1,963 results
48y · Male·Undetermined
Maxwell Marshall, aged 48, died in December 2003 from undetermined causes after receiving escalating doses of oxycodone (Oxycontin) for post-Guillain-Barré neuropathic pain reaching 680mg daily—among the highest 1% of pr…
45y · Male·Coronary artery disease due to severe atherosclerosis; acute myocardial infarcti…
Mario Emmy Tyssen, a 45-year-old man in custody on approved leave, died suddenly while gardening from coronary artery disease due to severe atherosclerosis. He had a documented history of cardiac symptoms (chest pain pre…
23y · Female·drowning and citalopram overdose
23-year-old woman with major depressive disorder presented to multiple healthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she w…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
63y · Male·ruptured abdominal aortic aneurysm
Norman Eric Keith Steele, 63 years old, collapsed at work on 28 May 2004 and was transported to Merredin District Hospital at 9:10am with a presenting complaint of severe abdominal pain (9/10) radiating to his back, dizz…
83y · Female·Drowning, likely associated with cardiac arrhythmia or tidal conditions, or a co…
Skaidrite Dreiman, 83, disappeared while swimming at Brighton Beach on 17 November 2003 and is presumed dead by drowning. She had a significant cardiac history including atrial fibrillation managed with medications, a mi…
51y · Male·ischaemic heart disease
A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…
Neck compression due to hanging (self-inflicted)
Two men, Barry Michael Turner (35) and Troy Michael Glennie (28), died by hanging in Adelaide Remand Centre while on remand. Both had expressed suicidal ideation and were being monitored via 'yellow sheet' daily nursing …
36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage
An Aboriginal man with chronic alcoholism and cirrhosis died from a massive stroke (cerebrovascular accident) while in prison custody. He presented with non-specific symptoms including vomiting on 9 March 2005 and was pl…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…
16y · Female·consequences of acute asthma with hypoxic encephalopathy
Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…
29y · Female·respiratory depression caused by morphine intoxication on a background of upper …
A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…
24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)
Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…
2y · Male·morphine toxicity
A 2-year-old boy died from morphine toxicity approximately 35 hours after suspected ingestion of up to 7 Kapanol (slow-release morphine) capsules accessed from his father's medication left unguarded in the home. Hospital…
67y · Female·Pneumonia (streptococcus pneumoniae) in a woman receiving treatment for carcinom…
Peggy Anne Nilon, 67, died from pneumonia (streptococcus pneumoniae) at St John of God Hospital Bunbury on 25 February 2003. Her small cell lung cancer had achieved remission following chemotherapy and radiotherapy. A cr…
24y · Female·multi organ failure due to meningococcal septicaemia
24-year-old woman presented to ED with fever (40.1°C), headache, myalgia and mild photophobia. RMO Dr R., relatively inexperienced (5 weeks in Australia), examined her thoroughly but focused on excluding meningitis throu…
55y · Female·Multiple drug toxicity due to combination of alcohol and benzodiazepines (oxazep…
Carol Anne Kiley, a 55-year-old woman with chronic back pain, depression, and likely alcohol dependence, died from multiple drug toxicity involving alcohol, oxazepam (toxic level), temazepam, and promethazine. Her GP, Dr…
31y · Male·hanging (self-inflicted)
Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after …
77y · Female·haemorrhagic diathesis due to warfarin toxicity
Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests fo…
70y · Female·fungal pneumonia as a complication of breast cancer and its treatment
Dolly Granites, a 70-year-old Aboriginal woman, died from fungal pneumonia complicating breast cancer in September 2004. A significant 17-month delay occurred between initial detection of a breast lump in October 2002 an…
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