23 results
75y · Male·combined effects of subdural haematoma and facial fractures following a fall com…
A 75-year-old man with advanced Alzheimer's dementia residing in aged care died in hospital following a fall at his residential facility. He was assessed as high falls risk at the aged care facility. After collapsing and…
20y · Male·gunshot wound to the chest
A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during a police encounter. He had called mental health services an…
84y · Male·head and pelvic injuries with contributing ischaemic and valvular heart disease …
An 84-year-old man under guardianship with dementia, cardiac disease, and on anticoagulation suffered an unwitnessed fall at an aged care facility and sustained head and pelvic injuries. Following the fall, a registered …
17y · Female·multiple injuries
Afrikah Rose Pearl Philp, aged 17, died from multiple injuries sustained in a high-speed vehicle collision on 6 October 2017 while being pursued by police. She had a complex medical history including psychogenic non-epil…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…
A 76-year-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her husband lost control of a shopping trolley with …
29y · Male·air embolus complicating gunshot wounds to chest
A 29-year-old male died from air embolus complicating gunshot wounds to the chest sustained during a police confrontation. Initial medical stabilization appeared successful; he was intubated, chest drains inserted, and t…
16y · Female·intra-abdominal haemorrhage due to ruptured spleen
A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…
36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…
A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…
20y · Male·anoxic brain injury following cardio-respiratory arrest caused by hypoxia result…
A 20-year-old male died from anoxic brain injury following cardiac arrest caused by hypoxia resulting from tracheostomy tube occlusion. After motor vehicle trauma, he underwent surgery and was eventually transferred to a…
15y · Male·right haemothorax due to lacerations of right lung
A 15-year-old male died from right haemothorax due to lung lacerations sustained in a high-speed motor vehicle collision. The vehicle, driven by an unlicensed 15-year-old driver with faulty brakes, crashed into a tree af…
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…
34y · Male·multi-organ failure with right-sided tension pneumothorax
A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…
60y · Male·respiratory failure and sepsis complicating acute subdural haematoma
Richard Kartinyeri died 44 days after exiting a moving vehicle during a police pursuit. He sustained a severe right-sided acute subdural haematoma, cerebral contusions and skull fractures requiring emergency neurosurgery…
19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…
A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…
7y · Male·Hypoxic-ischaemic encephalopathy due to reflex cardiac arrest triggered by blunt…
A 7-year-old boy died from hypoxic-ischaemic encephalopathy following a motor vehicle collision. He was seated on an unanchored booster seat and wearing an adult seatbelt. During the collision, the unsecured booster seat…
18y · Male·left haemopneumothorax due to traumatic rupture of the lower lobe of the left lu…
An 18-year-old male riding a motorcycle died when the vehicle crashed into a culvert while being pursued by police. The deceased was riding whilst disqualified from holding a licence and fled from police at moderate spee…
20y · Male·Closed head injury
Jason Troy Barber, aged 20, died from severe closed head injuries sustained in a motor vehicle collision on 3 October 2000. He had been driving a stolen vehicle recklessly at high speed through Adelaide, intoxicated with…
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