419 results
41y · Female·Injuries sustained in a fall from a height
VNP was a 41-year-old woman with longstanding bipolar disorder type 1, chronic pain from endometriosis, and substance misuse history who died by suicide on 10 July 2023. She had experienced homelessness, family estrangem…
68y · Male·Cardiac arrest - unascertained etiology with multiple contributing factors inclu…
Wayne Thomas Kerle, 68, was arrested at his home for cannabis possession. Queensland Ambulance Service paramedics assessed him when he reported respiratory distress but cleared him for police custody after a limited exam…
78y · Female·Hypernatraemia in the setting of lowered oral intake
Kerrie Berlowitz, 78, with cerebral palsy and intellectual disability, died of hypernatraemia (severe sodium elevation) due to dehydration. Living in supported disability accommodation in Carrum, she progressively refuse…
24y · Female·Mixed drug toxicity
Sheridan Burnell, 24, died from mixed drug toxicity following an intentional overdose of prescription medications (lamotrigine and quetiapine) on 2 January 2021. Her mental health care was reasonable and appropriate. The…
38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…
Elizabeth Jean Hanlon, aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder…
82y · Male·Multiple injuries sustained in a motor vehicle incident (car vs. tree, driver)
An 82-year-old man with recently diagnosed emerging Alzheimer's disease presented to his GP with lower respiratory infection and mild confusion. The GP appropriately arranged hospital admission via family transport. Howe…
52y · Male·Gunshot wound to the chest
Steven Richard Angus, a 52-year-old veteran with severe alcohol use disorder, major depressive disorder, and generalised anxiety disorder, died from a gunshot wound inflicted by Queensland Police during a welfare check o…
40y · Male·Unascertained
Nathan James Taylor, aged 40, died in Port Lincoln Prison on 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspi…
58y · Male·Gunshot injury to the abdomen
David Gray, 58, deliberately induced police to shoot him as a means of suicide following undisclosed mental health deterioration. On 22 September 2023, he called police anonymously reporting an armed person, then present…
32y · Female·Unable to be determined
A 32-year-old woman with obesity was prescribed Ozempic 1mg weekly in August 2024 (above the recommended starting dose) for weight management. She developed prolonged gastrointestinal symptoms and took loperamide for dia…
74y · Male·Left cerebral ischaemic stroke caused by cerebral arterial cardioembolism
Desmond George Buckby, a 74-year-old prisoner detained under the Dangerous Prisoners (Sexual Offenders) Act, suffered a massive left cerebral ischaemic stroke caused by cardioembolism while in Wolston Correctional Centre…
69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…
A 69-year-old woman with cerebral palsy, intellectual disability, and B cell acute lymphoblastic leukaemia, residing in Specialist Disability Accommodation funded through the National Disability Insurance Scheme, sustain…
66y · Male·Unable to be determined
A 66-year-old man with bipolar disorder died in an accidental house fire at his home in Bicheno, Tasmania, on 8-9 November 2024. On the evening of 8 November, following welfare concerns about his declining mental health,…
47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…
Nick Panagiotopoulos, a 47-year-old man, suffered a fatal acute myocardial infarction (heart attack) on 16 October 2021 at home in Preston, Victoria. His family made five calls to Triple Zero (000) requesting emergency a…
71y · Male·Multiple injuries sustained in motorcycle crash
Damian Brian Thompson, aged 71, crashed his motorcycle on a rural road in Tasmania during torrential rain, sustaining severe injuries to his left leg and left hand. He was transported to Launceston General Hospital where…
41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…
Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
28y · Male·In keeping with Hanging
A 28-year-old man with a history of depression, anxiety, and previous self-harm died by hanging during a police response to a domestic violence incident. Police attended after his sister reported he had breached an ADVO …
86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall
James Reilly, 86, fell at home on 8 September 2024 sustaining rib fractures that caused a fatal left haemothorax. Paramedics attended but he declined transfer. When facial droop developed, he was admitted with presumed t…
39y · Male·Hanging
A 39-year-old man died by hanging on 16 February 2023 at his home in St Marys, NSW. His mother requested a police welfare check at 8:40pm after he posted a suicide note on Facebook at 2:30pm. Police attended twice (11pm …
Male·Hemant Chadha: acute on chronic pneumonia (mycoplasma pneumoniae). Sachintha Bat…
Two young men died after repeated ED presentations were not appropriately managed. Hemant Chadha (38) died of acute pneumonia complicated by possible neurological involvement after being discharged from Lyell McEwin Hosp…
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