2,762 results
10y · Male·complications of anaphylaxis
Ronak Satyajit Warty, a 10-year-old boy with known milk and nut allergies, died from anaphylaxis after ingesting a coconut drink that was mislabelled and contained undeclared dairy products. Despite his parents' diligenc…
22y · Male·Multiple injuries secondary to fall from a height
Daniel Woodburn, a 22-year-old with first-episode psychosis presenting with command hallucinations, paranoia and depressed mood, was admitted as a voluntary patient to an unlocked inpatient unit at Orygen Youth Health on…
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
53y · Female·mixed prescription drug toxicity
Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…
Male·neck compression due to hanging
Two men died by suicide within five months of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after mi…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
33y · Male·Mixed drug toxicity
Shaun Beagley, aged 33, died from mixed drug toxicity (heroin, methylamphetamine, benzodiazepines) while on overnight leave from E-PARCS psychiatric residential facility. He had been admitted following suicide attempts a…
63y · Male·Bowel obstruction
A 63-year-old man with severe intellectual disability, quadriplegia, and blindness died from bowel obstruction with sepsis. On 5 September 2015, carers noted cough and eating difficulties. A locum doctor visited, noted h…
26y · Male·Unknown
Eric Warburton disappeared in November 1987 and was reported missing in August 1988. The coroner found on the balance of probabilities that he is dead, dying around November 1987, but the cause and manner remain unknown.…
31y · Male·accidental overdose of fentanyl
Micheal Blutcher, aged 31, died from accidental fentanyl overdose in custody at Capricornia Correctional Centre Farm after injecting fentanyl extracted from a transdermal patch. The fentanyl was smuggled into the low-sec…
6y · Female·Brain stem herniation due to pneumococcal meningitis
Lilli Sweet, a 6-year-old asplenic child with hereditary spherocytosis, died from pneumococcal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 Augus…
77y · Male·septic shock due to cellulitis of the left forearm
Malcolm Falkenberg, a 77-year-old man with dementia, died from septic shock due to cellulitis of the left forearm. He had been living independently with declining self-care and hygiene. Following a guardianship order, he…
15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis
Jack Glen Irvine, a 15-year-old with documented severe nut allergies and asthma, died from anaphylaxis triggered by consuming a macadamia nut cookie at a Victorian Karting Association camp. The cookie was provided despit…
20y · Female·Multiple injuries sustained in motor vehicle crash at Murray Road/South West Hig…
A 20-year-old Dutch tourist died in a motor vehicle crash at a hazardous intersection between Murray Road and the South West Highway in Western Australia. The intersection had long-standing visibility problems with inade…
77y · Female·combined effects of ischaemic heart disease and calcific aortic valve sclerosis
Margaret Wynne Newett, 77, had moderate aortic stenosis diagnosed in 2011 but was never monitored with follow-up echocardiography as guidelines recommend. On 30 December 2013, she collapsed in a supermarket. At West Coas…
62y · Male·respiratory failure secondary to high cervical cord injury (C3/4 and C7/T1 fract…
William Bernard Brown, a healthy 62-year-old, died from respiratory failure secondary to cervical spinal cord injury after being struck by a falling branch from an African Mahogany tree at a golf course. Six days after t…
43y · Female·Stab wounds to the chest
Kelly Thompson was fatally stabbed by her estranged partner Wayne Wood on 9 February 2014 after he forcibly entered her home. Over 39 days from initial police contact on 1 January 2014, multiple system failures contribut…
38y · Male·cardiac arrest precipitated by dilutional hyponatraemia
A 38-year-old construction worker died from dilutional hyponatraemia after working in extreme heat (>40°C) on a concrete formwork project in rural Queensland. He developed symptoms of heat injury at the worksite and was …
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