121 results
81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…
Graham Joseph Butson, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented with confusion, agitation and atrial fibrillation; a lung mass w…
73y · Male·Combined effects of ischaemic heart disease and chronic obstructive pulmonary di…
A 73-year-old man in prison custody died from combined ischaemic heart disease and chronic obstructive pulmonary disease. He had a significant cardiac history including aortic repair and endocarditis, plus severe COPD wi…
72y · Male·Subdural haematoma in a man receiving warfarin treatment
A 72-year-old man with intellectual disability receiving 24-hour support from DHHS died from acute subdural haematoma while on warfarin therapy post-cardiac surgery. He collapsed at work with vomiting and vagueness, was …
57y · Male·large volume ischaemic infarct (stroke)
Stephen John French, a 57-year-old with prior stroke (2002) and myocardial infarction (2009), presented with headache, visual disturbance and gait difficulty in May 2013. Imaging at Launceston General Hospital on 30 May …
21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia
A 21-year-old man with complex congenital heart disease (Fontan procedure) died from combined heroin toxicity and plastic bag asphyxia. He had a history of depression and suicidality since childhood. In August 2014, duri…
87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…
An 87-year-old man with atrial fibrillation on warfarin underwent elective bronchoscopy for suspected lung lesion. The admitting respiratory team incorrectly documented a mechanical aortic valve replacement when he actua…
92y · Female·heart failure secondary to aortic stenosis, anaemia, atrial fibrillation and isc…
A 92-year-old woman with multiple comorbidities (aortic stenosis, anaemia, atrial fibrillation, ischaemic heart disease) died of heart failure four days after admission to aged care. She had been hospitalised for three m…
62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…
A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed to report it, …
91y · Male·pneumonia on a background of chronic congestive cardiac failure and chronic obst…
A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delirium, he exhibited combative behaviour and resisted oxygen th…
77y · Male·Cerebral infarction (stroke) complicating elective hernia repair
A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recommenced on day 1 post-op at 5pm. He…
55y · Male·Septicaemia due to hydronephrosis and infection
A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…
87y · Female·Multiple opioid drug toxicity (morphine and fentanyl) in combination with conges…
An 87-year-old woman with multiple comorbidities (ischaemic heart disease, emphysema, chronic kidney disease) was discharged home for palliative care after a hospital admission. Her family administered excessive doses of…
75y · Male·acute right subdural haemorrhage sustained in a fall
George Triantafilopoulos, a 75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at a supermarket on 14 August 2014, then falling onto concrete…
93y · Male·digoxin toxicity complicating acute on chronic renal failure
Kenneth Charles Richardson, a 93-year-old with long-standing cardiac disease (systolic heart failure, atrial fibrillation, mitral regurgitation) died from digoxin toxicity complicating acute-on-chronic renal failure. He …
62y · Female·end-stage heart failure due to cardiac amyloidosis
A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatient treatment order. She had wished to discontinue treatment, reflecting h…
84y · Male·Complications of gout and old spinal injury, cause unknown
An 84-year-old male prisoner with multiple comorbidities (gout, spinal cord injury, renal impairment, cardiac failure) presented with chest infection, abdominal pain, and urinary retention. He was treated with intravenou…
83y · Male·Acute subdural haemorrhage following a fall
Sidney Bedford, aged 83, fell on his driveway at home on 30 October 2015 and suffered a head injury while on warfarin anticoagulation therapy. He was transported to Launceston General Hospital where an initial CT scan of…
77y · Female·Subdural haematoma secondary to blunt head trauma (head-strike)
A 77-year-old woman on warfarin for atrial fibrillation presented to Sandringham Hospital after striking her head on a wall. Despite being on anticoagulation therapy, no CT scan was performed, and she was discharged afte…
61y · Male·self-inflicted hanging
Peter Andrew Fittock, a 61-year-old prisoner in low-security housing at Darwin Correctional Centre, died by self-inflicted hanging. He had been incarcerated for 16 years following conviction for murder. Despite a convict…
49y · Male·Undetermined
Bradley James Miller's body was found on the banks of the Murray River in May 2013, aged 49. The cause and manner of death remain undetermined. Circumstantial evidence suggested possible suicide (Ratsak purchase, locatio…
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