154 results
77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…
Mr Neitsch, a 77-year-old with severe aortic stenosis, peripheral vascular disease, and reduced left ventricular function, underwent elective coronary angiography at Princess Alexandra Hospital on 21 May 2015. The proced…
90y · Male·Sepsis secondary to wound infection/dehiscence and bilateral parotid gland infec…
Arthur John Powell, a 90-year-old with ischaemic heart disease, chronic lung disease, and diabetes, underwent emergency surgical repair of a perforated diverticulum on 1 September 2015. Post-operative recovery was initia…
66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…
A 66-year-old man died from multi-system failure and ischaemic bowel following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempt…
42y · Female·Global cerebral ischaemia in a setting of anaesthesia
A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a functioning puls…
62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…
A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8…
29y · Female·Exsanguination post tubal ligation procedure
A 29-year-old woman died from exsanguination following an iatrogenic injury during elective laparoscopic tubal ligation at a regional hospital. A vascular injury to the right external iliac artery occurred during the pro…
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
Ida Romeo, 59, died during cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve. She had consented to a right heart study to investigate suspected constrictive …
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…
69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…
A 69-year-old woman with stroke, diabetes, atrial fibrillation and osteomyelitis died from inadvertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but …
4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…
A 4-year-old girl died from aorto-oesophageal fistula and haemorrhage caused by a lithium button battery lodged in her oesophagus for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consi…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
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…
43y · Male·Hypoxic brain injury as a result of cardiac arrest in a setting of electrocution
Brian Glenn Milnes, a 43-year-old truck driver with 14 years industry experience, died from hypoxic brain injury following cardiac arrest when a tipper trailer he was assisting to raise contacted overhead 22,000 volt pow…
63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…
A 63-year-old man with COPD, liver cirrhosis and alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respiratory depression, hypernatremia and alcohol withdrawal requir…
58y · Male·Multifocal bleed into brain (subarachnoid and subdural haemorrhage) from injurie…
A 58-year-old truck driver and forklift operator died from a severe head injury sustained in a workplace fall on 29 August 2012. He fell while using an unsuitable, unsecured ladder to access a mezzanine storage area. The…
57y · Female·small bowel ischaemia; distal gastrectomy
57-year-old woman underwent distal gastrectomy and vagotomy for gastric outlet obstruction in August 2008. Coroner found she suffered an aberrant surgical reconstruction during the procedure, with abnormal bowel anatomy …
3y · Female·massive air embolism
Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred when a paramedic re-spiked a partially-used IV saline bag (containin…
39y · Male·Hypoxic-ischaemic encephalopathy (aetiology not determined); cardiorespiratory a…
Stephen Nash, a 39-year-old man, died after being restrained face-down by security providers and hotel staff at the Union Jack Hotel in Cairns following an altercation where he punched a security officer. The restraint l…
37y · Male·hypoxic brain injury secondary to airway obstruction
Jayson Peter Hawkins, 37 years old, died from hypoxic brain injury secondary to airway obstruction while on remand at Melbourne Assessment Prison in December 2009. He died by asphyxiation using a plastic bag and ligature…
62y · Female·Multi-organ failure due to lacerated abdominal aorta complicating laparoscopic b…
A 62-year-old woman died from multi-organ failure caused by a lacerated abdominal aorta sustained during elective laparoscopic gastric band surgery in 2006. The aorta was cut by a Visiport trocar blade at the start of th…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.