918 results
83y · Male·respiratory failure due to chronic obstructive lung disease
An 83-year-old man with chronic obstructive pulmonary disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respirator…
42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…
Anthea Ryder Moketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitte…
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
84-year-old man with end-stage dementia died from general inanition following a fractured neck of femur sustained while under a Level 2 Inpatient Treatment Order. He was admitted in January 2019 with confusion and agitat…
30y · Male·Hanging
Joshua Stachor, aged 30, died by hanging in Yatala Labour Prison on 19 November 2017. He was a remand prisoner on charges of domestic violence. The coroner found critical failures in his admission assessment on 6 Novembe…
35y · Male·unascertained - multifactorial cardiorespiratory arrest
A 35-year-old male died in police custody following arrest for dangerous driving and property damage. He displayed acute psychotic behaviour with paranoia, aggression, and 'super-strength' during restraint. Post-mortem e…
18y · Male·unascertained cause; possibly drowning, hypothermia, cold water immersion, or ca…
Lochlan Mortimer-Shearer, 18 years old, died of unascertained cause after fleeing police in a stolen vehicle on 21 June 2016. He was evading apprehension after breaching bail conditions and curfew. Following a brief poli…
46y · Male·congestive cardiac failure due to cardiomyopathy and coronary artery atheroscler…
A 46-year-old man with significant cardiac and medical comorbidities died of congestive cardiac failure due to cardiomyopathy and coronary artery atherosclerosis while in police custody. He was correctly categorized as H…
49y · Male·Shotgun wound to the head
Andrew Lockwood, a 49-year-old man with depression and significant marital discord, died from a self-inflicted shotgun wound to the head on 2 April 2017. He had been diagnosed with major depression and alcohol dependency…
56y · Female·multiple blunt force injuries deliberately inflicted
Gayle Elizabeth Woodford, a 56-year-old registered nurse working in Fregon, APY Lands, was abducted and murdered on 23 March 2016 by Dudley Davey, who had a long history of violent sexual offences dating back to age 14. …
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…
89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…
An 89-year-old prisoner with advanced dementia and small cell lung cancer died from multi-organ failure whilst in lawful custody at Yatala Labour Prison. He entered prison aged 83 with complex medical needs including isc…
64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…
Emanuel Mavridis, aged 64, died of heart failure secondary to alcohol-related liver disease, COPD, and ischaemic/alcoholic cardiomyopathy. He presented to Royal Adelaide Hospital hypotensive with metabolic acidosis and w…
53y · Male·metastatic carcinoma of the rectum (operated)
Paul Eugene Anker, a 53-year-old prisoner, died from metastatic rectal carcinoma at the Queen Elizabeth Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, che…
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…
72y · Male·ischaemic heart disease on a background of end-stage renal failure and frontotem…
Brenton Dutschke, aged 72, died of ischaemic heart disease on a background of end-stage renal failure and frontotemporal dementia while on a Level 3 Inpatient Treatment Order at Oakden Mental Health's Makk House. He had …
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…
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…
86y · Male·combined effects of acute myeloid leukaemia, acute renal failure and staphylococ…
Patrick Lawrence Walsh, aged 86, died in custody at Royal Adelaide Hospital from combined acute myeloid leukaemia, acute renal failure, and staphylococcal pneumonia. He had a significant medical history including ischaem…
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…
38y · Male·combined effects of inhalation of products of combustion and incineration
Paul Scott Roberts, aged 38, died from incineration and inhalation of combustion products after setting himself alight during police attendance at his home on home detention bail. He had a history of chronic dysthymia, a…
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