1,804 results
28y · Male·Hypoglycaemia due to administration of exogenous insulin
Mitchell Johns, 28, died from hypoglycaemia following an intentional insulin overdose during a suicide attempt. He had Type 1 diabetes, depression, and chronic suicidal ideation. On 27 May 2021, he presented to Bendigo H…
46y · Female·Pulmonary embolism (saddle embolus in pulmonary trunk)
Kate Manley, 46, died from a pulmonary embolism while an inpatient at Albury Base Hospital receiving psychiatric care for catatonia. She was not prescribed prophylactic anticoagulation despite risk factors including immo…
78y · Female·Multiple organ failure secondary to sepsis and renal failure due to bronchopneum…
A 78-year-old woman with cognitive impairment, depression, and complex care needs fell at home on 11 February 2022. Her sons delayed seeking medical help for 4 days, during which she developed aspiration pneumonia and wa…
70y · Female·Ruptured abdominal aortic aneurysm
Ms Honey was a 70-year-old woman admitted involuntarily to a mental health facility with acute psychosis. Six days before her death, an 8cm abdominal aortic aneurysm (AAA) was discovered incidentally on imaging, with vas…
25y · Male·Cardiorespiratory arrest due to acute cocaine toxicity
Hugo Diaz Knox, 25, died from cardiorespiratory arrest due to acute cocaine toxicity following his arrest for a positive roadside drug test. The coroner found he ingested a massive, fatal dose of cocaine (35mg/L blood co…
48y · Male·Pulmonary thromboembolism
Guy Christian Mason, 48, died from a saddle pulmonary embolism on 17 September 2023, three days after discharge from patellar tendon repair surgery. He had sustained a significant knee injury with multiple ligament ruptu…
32y · Female·cerebral venous sinus thrombosis complicated by right intracerebral haemorrhage
Kate Sylvia, 32, presented on 2 December 2021 with severe headache, vomiting, and neurological symptoms including slurred speech. Paramedics transported her to Sefton Park intermediate care instead of hospital. Dr H. mis…
40y · Female·Streptococcal and staphylococcal meningitis, endocarditis and septicaemia
Belinda Ann Jones, 40, died on 19 July 2023 from bacterial meningitis, endocarditis, and septicaemia secondary to osteomyelitis pubis. She presented to Maryborough District Health Service on 14 July with severe back pain…
88y · Female·Cardiac failure secondary to pacemaker failure and pacemaker battery exhaustion
This case involves an 88-year-old woman with a pacemaker who became lost to follow-up after her last clinic visit in May 2019, when no follow-up appointment was arranged. Without systematic tracking between the specialis…
23y · Male·complications of bowel obstruction by adhesions
A 23-year-old man in lawful custody at Parklea Correctional Centre presented on 7 January 2022 with severe chest pain, abdominal pain, vomiting, and dehydration, with a significant history of previous abdominal surgery a…
94y · Female·Drug toxicity (baclofen, gabapentin, oxycodone, pregabalin, zolpidem)
A 94-year-old residential aged-care resident died from drug toxicity after receiving another resident's medications. An agency nurse, unfamiliar with the patient and interrupted during medication preparation, failed to p…
32y · Male·multiple injuries
Travis Walder, 32, died by suicide on 24 August 2023 after being struck by a train. He had schizophrenia and opioid use disorder with prior suicide attempts. On 23 August, he became acutely agitated and psychotic at his …
72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…
A 72-year-old man with metastatic squamous cell lung cancer and multiple serious comorbidities was admitted to Ballarat Hospital in July 2024 with lethargy, fatigue, and rapid atrial fibrillation. Due to medication chart…
67y · Female·Pulmonary thrombo-embolism secondary to deep venous thrombosis, with contributin…
Vicki Grigg, 67, died from pulmonary embolism three days after discharge from Goulburn Valley Health. She had been admitted with influenza A exacerbating asthma and COPD, and received standard-dose anticoagulation prophy…
21y · Male·Cerebral temporal lobe uncal and cerebellar tonsillar herniation
Brady Hubbard, 21, died from traumatic brain injury with cerebral herniation after falling from an unsecured utility vehicle driven by Andrew Hilfenhaus at West Ulverstone Football Club in June 2023. While riding on the …
61y · Male·bronchopneumonia complicating cerebrovascular accident due to cardioembolism on …
A 61-year-old man with a mechanical aortic valve underwent colonoscopy requiring temporary warfarin cessation. Following the procedure, he was discharged with a plan to recommence warfarin but without clear postoperative…
32y · Male·Hanging (deliberately self-inflicted)
Fredrick Elrezz, 32, died by hanging in segregation at Parklea Correctional Centre on 25 September 2020. Arrested on 1-2 September after stabbing police in an apparent suicide-by-cop attempt, Fred explicitly stated his i…
61y · Male·Exsanguination from sharp force injuries to both arms, dissecting the veins of t…
CG, aged 61, died in Parklea Correctional Centre on 18 May 2024 from hemorrhage due to self-inflicted sharp force injuries. The coroner found multiple clinical and system failures contributed substantially to the death. …
51y · Male·Complications of stage 4 hepatocellular carcinoma
Phillip Graeme Abell, aged 51, died from stage 4 hepatocellular carcinoma (HCC) with underlying cirrhosis and hepatitis C infection. Imprisoned at Woodford Correctional Centre, Mr Abell was diagnosed with infiltrative HC…
67y · Male·Multi-organ failure secondary to acute myocardial infarction secondary to in-ste…
Christopher Doughty, 67, was admitted to Hervey Bay Hospital on 17 September 2021 with a life-threatening gastrointestinal bleed two months after receiving coronary stents. The bleed was likely caused by dual antiplatele…
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