1,172 results
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…
46y · Male·Myocardial fibrosis in a man with epilepsy
Nikos Vourdoulidis, a 46-year-old man with intellectual disability and epilepsy, died from myocardial fibrosis in the setting of epilepsy. He collapsed in a shower in November 2008 and was found several hours later. Crit…
55y · Female·Aspiration of Gastric Contents in Association with Gastric Necrosis in a patient…
A 55-year-old woman died of aspiration following gastric necrosis associated with a gastric band device inserted in 2008. She presented with vomiting and feeling unwell starting 31 October 2009, but never complained of p…
45y · Male·exsanguination due to incised wound to neck
Lawrence McCarty, a 45-year-old man in custody on remand, died by suicide in prison on 30 April 2011 by slashing his neck with a dismantled razor blade. Clinical lessons include: (1) reception staff failed to adequately …
69y · Male·subarachnoid haemorrhage with contributing cardiomegaly
A 69-year-old man with hypertension presented with sudden onset severe headache, photophobia, nausea and neck stiffness—classic features of subarachnoid haemorrhage. A CT angiogram identified a 6mm aneurysm on the anteri…
31y · Male·Chest injuries (principal cause) with autism and epilepsy as underlying causes
Stuart Lambert, a 31-year-old man with cerebral palsy, autism, and epilepsy, died from chest injuries sustained at his carer's semi-rural residence. He collapsed during or after a seizure and experienced multiple rib fra…
18y · Male·Multiple injuries due to train over-run
Charles Ross Maxwell Morgan, an 18-year-old Aboriginal man, died when struck by a train near Zillmere Railway Station in January 2012. He was moderately intoxicated with alcohol and cannabis, with recent cannabis use. Th…
49y · Male·Gunshot injury to the head
Peter Quin-Conroy, aged 49, died by self-inflicted gunshot wound at his home on 23 August 2010. He had a 15-year history of schizophrenia (paranoid type), major depression, mixed anxiety disorder, and auditory hallucinat…
54y · Male·Likely suicide by drowning; unascertained due to absence of body
Geoffrey Wearne, a 54-year-old engineer, disappeared on 3 July 2011 following relationship counselling that distressed and worsened his anxiety. He left notes suggesting suicidal intent, referencing the ocean and Gunnama…
55y · Male·Immersion
Peter Fisher, a 55-year-old man with schizophrenia and depression, died from immersion after becoming homeless. Discharged from The Alfred Hospital in February 2007 to supported accommodation without a Community Treatmen…
58y · Male·metastatic adenocarcinomatosis with unknown primary source
A 58-year-old prisoner died of metastatic adenocarcinoma with unknown primary. In September 2006, significantly abnormal liver enzymes (GGT 2093) and hyperglycemia were detected. A December 2006 ultrasound identified an …
83y · Male·Aspiration pneumonia
An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he presented with acute swallowing difficulty and was examined by his GP w…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…
47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …
Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented to Austin Hospital ED on 22 February 200…
30y · Male·asphyxia due to hanging (suicide)
30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…
60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…
Wendy May Aslett, aged 60, died on 29 October 2010 from multiple organ failure following hemorrhage from a femoral artery puncture sustained during coronary angiography on 21 October 2010. An Angio-Seal device was used t…
60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…
A 60-year-old woman died from multiple organ failure caused by uncontrolled bleeding from an arterial puncture sustained during coronary angiography. Although the procedure itself was uncomplicated and an Angio-Seal devi…
Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)
Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her GP prescribed fentanyl patches (50mcg/h, increased to 75mcg/h) after one wee…
74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis
Mr Harris, a respected Aboriginal elder aged approximately 74 years, died of ischaemic heart disease with coronary artery atherosclerosis while travelling bush alone on 2 February 2010. He bogged his vehicle, attempted u…
69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…
Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …
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