397 results
40y · Male·drowning
Jason Wilson, a 40-year-old Aboriginal man, drowned in the River Murray while evading police questioning regarding a minor theft. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct st…
22y · Female·plastic bag asphyxia, possibly contributed to by neck compression
A 22-year-old woman with severe depression and documented suicidal ideation died by plastic bag asphyxiation while detained under a Mental Health Act order in a psychiatric ward. She had explicitly stated plastic bag asp…
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling cathe…
72y · Male·Bilateral pneumothoraces and pneumoperitoneum due to insufflation of the bladder…
Stephen Herczeg, a 72-year-old patient with COPD and urinary tract infection, died from bilateral pneumothoraces and pneumoperitoneum caused by insufflation of his bladder with oxygen. The oxygen supply tubing was someho…
64y · Male·hypertensive and valvular heart disease
A 64-year-old man died in custody from hypertensive and valvular heart disease. He had pre-existing cardiac disease diagnosed in 2008, including mild aortic stenosis and left ventricular hypertrophy, managed in the commu…
22y · Female·compression of the neck consistent with hanging
22-year-old Deborah McKenzie, an Aboriginal woman, died by hanging on 13 March 2013 after a complex sequence of failures in mental health care and police procedures. She had reported her partner Shane Woods to police for…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
70y · Male·chronic obstructive lung disease with emphysema on a background of advanced vasc…
Raymond Abbott, a 70-year-old man with chronic obstructive pulmonary disease, emphysema, vascular dementia, opioid addiction and alcohol abuse, died of COPD with emphysema at a residential care facility. He was admitted …
93y · Female·dehydration with hypernatremia and acute renal failure with metabolic acidosis
Dorothy Ellen Nockolds, a 93-year-old woman with vascular dementia living in aged care, died from dehydration with hypernatremia and acute renal failure. She suffered a transient ischaemic attack on 8 July 2015, followed…
31y · Male·acute neck compression due to hanging
A 31-year-old man with depression, substance use history, and prior suicide attempts presented to the Emergency Department after a motor vehicle accident on 23 July 2014. He expressed suicidal ideation and was appropriat…
42y · Male·sudden unexpected death in epilepsy (SUDEP)
A 42-year-old Aboriginal man with longstanding epilepsy, double-leg amputation, and alcohol abuse history died at home from sudden unexpected death in epilepsy (SUDEP). He was under Guardianship and Administration Act or…
91y · Male·pneumonia on a background of chronic congestive cardiac failure and chronic obst…
A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delirium, he exhibited combative behaviour and resisted oxygen th…
88y · Male·bilateral acute bronchopneumonia on a background of chronic obstructive airways …
An 88-year-old man with chronic obstructive pulmonary disease and chronic schizophrenia died of bilateral acute bronchopneumonia while subject to a Mental Health Act detention order at a teaching hospital. He was admitte…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…
A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children's Hospital on day 3 of pharyngitis with ulceration of the tonsill…
62y · Female·end-stage heart failure due to cardiac amyloidosis
A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatient treatment order. She had wished to discontinue treatment, reflecting h…
36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…
Scott Maxwell Heneker, aged 36, died from hypoxic ischaemic encephalopathy due to cardiac arrest occurring during physical restraint by a homeowner. The deceased had entered the homeowner's house without permission while…
87y · Female·digoxin toxicity with hyperkalaemia
An 87-year-old woman with atrial fibrillation, chronic pain, and renal failure intentionally overdosed on approximately 79 digoxin tablets. She called the ambulance and disclosed the overdose. Despite receiving activated…
90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure
A 90-year-old man with advanced dementia and multiple comorbidities died from bowel obstruction causing acute renal failure, sepsis, and respiratory failure. He had recently been placed in aged care under guardianship or…
82y · Male·Pneumonia on a background of severe mixed Alzheimer's and vascular dementia
An 82-year-old man with severe mixed Alzheimer's and vascular dementia died of pneumonia while detained under a Mental Health Act Level 2 Inpatient Treatment Order at a specialized psychogeriatric facility. He had been t…
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