873 results
31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…
Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…
15y · Female·Head injury
Child C, a 15-year-old girl in Department of Communities care, died from a catastrophic head injury sustained when she fell from a moving car on 27 November 2020. She had self-selected to return to her mother's care in J…
71y · Male·End-stage chronic obstructive pulmonary disease and atherosclerotic heart diseas…
Colin Albert Winter, a 71-year-old prisoner who died from end-stage COPD and atherosclerotic heart disease, received comprehensive medical care during 33 years of incarceration at Casuarina Prison. Key clinical lessons i…
3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…
Child F, aged 3 years, died of pneumonia and respiratory failure complicating metachromatic leukodystrophy (MLD), a rare neurodegenerative genetic disorder. He had previously suffered severe non-accidental injuries inclu…
27y · Female·multiple injuries sustained from fall from 30-storey building
Ms L, a 27-year-old German national, died by suicide on 4 March 2021 after jumping from a 30-storey building in Perth. She had experienced depression since 2016, exacerbated by recent diagnoses of chlamydia and HPV16 in …
53y · Male·intracerebral haemorrhage
William Anderson, an Aboriginal man aged 53, suffered a catastrophic intracerebral haemorrhage while imprisoned and died despite timely emergency response. Multiple delays occurred: 25 minutes before the cell was opened,…
22y · Male·ligature compression of the neck (hanging)
Lewis Weston, aged 22, died by suicide on 3 November 2020 while subject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsyc…
3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…
A 3-year-old boy with septo-optic dysplasia and panhypopituitarism died from hypoxic ischaemic encephalopathy secondary to adrenal crisis and hypoglycaemic shock. He was in state care and had an emergency management plan…
41y · Male·subarachnoid haemorrhage due to rupture of a berry aneurysm of the right interna…
A 41-year-old male prisoner died from subarachnoid haemorrhage caused by rupture of an undiagnosed berry aneurysm while incarcerated. He had a complex medical history including migraines, head injuries, hypertension, and…
51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…
Justine Painter, aged 51, died from multiple injuries sustained jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command h…
75y · Male·acute bronchopneumonia in a man with comorbidities
A 75-year-old sentenced prisoner died from acute bronchopneumonia with comorbidities. Mr Rice had extensive medical complexity including COPD, cardiac disease, peripheral vascular disease, and diabetes. He was appropriat…
71y · Male·Complications of metastatic squamous cell carcinoma (terminal palliation)
Leslie Shortte, a 71-year-old life prisoner, died from metastatic squamous cell carcinoma with complications. Critical failures in his prison medical care included: failure to complete annual health assessments after 201…
27y · Male·Head injury
Warren Keith Matthews, aged 27, died from head injury following a motor vehicle collision on Bussell Highway, Western Australia. He was driving a vehicle without registration plates when police attempted to stop him. He …
38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…
A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becomi…
63y · Male·Unknown cause - unascertained
Roland Palkovics, a 63-year-old skilled stand-up paddleboarder, disappeared while paddleboarding at 'The Spot' on Cocos Island on 22 July 2020. His paddleboard and paddle were recovered, but his body was never found. Evi…
Male·Unknown - presumed deceased from exposure, heat exhaustion, or injury during unp…
Nicholas Pavlidis disappeared in October 2015 from Yanchep, Western Australia. He was last seen alive on 14 October 2015 by a friend. His vehicle was found abandoned in a pine plantation on 24 October 2015. Despite exten…
36y · Male·Immersion (drowning)
Quoc Xuan Tran, a 36-year-old man with schizoaffective disorder and autism spectrum disorder, died by drowning in the Swan River on 10 April 2019. He was subject to a Community Treatment Order and had experienced repeate…
41y · Male·haemothorax due to ruptured thoracic aortic aneurysm in a man with Marfan syndro…
A 41-year-old man with Marfan syndrome and a thoracic aortic aneurysm managed conservatively with blood pressure medications died from aneurysm rupture while imprisoned. Methylamphetamine in his system significantly elev…
60y · Male·sepsis and aspiration pneumonia in a man with oral squamous cell carcinoma and m…
Henry Allen, a 60-year-old man with oral squamous cell carcinoma, lung cancer, and multiple comorbidities died from sepsis and aspiration pneumonia while in prison custody at Fiona Stanley Hospital. He received appropria…
70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…
Ronald Joseph Buckland, aged 70, died in custody at Fiona Stanley Hospital from bronchopneumonia with intra-abdominal carcinoma and multiple comorbidities. A life-sentenced prisoner, he had extensive medical conditions i…
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