3,729 results
56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…
Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…
61y · Male·end stage renal failure, in the context of type 2 diabetes mellitus and chronic …
Robert Curtis, a 61-year-old Aboriginal man with end-stage renal disease, end-stage liver disease, and poorly controlled diabetes, was imprisoned for driving while disqualified on 4 February 2019. He fell in the prison s…
17y · Female·Complications of acute asthma in the setting of an allergic response
Catherin D'Rozario, 17 years old, died from complications of acute asthma triggered by anaphylaxis after consuming food containing sesame at a restaurant on 25 August 2019. Despite known allergies to nuts, sesame, fish a…
16y · Male·multiple injuries
A 16-year-old child in state care under a Protection Order (Until 18) was a passenger in a stolen vehicle being driven by his friend. Police attempted multiple vehicle intercepts during a series of evade police driving i…
45y · Male·Combined drug toxicity (methadone, amitriptyline, gabapentin, paracetamol)
A 45-year-old male prisoner died in custody from combined drug toxicity after ingesting methadone, amitriptyline, gabapentin and paracetamol. He had a documented history of hoarding and misusing prescribed medications to…
23y · Male·hypoxic brain injury and bronchopneumonia complicating ligature compression of t…
Jordan Robert Anderson, 23, died by suicide in Hakea Prison through ligature compression of the neck. Critical delays occurred when he was discovered unresponsive: 3 minutes 40 seconds elapsed before his cell door was un…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an o…
47y · Male·acute subarachnoid haemorrhage with contributing ruptured saccular aneurysm of t…
A 47-year-old male remand prisoner died from acute subarachnoid haemorrhage due to a ruptured basilar artery aneurysm while in custody at Adelaide Remand Centre. He presented with headache and dizziness on 6 November 201…
57y · Male·Right acute subdural haematoma following a fall
Gary Desmond Frost, a 57-year-old man with intellectual disability, dementia, and schizophrenia, died from a right acute subdural haematoma following a fall while in supported residential care. He experienced multiple fa…
76y · Female·left lower lobe pneumonia complicating metapneumovirus infection
Maria Astachnowicz, aged 76, died from left lower lobe pneumonia complicating metapneumovirus infection at Lyell McEwin Hospital. She had extensive psychiatric history (schizoaffective disorder/bipolar) with chronic ment…
89y · Male·multi-organ failure with pneumonia due to ingestion of a corrosive liquid (quate…
An 89-year-old man with severe dementia died from multi-organ failure following ingestion of concentrated Bacban (quaternary ammonium compound) left in his bathroom at an aged care facility. The cleaning staff member ina…
69y · Male·asphyxia due to choking on food
Mr Kettle, a 69-year-old man with significant medical comorbidities (diabetes, amputation, prostate cancer, recent MI) and cognitive impairment, died from asphyxia after choking on food while a resident at Roy Fagan Cent…
48y · Male·Coronary atherosclerosis with acute cardiac event
Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…
Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…
Three Aboriginal teenage girls aged 15-17 years died by hanging in remote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government …
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
43y · Male·blunt neck trauma from compression of the neck
Stephen John Barton, aged 43, died from blunt neck trauma inflicted by roommate Lindon Sekrst in a psychiatric ward. Both were detained patients under Mental Health Act orders. Sekrst, a 23-year-old with paranoid ideatio…
45y · Male·Shotgun wound to the head
XY, a 45-year-old Aboriginal man, died from a self-inflicted gunshot wound during a police response to a domestic violence incident. He had been struggling with depression, grief, alcohol and methamphetamine use for year…
76y · Female·Ludwig's angina
A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…
4y · Female·Hypoxic ischaemic encephalopathy in the setting strangulation by a roller blind …
A 4-year-old girl died from hypoxic-ischaemic encephalopathy following accidental strangulation by a roller blind cord. She climbed onto bedside drawers near a window blind and became entangled in the control cord, slipp…
81y · Male·plastic bag asphyxia
George Cameron, an 81-year-old man, died by asphyxiation using a plastic bag while in custody at Parklea Correctional Centre on 8 September 2017. He had been remanded in custody three days earlier after arrest. A Recepti…
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