16 results
50y · Male·Cerebral haemorrhage (cause unknown)
Adam Donald Baker, a 50-year-old man with Christianson Syndrome (a genetic disorder causing intellectual disability and seizures), died from cerebral haemorrhage of unknown cause while residing in supported disability ac…
80y · Female·Injuries sustained in a motor vehicle collision (driver)
An 80-year-old woman died from injuries sustained in a motor vehicle collision after likely experiencing a seizure or similar medical episode while driving. She had a history of traumatic brain injury from 1972 and a doc…
41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…
Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after release from P…
53y · Male·Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis …
A 53-year-old man with chest pain on exertion presented to his GP in March 2022. Initial investigations (blood tests, chest X-ray) were ordered but follow-up was delayed until July 2022. A cardiology referral was made, a…
58y · Female·Complications of poorly controlled type 2 diabetes
Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…
73y · Male·Acute on chronic renal failure and multi-factorial encephalopathy in a man with …
A 73-year-old man with significant comorbidities (cirrhosis, dilated cardiomyopathy, chronic kidney disease) died in prison from acute-on-chronic renal failure, hepatic encephalopathy, and multiorgan failure. He was init…
77y · Male·Blunt force head and chest injuries from motor vehicle collision
A 77-year-old male with a history of seizures (2017, 2023) died from blunt force head and chest injuries sustained in a motor vehicle collision on 10 March 2024. The vehicle travelled at 157 km/h approaching a red traffi…
79y · Male·undetermined - presumed death following vehicle breakdown while attempting to wa…
Alan Leslie Graham, 79, disappeared from Angepena Station near Leigh Creek, South Australia between 30 April and 2 May 2016. He was an experienced traveller with a keen interest in geology who frequently visited remote p…
92y · Female·Clozapine toxicity in a lady with terminal lung carcinoma
A 92-year-old woman with terminal lung cancer died from clozapine toxicity after receiving medication intended for another resident. An Enrolled Nurse preparing the medication trolley inadvertently placed another residen…
47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)
Matthew Clayton Lyons, a 47-year-old man with longstanding schizophrenia, severe anxiety, and substance abuse history, died from mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam, diazepam). He had expre…
57y · Female·Complications of muscular dystrophy
A 57-year-old woman with longstanding muscular dystrophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility wit…
85y · Female·ischaemic heart disease due to stenosis of coronary bypass grafts
An 85-year-old woman with significant cardiac history (prior coronary artery bypass graft) presented with gastrointestinal symptoms. Her GP ceased rosuvastatin without direct communication to nursing staff. Care staff id…
79y · Female·Rhabdomyolysis in a woman with multiple myeloma and renal impairment
Margaret Ann Yeomans, aged 79, died from rhabdomyolysis in the context of multiple myeloma and chronic renal impairment. A critical medication error occurred when rosuvastatin 40mg was dispensed instead of her prescribed…
41y · Male·Hanging
Paul Cooper, a 41-year-old man with bipolar disorder, died by hanging in August 2015, eleven days after psychiatric review. He had recently commenced Isotretinoin for severe acne, which coincided with development of para…
83y · Female·right middle cerebral artery infarct/stroke
Mrs Arsho Balian, an 83-year-old woman with dementia, schizophrenia, diabetes and recurrent UTIs, suffered a right middle cerebral artery stroke while resident in aged care under a guardianship order. She was appropriate…
58y · Male·Ischaemic and hypertensive heart disease
John Christopher Mayger, aged 58, died of ischaemic and hypertensive heart disease while in custody at Adelaide Pre-release Centre. He had a significant cardiac history including two previous myocardial infarctions with …
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