2,765 results
49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…
Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical …
14y · Female·Ligature compression of the neck (suicide)
Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…
18y · Male·Gunshot wound to the chest and neck
An 18-year-old Aboriginal man was fatally shot by Acting Sergeant Whittington during a community dispute in Wadeye. Whittington discharged his Glock pistol four times in response to Tobias Worumbu wielding a loaded shotg…
Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease
Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…
31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…
Karl Scholz, 31-year-old male, died from upper airway obstruction due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures …
65y · Female·gastrointestinal haemorrhage from duodenal ulcer
Margaret Bodell, 65-year-old with severe COAD and emphysema, was admitted with respiratory failure and developed a duodenal ulcer bleeding during hospitalisation. Critical clinical lessons include: (1) careful oxygen man…
50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)
Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…
1y · Female·sudden unexpected death in infancy due to hypoxic episode while co-bedding with …
Arisa Huber, a newborn, died from sudden unexpected death in infancy (SUDI) due to hypoxic episode while co-bedding with her exhausted mother in a postnatal ward. The infant was found without breathing or pulse at 6:45am…
30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…
Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…
25y · Male·Hypovolemic shock and anoxia due to massive trauma to the rib cage and rupture o…
Jason Zupp, a 25-year-old truck driver, died in a motor vehicle crash after his Mack truck overturned approximately 16km north of Taroom on the Leichhardt Highway. The coroner found that he fell asleep while driving afte…
37y · Male·Community acquired pneumonia as a result of melioidosis infection
Kevin Fogarty, a 37-year-old power lineman, died from melioidosis-related community-acquired pneumonia at Winton Hospital after a 4-day admission. He likely contracted melioidosis through occupational exposure to mud dur…
22y · Female·aspiration of gastric content due to drug abuse
Amanda Crowston, 22 years old, died from aspiration of gastric contents after a weekend of heavy alcohol and drug use (amphetamines, methylamphetamine, MDMA, cannabis). She vomited while alone in bed and choked. The coro…
0y · Female·combined effects of asphyxia and inhalation of gastric contents
Elizabeth Rose Edwards, a 9-month-old premature infant with perinatal brain injury, died of asphyxia and aspiration of gastric contents while in temporary foster care. She had been placed with carers (the Todds) with min…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospital despite his request, misattributing his symptoms to musculos…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
Dwayne Michael Jones, aged 9, had Trisomy 10, a rare congenital chromosomal disorder causing severe developmental delay and neurological abnormalities. On 11 April 2000, he fell from a computer desk and struck his head. …
31y · Male·mixed drug toxicity
Robert Henderson, 31, died from mixed drug toxicity while subject to a community involuntary treatment order for schizophrenia. He was admitted to hospital on 9 July 2005 after his case manager appropriately identified e…
21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…
Shannon Tang, a 21-year-old from Singapore with severe obesity (BMI 52) and multiple comorbidities including sleep apnoea, underwent elective laparoscopic gastric bypass surgery performed by Dr F.. He died on day 7 post-…
0y · Male·undetermined; possible drug effect, hypoxia, or asphyxia; methylamphetamine expo…
Felix Jake Stiller-Smith, a 37-day-old infant, died on 6 February 2003 while co-sleeping with his mother. The cause of death remained undetermined at autopsy, though heavy, congested internal organs suggested possible dr…
24y · Male·diffuse hypoxic ischaemic encephalopathy due to hanging
Colin Craig Sansbury, 24-year-old Aboriginal man, died by hanging while in police custody at Elizabeth Police Station. Critical failures in care included: (1) Inadequate psychiatric assessment at Lyell McEwin Hospital—he…
7y · Female·electrocution
Monica Presley, a 7-year-old Aboriginal girl, died from electrocution when she contacted a live metal frame of a faulty evaporative air conditioner (EAC) outside her public housing flat in Tennant Creek. The EAC had been…
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