1,175 results
43y · Male·Multiple gunshot wounds received during a police operation
Michael Capel, 43, suffered from schizophrenia managed with monthly antipsychotic injections from his GP. In October 2008, he missed his injection scheduled for 5 September. His mother noticed behavioural changes and enc…
78y · Female·Aspiration pneumonia, epistaxis, and trauma to the face
Joan Hendrickson, a 78-year-old with vascular dementia, was assaulted by a co-resident at an aged care facility in April 2006, sustaining facial trauma and epistaxis. She died from aspiration pneumonia 10 days later. The…
31y · Male·Overdose of quetiapine (Seroquel) in combination with alcohol
Travis Graham, a 31-year-old man with a history of mental illness, self-harm, and substance abuse, died from an overdose of quetiapine (Seroquel) combined with alcohol. He had previously overdosed on the same medication …
26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…
Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…
82y · Male·Intracranial haemorrhage secondary to blunt force trauma (fall)
An 82-year-old man resident in a nursing home died from intracranial haemorrhage following a fall. He sustained two falls on 7 March 2009; the first was unwitnessed at 8.24am. When examined after a second fall at 7.35pm,…
20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …
A 20-year-old man died from pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiep…
38y · Male·ischaemic heart disease
Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…
26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…
Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…
29y · Female·Multiple stab wounds to the neck
A woman was fatally stabbed 12 times in the neck by her husband during an escalating family violence situation. She had disclosed family violence to Victoria Police on multiple occasions and to her General Practitioner. …
81y · Male·bronchopneumonia
An 81-year-old man with dementia, congestive cardiac failure, chronic lung disease and hip fractures died of bronchopneumonia four days after discharge from palliative care to a nursing home. While an administrative erro…
Male·Multiple injuries sustained as a front seat passenger in a motor vehicle acciden…
Scott Livermore died as a front passenger in a motor vehicle accident caused by the driver, Maria Waldock, who experienced a seizure while driving. Waldock had been diagnosed with localisation-related epilepsy in 2006 an…
68y · Male·Multiple injuries sustained in a motor vehicle collision (passenger)
Five Victorians, including Dr G. (aged 68, general practitioner), died on 10 January 2006 when their tour bus crashed near Cairo, Egypt. The bus left the road after the driver lost control on a descent following a left-h…
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of morphine and codeine. Toxicology expert opinion indicated morph…
45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol
A 45-year-old man with schizophrenia and a decade-long history of repeated overdoses died from quetiapine (Seroquel) toxicity combined with alcohol. Critical failures occurred: multiple doctors prescribed large quantitie…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
Eight-year-old Isaraelu Pele died of bacterial meningitis missed by multiple clinicians despite three hospital presentations and two GP visits between 14–17 December 2007. Critical failures included: inadequate different…
47y · Female·insulin overdose
Katherine Walton, a 47-year-old registered nurse, died from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. Afte…
31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …
Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…
20y · Female·food-induced anaphylaxis, likely to peanut allergen
Kylie Lynch, a 20-year-old woman with chronic asthma and a known peanut allergy, died from anaphylaxis on 2 September 2007 in Coral Bay, Western Australia. She consumed desserts at Fin's Café after dining at a nearby hot…
45y · Male·unascertained
Mark Anthony Theakston, a 45-year-old man with severe intellectual disability and autism residing in supported accommodation, died of an unascertained cause on 25 May 2008. He had collapsed on 21 May with a syncopal epis…
51y · Male·Cardiac arrest due to ischaemic heart disease
Andrew Campbell, a 51-year-old disability pensioner with multiple serious medical conditions (Type 1 diabetes, ischaemic heart disease, hypertension), died of cardiac arrest on 16 July 2008, six days after moving into pu…
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