138 results
39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …
A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nausea, was diagnosed w…
2y · Male·drowning (immersion)
A 2-year-old boy, Kaled Kanj, drowned in a leisure pool at a public aquatic centre while attending with his mother and three siblings. His mother was supervising four children while also holding a 9-month-old infant, mak…
Female·Stacey Meas: severe closed head injury from motor vehicle collision. Courtney Me…
Two deaths resulted from a motor vehicle collision caused by a driver with poorly managed insulin-dependent diabetes. Stacey Meas, a pregnant woman, died from head injuries sustained when the driver's car struck hers at …
42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…
Tania Pauline Lioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental heal…
21y · Female·Irreversible global brain injury sustained from being struck by a stolen vehicle
Clea Kathleen Rose, aged 21, was struck by a stolen vehicle driven by a 14-year-old juvenile at approximately 12:10am on 30 July 2005 in Civic, Australian Capital Territory. She sustained an irreversible global brain inj…
20y · Male·diffuse cerebral oedema caused by hyponatraemia caused by excessive self-induced…
Jamie Johnson, 20, was intellectually disabled and lived in supported accommodation with carers. In June 2000, he was admitted with severe hyponatraemia and seizure from excessive water drinking (psychogenic polydipsia).…
Bushfire (multiple fire incidents in December 2001)
In December 2001, multiple bushfires affected the Australian Capital Territory, including the significant Stromlo plantation fire. The Chief Coroner inquired into cause and origin, finding many fires were deliberately li…
34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…
Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…
Female·bilateral acute bronchopneumonia
Ivy Pearl Ghobrial died from bilateral acute bronchopneumonia at a nursing home in September 2001, following a hypoxic brain injury sustained from a hanging attempt in March 2000. The coroner found the death resulted ine…
33y · Male·Cerebral hypoxia caused by drowning
A 33-year-old man with severe intellectual disability and cerebral palsy drowned in a bath at a supported accommodation house. Carers left him unattended in the bath despite an Individual Plan stating 'full assistance re…
31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…
Ian Glen Bransby, a 31-year-old remandee with a history of substance abuse and depression, died from asphyxia following attempted hanging at Calvary Hospital on 14 February 1998. He had been remanded at Belconnen Remand …
17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…
Mark Watson, a 17-year-old boy charged with assault, was detained at Quamby Youth Detention Centre. During his second remand in September 1996, after a failed hospital admission, he returned to the same unit where he had…
Male·Transection of the aorta with exsanguination caused by gunshot wounds to the mid…
Warren I'Anson died from gunshot wounds to the mid-back on 17 November 1995 during a police response to a mental health crisis. He had schizophrenia, recently experienced grief from his wife and friend's deaths, and was …
12y · Female·Head injury caused by high-velocity steel fragment missile, approximately 999 gr…
Katie Bender, aged 12, was struck fatally in the head by a 999-gram steel fragment while watching the controlled implosion of Royal Canberra Hospital on 13 July 1997. The fragment travelled 430 metres in 3.1 seconds at 1…
0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…
Nathan Wrench, 11 weeks old, presented to Queanbeyan Hospital on 14 October 1996 with persistent vomiting for 3 days. GP Dr R. diagnosed viral infection with possible reflux, admitted for observation, and managed conserv…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
Brian Duff, a 36-year-old with severe chronic schizophrenia, died from Clozapine toxicity (pulmonary oedema and cardiac arrest) on 14-15 February 1997. He was subject to a Community Treatment Order and under case managem…
21y · Male·Suffocation from hanging
Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…
3y · Male·cerebral oedema which caused coning at the base of the brain, caused by post-ope…
A 3-year-old boy died from cerebral oedema caused by post-operative hyponatraemia following scoliosis correction surgery. The operation was successful, but severe hyponatraemia developed in the early hours of 24 April 19…
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