796 results
43y · Male·Injuries sustained in a light plane incident
A pilot with 11 months experience in weight shift microlight aircraft operated an AirBorne Edge Trike XT912 with a passenger cameraman. During a low-level manoeuvre near Yarrawonga Aerodrome on 13 March 2016, the aircraf…
60y · Male·Injuries sustained in a light plane incident
Ian Cook, an experienced weight-shift microlight pilot with 86 hours flying time, crashed into terrain during a television filming event at Yarrawonga Aerodrome on 13 March 2016, killing himself and cameraman passenger Q…
66y · Male·Chest injuries sustained when crushed in an agricultural rock picker machine
A 66-year-old farmer died from chest injuries sustained when crushed in a rock picker agricultural machine. While operating the machine to clear rocks from a paddock, Mr MacKinnon stopped the tractor after a rock became …
56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…
A 56-year-old man with diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. The anaesthetist failed to conduct an adequate pre-operative assessment, u…
19y · Male·Traumatic asphyxia and multiple injuries sustained in a workplace incident
Jacob Kermeen, a 19-year-old pipe layer, died from traumatic asphyxia following a trench collapse on 4 March 2015. Working in an excavated manhole approximately 3 metres deep, Mr Kermeen exited a protective trench shield…
77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…
A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis…
86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer
An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included delayed pressure injury risk assessment (7 days overdue…
34y · Male·Blast injuries
Barry Purtell, a 34-year-old diesel mechanic, died from blast injuries sustained in a refrigeration compressor explosion while helping friends vacate a hotel. The compressor in the cellar initially contained non-flammabl…
53y · Male·Complications of burns sustained in a blast
A 53-year-old qualified boiler maker died from complications of severe burns sustained in a gas explosion. While attempting to remove a refrigeration compressor from a hotel cellar with an unqualified colleague, they cut…
51y · Male·Exsanguination during home haemodialysis in a man with end stage renal failure
A 51-year-old man with end-stage renal failure died from exsanguination during home haemodialysis. The most likely cause was a procedural error where Mr O'Dwyer connected his dialysis machine's venous line to the venous …
39y · Male·Hypoxic/Ischaemic Encephalopathy due to Cerebral Arterial Gas Embolism
Phillip Ibrahim, a 39-year-old man recovering well from community-acquired pneumonia in ICU, suffered a fatal cerebral air embolism on 28 October 2014. A CVAD removal order was given at midday but the device remained in …
61y · Male·Unknown, but probably immersion (drowning)
A 61-year-old experienced recreational boat skipper died after his vessel became disabled by ropes fouling the propellers while fishing off the Western Australian coast. He likely entered the water to clear the obstructi…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…
21y · Male·blunt trauma to the head
Braidon Lewis Fletcher, 21, died from blunt head trauma when struck by a tree during an attempted tree-felling operation. The group lacked formal chainsaw training, safety equipment (wedges, axe, helmet), and proper tree…
Male·Aerodynamic stall following partial engine power loss during takeoff, with impac…
Ross Millard, an experienced recreational pilot with 1687 hours experience, died when his Howard Hughes Lightwing GA-912 aircraft suffered partial engine power loss during takeoff and subsequently aerodynamically stalled…
33y · Male·complications of acute peritonitis caused by rupture of a duodenal ulcer
Sony William Tran-Bui, aged 33, died from acute peritonitis caused by a ruptured duodenal ulcer while in custody at Silverwater Correctional Centre in November 2013. The death was not preventable given the sudden, unexpe…
50y · Male·Fatal injuries sustained as a consequence of a helicopter colliding with the oce…
A 50-year-old private pilot died when his Robinson R22 helicopter collided with the ocean near Cape Tribulation, Queensland. Mr Maisel was qualified only for daylight visual flight rules (VFR) operations but departed Coo…
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…
54y · Male·Extensive burns due to detonation of LPG gas cylinder
A 54-year-old man with chronic severe depression, grief from his wife's sudden death, severe debilitating skin condition, and alcohol dependence called emergency services on 12 December 2015, warning them not to approach…
45y · Male·Stab wound to the chest
Detective Inspector Bryson Anderson, a 45-year-old NSW police officer, died from a stab wound to the chest sustained during a siege operation at a residential property on 6 December 2012. The incident involved responding…
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