160 results
30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)
Melanie Reynolds, a 30-year-old registered nurse with borderline personality disorder and depression, died from mixed drug toxicity (propranolol, duloxetine, codeine). She had engaged with Crisis Assessment and Treatment…
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…
43y · Male·Acute bacterial meningitis
Robert Spencer, a 43-year-old man, died from acute bacterial meningitis on 3 October 2009. He presented with back pain, fever, and paraesthesia on 25 September, attended Benalla Hospital (discharged home), saw GP Dr S. o…
47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …
Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented to Austin Hospital ED on 22 February 200…
17y · Female·Acute Lymphocytic Meningitis and Focal Myocarditis
Amy Lee Dawkins, 17, presented twice to Rockingham General Hospital ED within two weeks with severe headaches, myalgias, and vomiting. On 28 December 2008, she was discharged with a diagnosis of viral upper respiratory t…
55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…
Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…
1y · Female·Chest injuries
Angela Bannister, aged 22 months, died from extensive chest injuries sustained overnight in her mother's care. On 18 July 2008, she had a minor head injury and alleged dog bite at a shopping centre. When examined at hosp…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…
42y · Male·Acute myocardial infarction caused by extensive coronary atherosclerosis
Tony William Gates, a 42-year-old prisoner, died of acute myocardial infarction due to extensive undiagnosed coronary atherosclerosis. He reported chest pain and leg pain to fellow inmates and a nurse at pill parade on 5…
33y · Male·Longstanding atheromatous coronary artery disease with severe stenosis and cardi…
A 33-year-old Aboriginal man died in custody from longstanding atheromatous coronary artery disease with cardiac hypertrophy. On presentation to the prison clinic with non-specific symptoms (headache, throat pain, arm an…
14y · Female·Neisseria meningitidis infection (meningococcal septicaemia)
A 14-year-old girl presented to Gosford Hospital Emergency Department on 4 December 2007 with high fever (40°C), headache, vomiting, myalgia, and haemodynamic instability (hypotension, tachycardia, tachypnoea)—all signs …
37y · Female·exsanguination from incised wounds to right wrist and elbow
Tracey Inglis, a 37-year-old woman with chronic pain from multiple orthopaedic injuries, hepatitis C, and a history of suicidal ideation, died by suicide while imprisoned. Critical clinical lessons include: the Initial R…
2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…
Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…
16y · Male·Peritonitis as a result of ruptured duodenum following blunt trauma of the torso
A 16-year-old boy died from peritonitis secondary to duodenal rupture two days after being treated and discharged from Campbelltown Hospital Emergency Department for a rugby injury. He sustained blunt abdominal trauma fr…
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
Mr Peysack, a 69-year-old with complex cardiac disease on Warfarin, collapsed at work with witnessed loss of consciousness and occipital laceration. Despite meeting criteria for urgent head CT imaging (age >65, head inju…
60y · Female·haemopericardium following thoracic aortic dissection Type A
Angela Budaj, a 60-year-old woman with hypertension and smoking history, presented to the ED with back pain, vomiting, incontinence, and sore throat. An abnormal ECG was obtained but not appropriately interpreted. She ha…
4y · Female·aspiration of vomitus and its treatment due to rheumatic carditis against a back…
A 4-year-old Aboriginal girl from Doomadgee died on 23 July 2009 from aspiration of vomitus complicating rheumatic carditis with concurrent viral respiratory tract infection. She presented with fever and cough on 19, 21,…
26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…
Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of morphine and codeine. Toxicology expert opinion indicated morph…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
Eight-year-old Isaraelu Pele died of bacterial meningitis missed by multiple clinicians despite three hospital presentations and two GP visits between 14–17 December 2007. Critical failures included: inadequate different…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.