9 results
92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…
A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner ident…
86y · Male·pulmonary embolism following deep vein thrombosis
Rex Rouse, 86, died from pulmonary embolism following deep vein thrombosis while admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessment order …
24y · Female·hypoxic brain injury secondary to hanging
Chrystal Ross, a 24-year-old woman, died by hanging in hospital in January 2015 after a catastrophic chain of communication failures and care coordination errors. She had been admitted to Mount Barker Hospital for anxiet…
73y · Male·Consequences of myocardial infarction with coronary artery atherosclerotic disea…
Leonard Bartholomeusz, aged 73, died of myocardial rupture on 6 May 2013, six days after hip fracture surgery. He suffered a fall on 30 April 2013 following which ECG testing revealed cardiac abnormality. A first ECG at …
51y · Female·combined effects of ischaemic and valvular heart disease and combined drug (doth…
Leanne Maree Stacey, aged 51, died on 25 November 2014 at her home in Latrobe, Tasmania. She was discovered lying on the floor by her mother and sister the following morning. The coroner found the cause of death to be th…
40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea
Anthony Travaglini, a 40-year-old with schizoaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical recor…
69y · Female·Asphyxiation consistent with hanging
A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…
38y · Male·Multiple injuries
Mr Shane Kenneth Warrick, 38, was assessed at Sunshine Hospital's Emergency Crisis Assessment and Treatment Team (ECATT) on 25 August 2013 after reporting thoughts of harming his father. He had a complex psychiatric hist…
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
Justin Fraser, a 35-year-old man with first-episode psychosis admitted to Frankston Hospital psychiatric unit, was found attempting suicide by hanging and subsequently became agitated. Security and AMT staff physically r…
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