62y · Male·Congestive cardiac failure due to ischaemic heart disease
…Correctional Centre from congestive cardiac failure secondary to ischaemic heart disease. He had multiple chronic conditions including diabetes, hypertension, and hepatitis B. During his 9-month custody, he received app…
35y · Male·Methylamphetamine toxicity; chronic hepatitis as contributing factor
…t-induced cardiac arrhythmia and acute heart failure. Post-mortem blood levels were very high at 6.2mg/L. Chronic hepatitis B was a contributing factor. Investigations found systemic failures: limitations in barrier con…
62y · Male·hepatic encephalopathy due to acute renal failure
…ied in Alice Springs Hospital from hepatic encephalopathy due to acute renal failure. He had longstanding chronic diseases including cirrhosis, hepatitis B and C, diabetes, hypertension, and kidney disease documented ye…
51y · Male·Complications of Recurrent Small Bowel Obstruction (palliated)
Matthew Clark, 51, with Down syndrome and chronic liver disease secondary to Hepatitis B, died from complications of recurrent small bowel obstruction. He …
66y · Male·complications of chronic viral liver disease
Michael Murphy, aged 66, died in custody at Long Bay Correctional Centre from complications of chronic viral liver disease (hepatitis C-related cirrhosis and hepatocellular carcinoma). He had a lengthy medica…
52y · Male·septicaemia caused by Streptococcus Milleri group pneumonia
…i pneumonia, with drug toxicity as a contributing factor. He was a complex patient with bipolar disorder, chronic pain, hepatitis B and C, and a history of substance use managed by a single GP. Dr W. co-prescribed benzo…
68y · Male·end stage liver failure due to hepatitis C
James William Miller, aged 68, died of end-stage liver failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had mul…
31y · Male·Subarachnoid haemorrhage due to or as a consequence of a ruptured large fusiform…
A 31-year-old man with long-standing intravenous drug use and hepatitis C died in prison custody from a ruptured mycotic aneurysm causing subarachnoid hemorrhage. He collapsed …
55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall
Rodney Bates, a 55-year-old in custody at Cessnock Correctional Centre, died from traumatic brain injury sustained in a fall on 2 April 2015. He had experienced recurrent unexplained loss of consciousness episodes from N…
49y · Male·Acute bronchopneumonia as a consequence of recent intracranial and intra-cerebra…
Peter Raymond Jacobs, a 49-year-old Aboriginal man with severe cirrhosis and chronic alcohol abuse, was apprehended by police on 5 April 2008 for intoxication. He fell twice before custody (…
44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…
Timothy Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been presc…
55y · Male·ruptured dissection of the thoracic aorta
Tien Chung Nguyen, a 55-year-old male prisoner, died from rupture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 Novem…
84y · Male·Complications of hypertensive and atherosclerotic cardiovascular disease
An 84-year-old prisoner with multiple chronic conditions (hypertensive and atherosclerotic cardiovascular disease, diabetes, hepatitis B, previous bowe…
31y · Male·Head and chest injury
…ngstanding history of mental illness, poly-substance abuse including intravenous amphetamines and heroin, chronic suicidal ideation, and multiple psychiatric admissions. On the day of his death, he consumed amphetamines…
43y · Male·methadone toxicity
Frank Coleman, a 43-year-old First Nations man, died of methadone toxicity after being supplied diverted methadone by another inmate while imprisoned at Long Bay Correctional Complex. Mr Coleman had repeatedly requested …
37y · Male·cardiac arrhythmia
A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…
43y · Male·Amitriptyline toxicity
Scott Alan Murdoch, a 43-year-old maximum-security prisoner with chronic suicidal ideation, borderline personality disorder, and a documented history of medication hoarding and o…
56y · Female·Bronchial asthma and emphysema
A 56-year-old woman with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat at her remote home on 24 Ma…
44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…
Jeffrey Blundell, a 44-year-old man with severe intravenous drug use history, died from cardiogenic shock secondary to severe tricuspid valve regurgitation caused by infective endocarditis from non-sterile injection prac…
36y · Male·Hanging
A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental health assessments (within 3 days) had classified him as low suic…
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