193 results
76y · Female·Ludwig's angina
A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…
83y · Female·haemopericardium due to ruptured acute myocardial infarction with underlying cor…
An 83-year-old woman presented to Mersey Community Hospital with vomiting and suspected gastroenteritis. An ECG was performed as a routine process and clearly demonstrated acute ST-elevation myocardial infarction (STEMI)…
31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)
Bo Zhao, a 31-year-old business owner, died from combined drug toxicity (amitriptyline and metoclopramide) in a hotel room on 28 February 2019. He was facing serious criminal charges for fraud involving millions of dolla…
71y · Female·Combined drug toxicity in a woman with emphysema
Mary Veronica Payne, a 71-year-old woman with emphysema, died from combined drug toxicity after ingesting her daughter's methadone. The deceased had a long-standing history of chronic back pain from an old car accident a…
85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …
Lydia Maxfield, 85, died 5 days after elective left total knee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnorm…
47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma
Lance Robert Nikkelson, a 47-year-old Aboriginal man in prison custody, died from complications of cirrhosis and metastatic hepatocellular carcinoma. He presented with abdominal pain in May 2019, initially assessed as co…
80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…
An 80-year-old woman died from multiple post-operative complications following reversal of a Hartmann's procedure for diverticulitis. She had undergone a complex 8-hour surgery complicated by extensive adhesions (frozen …
45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…
A 45-year-old man with poorly controlled diabetes, ischaemic heart disease, and recurrent lower limb infections died from anaphylaxis to intravenously administered flucloxacillin. He presented with sepsis secondary to a …
55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …
Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient a…
35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm
Eric Whittaker, a 35-year-old Aboriginal man, died from a subarachnoid haemorrhage caused by a ruptured cerebral artery aneurysm while in remand custody at Parklea Correctional Centre. On 2 July 2017, he made 20 emergenc…
52y · Male·Metastatic neuroendocrine carcinoma
Darren Rodney Taylor, a 52-year-old Indigenous man, died in custody from metastatic neuroendocrine carcinoma diagnosed in March 2017. He presented with abdominal pain initially attributed to constipation, then found to h…
73y · Male·Lung cancer (squamous cell carcinoma)
Robert Skilton, aged 73, died of advanced squamous cell carcinoma of the lung while in prison custody. He had a 59-year smoking history and consistently declined medical care throughout 43 years of incarceration, with up…
51y · Male·Lobar pneumonia
Giuseppe Luci, a 51-year-old man with severe Fragile X syndrome, epilepsy and hearing impairment living in a DHHS group home, died from lobar pneumonia. On 29 October, he presented with vomiting and diarrhoea; a GP diagn…
35y · Female·Unascertained
A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…
Female·Head injury in the setting of an obstructed labour
A term-destined baby (35 weeks gestation) died from head injuries sustained during delivery. She presented to hospital with suspected preterm labour, was managed conservatively initially, and progressed to spontaneous la…
76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…
A 76-year-old woman presented to hospital with abdominal pain and was found on CT scan to have ischaemic colitis with signs of profound shock. The Consultant Surgeon decided on conservative management with fluid resuscit…
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She pr…
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…
85y · Female·aspiration of gastric contents following vomiting
Joan May Hughes, age 85, died on 16 June 2014 from aspiration of gastric contents following vomiting. She was admitted to the Roy Fagan Centre with psychotic depression and was under a Mental Health Act treatment order. …
35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…
Yara Sturak Mignon, a 35-year-old with a 10-year heroin addiction, was found unconscious in a restaurant bathroom on Victoria Street Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistami…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.