3,729 results
39y · Male·Choking on a food bolus
Mark Capovilla, a 39-year-old man with severe intellectual disability, epilepsy, and dysphagia, died from choking on food at his day program. He had a documented choking risk but lacked a current mealtime support plan at…
40y · Male·Mixed drug toxicity
Shae Paszkiewicz, a 40-year-old man with a long history of drug dependence and incarceration, died from mixed drug toxicity five days after being found unconscious following opioid injection. He had been released from pr…
1y · Male·Hypoxic ischaemic encephalopathy due to neck compression from faulty portacot
Jordan White, a 14-month-old boy, died from hypoxic ischaemic encephalopathy caused by neck compression when trapped in a faulty portacot. The portable cot had a defective bottom rail that would not lock, leaving it in a…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…
22y · Male·Hypoxic ischaemic encephalopathy complicating hanging
Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…
0y · Female·Sudden infant death syndrome or asphyxiation due to co-sleeping or overlaying
An 11-week-old infant died while co-sleeping with her mother in a bed shared with siblings. The mother had smoked cannabis before sleep and was found overlaying the infant at 3:30am; the baby was discovered head-down bes…
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physi…
24y · Female·Cardiac conducting system disease leading to asystole against a background of a …
A 24-year-old woman with complex congenital cardiac disease, cerebral palsy, and hydrocephalus was admitted to a secondary hospital with a respiratory tract infection and bradycardia with left bundle branch block. She de…
37y · Male·hypoxic encephalopathy due to asphyxia from hanging
Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…
13y · Male·complications of abdominal trauma following a motorcycle crash
A 13-year-old experienced motorcycle rider died from complications of abdominal trauma following a motorcycle crash on private land. He failed to negotiate a 90-degree left-hand turn while riding alone at 28 km/h on a gr…
56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…
Deborah Spencer, a 56-year-old woman with a history of heavy alcohol use and previous falls, died from blunt head injury with hyoid bone fracture. She was found unconscious near Lemongrove Bridge in Penrith on 22 May 201…
52y · Female·Neutropenic sepsis leading to multi-organ failure due to capecitabine toxicity
Mrs L, a 52-year-old woman with T2N0M0 rectal cancer, died from neutropenic sepsis and multi-organ failure secondary to severe capecitabine toxicity on 31 October 2018. She commenced neoadjuvant chemotherapy with capecit…
24y · Female·Head injury from repeated blunt force trauma
A 24-year-old woman was fatally assaulted by her intimate partner after a period of escalating domestic and family violence. The perpetrator had a documented history of violent DFV across multiple relationships, with pri…
44y · Female·Mixed drug toxicity (methylamphetamine, amphetamine, tramadol)
Cindy Leigh Miller, aged 44, died in Ipswich Watchhouse on 21 April 2018 from mixed drug toxicity involving methylamphetamine, amphetamine, tramadol and other substances. A concealed clip-seal bag containing 5mg pure met…
4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…
Tyrell Cobb, a 4-year-old boy, died from intra-abdominal injuries caused by blunt force trauma inflicted on two separate occasions between 22-24 May 2009. Postmortem revealed a ruptured duodenum and lacerated mesentery c…
34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…
A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death followed escalating domestic and family violence (DFV) including phy…
75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)
Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…
27y · Male·Immersion in the setting of a motor vehicle incident
Jason Gilham, 27, died from immersion when the vehicle he was a passenger in left the Western Ring Road at a bend and became submerged in a dam. The driver (also deceased) had a history of vasovagal syncope investigated …
71y · Male·cardiac arrest secondary to near drowning
A 71-year-old experienced boatman died from cardiac arrest following near drowning when a borrowed boat capsized in Port Phillip Bay. The vessel (MA827) had multiple design and maintenance issues: low freeboard unsuitabl…
27y · Male·Immersion in the setting of a motor vehicle incident
Bradley Dobney, 27, died after his Mercedes vehicle veered off the Western Ring Road at Laverton North on 15 December 2018 and submerged in a dam. He drowned. Investigations excluded mechanical failure, alcohol/drugs, da…
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