommodation, died of pneumonia with contributing factors of epilepsy and congestive cardiac failure secondary to rep…
57y · Male·Aspiration pneumonia complicating locally advanced non-small cell carcinoma of l…
Christopher O'Riley, age 57, a specialist disability accommodation resident with complex medical needs including lung cancer, schizophrenia, epilepsy, and dysphagia, died from aspiration pneumonia complicating locally ad…
42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…
Narelle Simmons, 42, died from haemothorax and pneumonia secondary to rib fractures, with contributing factors of hepatic cirrhosis, chronic alcoholism, and multiple drugs (methadone, methylamphetamine, diazepam, sertral…
55y · Male·Acute myocardial infarction secondary to coronary artery thrombosis due to coron…
Anthony Creaton, 55, died of acute myocardial infarction due to coronary artery thrombosis and atherosclerosis in prison custody. He presented with chest pain on 13 November 2022 (twice) and again on 14 November, but nur…
3y · Female·Streptococcus pyogenes septicaemia
A three-year-old girl with Down syndrome died from Group A Streptococcus septicaemia after a 10-day illness. She presented four times to hospital (ED and rapid review clinic) over three days with fever, rash, and diarrho…
60y · Male·Unknown; likely suicide but natural causes or accident cannot be excluded
Wayne Michael Parker, a 60-year-old man with chronic degenerative spinal disease and chronic pain managed with opioid medications, disappeared on 3 June 2023 from Mount Barker, Western Australia. He drove to Mount Magog …
24y · Female·Pulmonary and miliary tuberculosis
Manpreet Kaur, a 24-year-old Indian national on a student visa, died of pulmonary and miliary tuberculosis on 20 June 2024 at Melbourne Airport. She had been symptomatic for months, presenting to a GP on 19 May 2024 with…
41y · Male·ligature compression of the neck (hanging)
Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Albany Regional Prison on 10 August 2023. He had been r…
Male·unascertained
Nicholas Pavlidis disappeared in October 2015 after last being seen alive on 14 October 2015. His abandoned vehicle was reported to police on 24 October 2015 in Yanchep bushland, but initial police response treated it as…
74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…
A 74-year-old man with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while in aged care. Key cl…
89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…
An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…
26y · Female·Multiple stab wounds
ZSQ, a 26-year-old woman, was fatally stabbed by her intimate partner MJD in April 2020 after a relationship marked by escalating family violence. Critical clinical and systemic lessons include: (1) Recognition of intima…
70y · Male·death by hanging, self-inflicted
A 70-year-old man died by hanging in prison while serving a sentence for child sexual offences. He had previously attempted suicide in 2017 when initially charged, and was subsequently treated with antidepressants and ps…
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