2,765 results
72y · Male·ischaemic heart disease secondary to coronary artery disease
A 72-year-old man with hypercholesterolaemia and obesity presented to the ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus diagnosis based on pleurit…
69y · Female·left pontine haemorrhage with re-bleeding associated with hypertensive vascular …
A 69-year-old woman died from left pontine haemorrhage with re-bleeding. On 2 February 2010, her GP referred her for a CT head scan after she reported two weeks of slurred speech. The scan on 11 February revealed a ponti…
57y · Male·multiple injuries from motor vehicle collision
Bernard Evans, aged 57, died in a motor vehicle collision on 17 January 2011 while evading apprehension under the Victorian Mental Health Act. He had schizoaffective disorder managed with lithium and olanzapine under a C…
41y · Male·mixed drug toxicity (ethanol, amitriptyline, methadone, morphine, diazepam, tema…
Matthew Frandsen, a 41-year-old with longstanding illicit drug and alcohol use disorder, died from mixed drug toxicity involving ethanol, methadone, morphine, amitriptyline, and benzodiazepines. He was found heavily into…
55y · Male·Staphylococcal sepsis, complications of pressure sores and hypostatic pneumonia,…
Stephen Summers, a 55-year-old man with cerebral palsy and profound disability, died from Staphylococcal sepsis after rapid deterioration following deinstitutionalisation from Kew Cottages to community residential accomm…
20y · Male·acute blood loss from extensive crush injury to torso following an industrial ac…
A 20-year-old apprentice carpenter died from acute blood loss and crush injuries sustained when he fell through a ceiling during demolition work, causing a 3.8-metre high brick chimney to collapse on top of him. The chim…
16y · Female·respiratory arrest caused by combined toxic effects of methadone and alprazolam
This is a coronial prevention report examining methadone takeaway dosing risks in Victoria, prepared following the death of Helen Stagoll (age 16) in 2010 from respiratory arrest caused by diverted methadone and alprazol…
12y · Male·Head injuries resulting from ride-on mower collision
Jake Garrett-Pratt, a 12-year-old boy, died from fatal head injuries sustained when he lost control of a poorly maintained ride-on lawn mower on a steep driveway. The rear axle drive chain broke due to inadequate mainten…
28y · Male·gunshot injury of head, self-inflicted
Jason Neil Richards, aged 28, died from a self-inflicted gunshot wound to the head on or about 21 June 2011 at Coondambo Station, South Australia. He had consumed methamphetamine and amphetamine before embarking on a lon…
19y · Male·Hanging
Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted …
46y · Male·Myocardial fibrosis in a man with epilepsy
Nikos Vourdoulidis, a 46-year-old man with intellectual disability and epilepsy, died from myocardial fibrosis in the setting of epilepsy. He collapsed in a shower in November 2008 and was found several hours later. Crit…
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…
55y · Female·Aspiration of Gastric Contents in Association with Gastric Necrosis in a patient…
A 55-year-old woman died of aspiration following gastric necrosis associated with a gastric band device inserted in 2008. She presented with vomiting and feeling unwell starting 31 October 2009, but never complained of p…
23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…
Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …
0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…
Joseph Thurgood-Gates died at 5 days old from global cerebral hypoxic injury due to uterine rupture during labour. The death was preventable. His mother, Ms Thurgood, had two prior caesarean sections and refused hospital…
32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …
Marella Johnson, a 32-year-old Aboriginal woman with schizophrenia and schizoaffective disorder, was involuntarily admitted to Alexander Bayne Centre on 17 February 2008 after presenting to Echuca Regional Health intoxic…
15y · Female·Hypoxic brain injury due to hanging
Leanne Thompson, aged 15, was a severely troubled and vulnerable young woman under a Child Protection Order, living with 28-year-old Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, dr…
47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis
A 47-year-old man from Carnarvon underwent elective laparoscopic cholecystectomy at Geraldton Regional Hospital on 31 August 2009 after a 5-hour coach journey that morning. The VTE Risk Assessment Form correctly classifi…
58y · Male·Respiratory failure due to or as a consequence of Chronic Obstructive Pulmonary …
Geoffrey Hornby, a 58-year-old prisoner with significant COPD, ischemic heart disease, and multiple comorbidities, died from respiratory failure secondary to COPD. He was admitted to hospital with COPD exacerbation and d…
19y · Female·severe head injury due to fall during gymnastics on Tumbl Trak, striking uncover…
A 19-year-old female gymnast died from severe head injury after falling from a Tumbl Trak apparatus and striking exposed concrete flooring at a gymnastics club. She was performing a complex sequence involving a round-off…
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