4,457 results
29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis
A 29-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis (DVT) following a suicide attempt by hanging. He was admitted to ICU and appropriately commenced on prophylactic enoxaparin 40mg dai…
0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia
Bodhi Leo Searle, aged 36 hours, died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially by independent midwife Stephanie Geyer. When labour did…
27y · Male·Hanging
Marcus Caldwell, a 27-year-old with well-controlled schizophrenia on clozapine, died by suicide in February 2018. He worked at a pet boarding facility that experienced severe staffing shortages during peak season, result…
24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm
Jackson Stawicki, 24, died from haemorrhagic shock following a sharp force injury to his left arm while intoxicated with multiple illicit substances. He presented to the ED three times within 24 hours (4-5 September 2020…
31y · Male·Hanging
Mr A, a 31-year-old man with a history of family violence, substance misuse, and mental health issues, died by hanging in April 2018. Key clinical lessons include: (1) the importance of regular, systematic mental health …
75y · Female·Renal failure and ketoacidosis in a woman with chronic alcoholism and type 2 dia…
A 75-year-old woman with type 2 diabetes and chronic alcoholism died from renal failure and ketoacidosis at home. She was isolated, dependent on her elderly husband for care, and living in squalor. Over 20 disclosures of…
81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy
An 81-year-old woman with atrial fibrillation and Alzheimer's disease fell at home on 21 December 2020, sustaining a subdural haematoma. Nambour Hospital appropriately ceased her anticoagulant (rivaroxaban) and planned c…
75y · Male·complications of metastatic prostate cancer and end-stage chronic obstructive pu…
Frank Kenneth Major, a 75-year-old prisoner with metastatic prostate cancer and end-stage COPD, died of natural causes in October 2021. The coroner found his overall medical care during incarceration was excellent and co…
27y · Female·carbon monoxide intoxication due to voluntary and intentional inhalation of exha…
A 27-year-old woman with a lengthy history of depression, anxiety, and previous suicide attempts died by carbon monoxide poisoning. She was referred to mental health crisis services on 4 July 2020 with documented suicida…
45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…
QD, a 45-year-old woman with significant comorbidities including obesity, obstructive sleep apnoea, COPD, depression, and substance abuse history, died from mixed drug and alcohol intoxication. Toxicology revealed toxic/…
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019…
34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…
Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…
36y · Male·Shotgun wounds to the chest and abdomen
Kai Hao, a Chinese-born Australian receptionist, was fatally shot twice in the chest and abdomen by Yacub Khayre on 5 June 2017 during the Brighton Siege incident. Khayre was a paroled offender with a history of extremis…
29y · Male·Multiple gunshot wounds
Yacub Khayre died from multiple gunshot wounds on 5 June 2017 after he shot and killed receptionist Kai Hao during a hostage incident at an apartment complex in Brighton, Victoria, then opened fire on Victoria Police who…
50y · Male·Immersion, with alcohol intoxication and doxepin toxicity being significant fact…
Jean-Louis Langlois, a 50-year-old French-Australian man with significant mental health issues, alcohol dependence, and chronic social difficulties, was found deceased on Wanda Beach in January 1997. He died from immersi…
59y · Female·complications of abscesses following dental extraction, in a woman with cerebral…
Angela Cuthbert, a 59-year-old woman with severe cerebral palsy and dysphagia, died from complications of abscesses following extraction of all 14 teeth under general anaesthetic. Surgery occurred 20 June 2022; she devel…
12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …
A 12-year-old Aboriginal girl with a bicuspid aortic valve and autism spectrum disorder presented with a week of fever and non-specific symptoms (cough, vomiting, abdominal pain, chest pain) to a rural hospital. Despite …
85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…
An 85-year-old man with multiple comorbidities suffered a fall at home and was transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant ne…
43y · Male·Hanging
GS, a 43-year-old man with complex mental health history (depression, anxiety, borderline personality disorder, substance use), died by hanging in Goulburn Correctional Centre after 183 days in custody. The critical fail…
73y · Male·unknown
A 73-year-old man with dementia and frontal lobe impairments disappeared from a nursing home on 5 January 2018; his remains were discovered a year later in a nearby river. Critical clinical and organisational failures oc…
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