1,172 results
76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…
Terence Michael Brooks, a 76-year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care f…
18y · Male·asphyxia by hanging; intentional self-harm
Joshua, 18, died by suicide at an ANU residential hall in August 2018, several weeks after a serious self-harm incident requiring hospitalisation. Key clinical lessons emerge: (1) Inadequate coordination between ACT Ment…
33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …
Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…
86y · Male·pneumonia
An 86-year-old man with emphysema, heart disease, cognitive impairment and recent pneumonia admissions fell in a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium fall…
37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…
Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …
1y · Male·Chronic Bronchial Asthma
Master T, a 17-month-old boy with chronic asthma, died from status asthmaticus on 25 November 2019. He had experienced recurrent wheezing episodes requiring multiple hospital admissions in September-October 2019. Medical…
19y · Female·Hanging
Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequently developing borderline personality disorder, anxiety, depres…
43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)
Cameron Boyes, a 43-year-old man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivati…
3y · Male·Disseminated Staphylococcus aureus infection
A 3-year-old Aboriginal boy died from disseminated Staphylococcus aureus infection with sepsis. He presented to a remote clinic on 10 April with fever and dizziness, then returned on 13 April with irregular fever, lethar…
27y · Male·Dextromethorphan toxicity
Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was subject to a Community Treatment Order at the time of death …
40y · Male·Stab wound to the chest
Wei Hu, a 40-year-old IT engineer, died from a stab wound to the chest inflicted by himself following a fatal incident involving intimate partner violence. The death occurred after Mr Hu stabbed his wife Ms Zhou and then…
87y · Male·Ischaemic heart disease in the setting of immersion
Charles Frederick Norton, 87, was found deceased in an unsecured canal at a retirement village on 28 February 2020. He had ischaemic heart disease with severe atherosclerosis and aortic stenosis. In the week before death…
19y · Male·Stab wounds to the neck and chest
Taylor Oliver, a 19-year-old with schizophrenia and substance use disorder, died by self-inflicted stab wounds on 1 December 2019. He had been admitted to mental health inpatient care on 18 November 2019 following overdo…
71y · Female·Complications of cerebral palsy
Lorraine Earl, aged 71, died from complications of cerebral palsy at Wantirna Hospital following a palliative care pathway initiated after severe dysphagia developed during a hospital admission. The Disability Services C…
45y · Male·stab injury to the chest
Paul Kenneth Wright, aged 45, died from a stab wound to the chest inflicted in self-defence by Beau Muscat on 16 September 2021. Paul had an extensive custodial history, acquired brain injury, and intellectual disability…
41y · Female·Multiple injuries
Alicia Maree Little, aged 41, was struck and killed by a motor vehicle driven by her former intimate partner while she was leaving the relationship. The case highlights significant systemic failures in family violence re…
30y · Male·Cyanide poisoning
A 30-year-old teacher in regional Victoria died from cyanide poisoning in June 2020. He presented to his GP in February 2020 with atypical features including fear of being poisoned, which raised concerns for possible psy…
59y · Male·complications of viral liver cirrhosis with hepatocellular carcinoma
Mervyn Morgan, aged 59, died from complications of hepatocellular carcinoma arising from cirrhosis while in prison custody. Critical failures included: delayed monitoring of known liver cirrhosis (no ultrasound despite M…
89y · Male·septicaemia due to infected groin wound, femoropopliteal bypass in a man with mu…
An 89-year-old man with multiple comorbidities (diabetes, peripheral vascular disease, heart failure) developed a groin wound infection following femoropopliteal bypass surgery while residing in aged care. The wound dete…
42y · Female·Multiple stab wounds
A 42-year-old woman with first episode psychosis was referred to community mental health services in November 2020 after acute onset of paranoid delusions. She was commenced on risperidone but showed poor engagement and …
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