2,762 results
0y · Male·Perinatal asphyxia
Noah Cheron-Duncan, a full-term neonate born at Sandringham Hospital on 19 November 2014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was detect…
76y · Female·Major organ failure secondary to sepsis due to gram-positive bacteraemia from ur…
Patricia Northcote, a 76-year-old paraplegic woman with advancing dementia, died from sepsis secondary to urinary tract infection complicated by a sacral pressure sore. The pressure injury developed in November 2012 at a…
3y · Male·Hypoxic ischaemic encephalopathy as a consequence of near drowning
A 3-year-old non-swimmer, Xaviyah Cwaczko, drowned while in the overnight care of a family friend. He gained unsupervised access to an in-ground swimming pool when a safety gate was deliberately propped open with a metal…
83y · Male·Multiple injuries sustained in collision with train (pedestrian)
An 83-year-old man with probable Alzheimer's disease died after being struck by a train while attempting to climb from railway tracks. Despite living in aged care with documented cognitive decline and falls, he was permi…
48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…
Michelle Griffin, 48, with motor neurone disease, died from acute respiratory failure while dependent on non-invasive ventilation (NIV) at home. A carer, Julie Manessis, was caring for her when the humidifier tipped over…
17y · Male·ligature compression of the neck (hanging)
Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…
30y · Male·traumatic asphyxiation
Styles Isaac King, an Aboriginal man aged 30, died from traumatic asphyxiation following restraint by crowd controllers at a bar in Katherine, Northern Territory. During an altercation, he was held face-down on the floor…
84y · Female·Myocardial infarction
Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch blo…
4y · Female·drowning due to uncontrolled release of water from ruptured rubber dam
Four-year-old Nelani Koefer drowned when a rubber dam on the Bedford weir catastrophically failed, releasing an uncontrolled wall of water. The dam had been defectively manufactured with hairline cracks in the inner memb…
0y · Female·head injuries
Twin infant died of head injuries inflicted by her mother, a previously well-functioning woman suffering unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weigh…
0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…
Elsie Coghill, a newborn, died from hypoxic ischaemic encephalopathy due to multiple factors including an underlying lung abnormality from antenatal distress, an undetected apnoeic episode during transfer, and undiagnose…
0y · Male·head injury of undetermined aetiology
Christopher O'Sullivan died aged 29 days from head injury of undetermined aetiology. He presented on 15 September 1993 with fixed pupils, cyanosis, and seizure-like activity, progressing to cardiac arrest. Autopsy reveal…
69y · Male·Blunt head trauma
Ronald Donaldson, a 69-year-old fencing contractor, was killed by Justin Osborne with a sledgehammer in Katherine on 3 December 2013. Osborne was experiencing untreated schizophrenia with acute psychotic symptoms and bel…
84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…
An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…
48y · Female·Ischaemic brain injury secondary to toxicity to tramadol and temazepam
A 48-year-old woman died from ischaemic brain injury caused by overdose of tramadol and temazepam. She was found unresponsive at home on 10 October 2009 after consuming these medications. Her family and GP Dr D. failed t…
0y · Female·Perinatal asphyxia
A 10-day-old infant died from perinatal asphyxia after being born in a home birthing pool. The mother entered the pool without a midwife present after spontaneous rupture of membranes during precipitous labour. Critical …
76y · Female·Complications of head and neck injuries sustained in a fall
Mrs Ena Vickers, 76, with dementia and Parkinson's disease, suffered an unwitnessed fall at Embracia nursing home on 30 July 2012, sustaining head and neck injuries including acute subdural haematoma. The initial assessm…
39y · Male·Positional asphyxia in a setting of intoxication and minor head injury
Mr Andrew Hepple Pattison, a 39-year-old regular patron of the Footscray Club, died from positional asphyxia after falling down stairs while heavily intoxicated. He had consumed approximately 10-12 pots of beer and was a…
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
Elsie Robertson was a preterm neonate born at 30 weeks gestation from a monochoroidal diamniotic twin pregnancy complicated by Twin-to-Twin Transfusion Syndrome (TTTS) treated with laser photocoagulation at 23 weeks. She…
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