212 results
42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…
Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …
62y · Female·general inanition on a background of end-stage dementia
Merilyn Jane Fort, aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance…
86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…
86-year-old Hazel Brockett died from complications of fractures inflicted by a fellow dementia-affected resident in a locked Memory Support Unit (aged care dementia facility). Over months prior, the other resident demons…
8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…
HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Between January …
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient…
Unknown·Alan Bugden: pulmonary thromboembolism after stroke. Amaru Bestrin: combined dru…
Two deaths occurred in hospital toilets due to undetected collapse in publicly accessible facilities. Alan Bugden, 66, suffered a stroke in an ambulatory care centre toilet at Royal North Shore Hospital and remained unde…
49y · Female·hypoxic ischaemic encephalopathy complicating cardiac arrest due to pulmonary th…
A 49-year-old woman with morbid obesity, obstructive sleep apnoea, and psychiatric history was admitted following deliberate medication overdose. She was intubated, managed in ICU, then transferred to the ward where she …
23y · Female·Arrhythmia of unknown aetiology
TV died on 1 November 2016 from arrhythmia of unknown aetiology whilst in MHICU at Prince of Wales Hospital. She was a 23-year-old with severe bipolar disorder, mild intellectual disability and borderline personality tra…
24y · Male·Mixed drug toxicity
A 24-year-old man died from mixed drug toxicity after staying overnight at a backpackers hostel. He had a history of anxiety and shoulder pain following 2015 surgery, for which he received multiple medications including …
32y · Female·Mixed drug toxicity (methadone, oxycodone, desmethylvenlafaxine, quetiapine, ola…
Liana Pickup, a 32-year-old woman with complex mental illness (bipolar disorder, borderline personality disorder, schizoaffective disorder), chronic back pain, and substance dependence, died from mixed drug toxicity afte…
68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall
Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…
48y · Male·Complications of metastatic melanoma
A 48-year-old man in custody at Port Phillip Prison died from complications of metastatic melanoma at St Vincent's Hospital. He had been diagnosed with melanoma in 2016 and developed metastatic disease in 2019. After pre…
63y · Male·Sepsis in a man with complicated peripheral vascular disease
Hong Tay, a 63-year-old man with extensive peripheral vascular disease, diabetes, and prior amputations, died from sepsis in an aged care facility following a cervical spine fracture sustained in a fall. After conservati…
36y · Female·respiratory depression after loss of consciousness caused by mixed drug toxicity…
Rebecca Maher, a 36-year-old Aboriginal woman, died from respiratory depression caused by mixed drug toxicity (high levels of Alprazolam and Methadone) while detained as an intoxicated person at Maitland police station. …
43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …
Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…
38y · Male·Toxicity to heroin
A 38-year-old man with a 24-year history of heroin addiction died from heroin toxicity shortly after release from prison. He had recently completed a 3-month custodial sentence and was released on 22 June 2018, dying on …
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
Christopher John Debnam, 40, died from cardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensat…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
A 64-year-old woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED where she was sedat…
42y · Female·Incised injury to the neck
A 42-year-old woman with depression and suicidal ideation died by self-inflicted neck laceration while admitted to a psychiatric inpatient unit. She had been assessed as low risk and placed on 30-minute observations. Cli…
91y · Male·ischaemic and hypertensive heart disease
Giovanni Catino, aged 91, died of ischaemic and hypertensive heart disease while detained under a Mental Health Act inpatient treatment order at Repatriation General Hospital. He had advanced Alzheimer's dementia with be…
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