2,762 results
35y · Female·coronary artery dissection
Fiona Selby-Fullgrabe, 35, presented to Wallaroo Hospital with chest pain, arm weakness, and diaphoresis. Ambulance noted elevated troponin (121) and activated the chest pain protocol. However, Dr M. discharged her after…
21y · Female·Multiple injuries from falling from a ledge whilst escaping fire
A 21-year-old university student died when she fell from a ledge while attempting to escape a fire in her apartment. The fire originated on the balcony, likely from a discarded cigarette, and spread rapidly through synth…
80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…
An 80-year-old woman with chronic heart failure admitted to hospital fell from bed and hit her head. Although nursing staff were concerned about a possible head injury, the House Medical Officer incorrectly concluded no …
21y · Male·blunt force trauma to the head as a result of a single motor vehicle accident
Matthew Scott Lewis, 21, died from blunt force head trauma when a heavily modified hunting vehicle rolled at approximately 50 km/h while pursuing kangaroos on private farmland. The vehicle had been extensively modified w…
39y · Female·smoke inhalation
Cheryl May Currie, 39, with complete paraplegia from a 1998 spinal cord injury, died from smoke inhalation in a bedroom fire on 12 June 2009. The fire was caused by smoking in bed. Investigation revealed critical systemi…
Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…
Two joint inquests examined failures in recognising clinical deterioration in rural hospital patients. Mrs Wright, 86, presented with abdominal pain and a low temperature (early sepsis), but staff did not escalate when s…
61y · Male·Complications of cutaneous burns
A 61-year-old man with severe chronic schizophrenia and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite c…
66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …
A 66-year-old man with renal cell carcinoma died in hospital from carcinomatosis with sepsis and multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recu…
59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)
A 59-year-old Aboriginal man died of idiopathic dilated cardiomyopathy in a Darwin police watch house following arrest for the minor offence of drinking in a designated public place. He had severe, documented cardiac dis…
46y · Female·Cardiac arrest of unknown origin
Virginia Brown, a 46-year-old Aboriginal woman, died of cardiac arrest of unknown origin on 31 October 2014 while detained under a Mandatory Residential Treatment (MRT) order at CAAAPU (Central Australian Aboriginal Alco…
31y · Male·Hanging
Scott Matthew O'Connor, a 31-year-old male, died by suicide in the Maximum Security Unit of Arthur Gorrie Correctional Centre on 22 January 2013. He had been assessed as high-risk for self-harm and placed on 30-minute ob…
52y · Female·intracerebral haemorrhage in a lady with underlying cerebrovascular disease and …
A 52-year-old woman underwent right carotid endarterectomy for high-grade stenosis. Post-operatively she developed escalating blood pressure readings (160–220 mmHg), headaches, nausea, agitation, and abnormal behaviour o…
27y · Male·Electrocution causing cardiac arrest
A 27-year-old labourer, Jason Garrels, died from electrocution after contacting a metal construction switchboard with live 240V wiring on 27 February 2012. The coroner found critical failures in electrical safety complia…
35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…
A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Despite presenting with objective signs of withdrawal (tremor, elevated BP, tachycardia,…
19y · Male·hanging
A 19-year-old male inmate with schizophrenia died by hanging at Long Bay Correctional Centre. Critical failures in mental health care contributed to preventability: despite initial referral in February 2013, he was never…
Multiple causes across nine deaths; primary causes included rollover with crush …
This is a complex coronial inquest examining nine quad bike deaths in Queensland, with a focus on prevention through regulatory and design measures. Key clinical and safety lessons include: (1) helmet use is critical—33.…
shotgun wounds to chest and arm (homicide)
Two adults, Meagan Wilton (31) and Benjamin Samuel Eyles (34), were murdered by Patrick Stanley Daley on 16 December 2012 in Hamilton, Tasmania. Daley and Wilton had been in a relationship marked by mutual domestic viole…
56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy
A 56-year-old woman presented to Knox Private Hospital with severe headache and eye symptoms on 16 June 2007. An ED physician diagnosed ischaemic stroke based on a subtle CT finding in the absence of focal neurological s…
30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl
Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…
69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…
A 69-year-old man with a history of myocardial infarction and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the e…
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