1,172 results
36y · Female·Mixed drug toxicity
Skye Turner, a 36-year-old woman with borderline personality disorder and substance use disorder, died from mixed drug toxicity after being discharged from Maroondah Hospital on 8 March 2017. She had been admitted with o…
13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…
A 13-year-old boy with depression, migraine, school refusal and family instability died by intentional self-inflicted means. His general practitioner provided inadequate mental health assessment, initiated antidepressant…
41y · Male·Fulminant sepsis (Klebsiella pneumoniae) with multi-organ failure complicating s…
A 41-year-old man with newly diagnosed severe Crohn's colitis was prescribed 6-mercaptopurine (6-MP) after only 5 days of hospital treatment. He had a homozygous TPMT gene deficiency (present in ~0.3% of population) that…
34y · Male·Staphylococcus aureus sepsis and endocarditis
Jason Hosking, 34, presented to ED with vomiting, diarrhoea, fever, tachycardia and hypotension on 10 November 2014. Blood tests by 11.23am showed markedly elevated inflammatory markers (CRP 234.3, neutrophils 10.8, elev…
21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia
A 21-year-old man with complex congenital heart disease (Fontan procedure) died from combined heroin toxicity and plastic bag asphyxia. He had a history of depression and suicidality since childhood. In August 2014, duri…
69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis
A 69-year-old man with Parkinson's disease died from septic shock caused by infected pressure ulcers (stage 4 decubitus ulcers with osteomyelitis) that developed in aged care. Pressure sores appeared within 31 days of ad…
22y · Male·Hanging
Timothy John, age 22, died by hanging 8 days after commencing varenicline (Champix) for smoking cessation. He had a documented history of depression, anxiety, and substance abuse, with prior attempted suicide. His GP, Dr…
47y · Female·Sudden Unexpected Death in Alcohol Misuse (SUDAM)
Lesley Maree Smith, 47, died at home on 9 May 2013 from Sudden Unexpected Death in Alcohol Misuse (SUDAM). She had chronic alcohol misuse (2 bottles nightly) and was prescribed diazepam by her GP, Dr H., starting April 2…
85y · Female·Multiple injuries sustained as a passenger in a motor vehicle collision
Pamela Louise Elsdon, 85, died from multiple injuries sustained as a passenger in a motor vehicle collision caused by her husband's driving error. Her husband had documented progressive cognitive decline and dementia fro…
87y · Male·Multiple injuries in a motor vehicle incident
Mr Frederick Hylla, 87 years old, died from injuries sustained in a motor vehicle incident 18 days after discharge from hospital for acute myocardial infarction. He suffered a likely cardiac event while driving, causing …
45y · Male·gunshot wound to the chest
A man with a long history of depression, suicide attempts, and previous violent behaviour died when shot by police during an arrest for domestic violence. His partner had repeatedly warned police that he threatened to ma…
32y · Male·Multidrug overdose
A 32-year-old man with a history of polysubstance abuse, schizoaffective disorder, and chronic pain died from multidrug overdose at home. He had obtained fentanyl, clonazepam, diazepam, methadone, and other drugs from mu…
20y · Female·unascertained
Alyce Pollett, a 20-year-old pregnant woman, was found dead in her bed on 14 July 2011 after being unwell for approximately one week with flu-like symptoms. Autopsy findings were concerning for possible asphyxia due to n…
58y · Female·Haemorrhagic shock complicating pulmonary thromboembolism in the setting of deep…
A 58-year-old woman with obesity (BMI 38) sustained a metatarsal fracture and was treated with a below-knee plaster cast by her GP. Despite appropriate initial assessment and consultation with a haematologist regarding V…
27y · Female·hanging, self-inflicted with intention of taking own life
A 27-year-old Aboriginal woman with borderline personality disorder died by suicide within hours of discharge from an emergency department. She presented after her GP attempted to schedule her under the Mental Health Act…
18y · Male·gunshot wound to the head
Ahmad Numan Haider, an 18-year-old who became radicalised through extremist online content and associates, was shot dead by police after launching an unprovoked knife attack on officers at Endeavour Hills Police Station.…
41y · Female·mixed drug and alcohol toxicity
Karen Louise Richards, 41 years old, died from mixed drug and alcohol toxicity on 11 January 2014. She had consumed heroin (evidenced by 6-MAM metabolite), alcohol, benzodiazepines, and other prescription medications. He…
22y · Female·compression of the neck consistent with hanging
22-year-old Deborah McKenzie, an Aboriginal woman, died by hanging on 13 March 2013 after a complex sequence of failures in mental health care and police procedures. She had reported her partner Shane Woods to police for…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators o…
79y · Male·Head and neck injuries from blunt force trauma
Mr Risto Pedevski, a 79-year-old man, was fatally assaulted by his son George in November 2014 during a dispute over a gas hot water system. George had a long-standing diagnosis of schizophreniform disorder and paranoid …
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