4,457 results
92y · Female·Clozapine toxicity in a lady with terminal lung carcinoma
A 92-year-old woman with terminal lung cancer died from clozapine toxicity after receiving medication intended for another resident. An Enrolled Nurse preparing the medication trolley inadvertently placed another residen…
Male·Fentanyl toxicity, with aspiration pneumonia as a significant contributing condi…
A man (ZA) died from fentanyl toxicity in custody at Shortland Correctional Centre after his cellmate, who had brought fentanyl into the prison by concealing it in his rectum, shared it with him. Both men snorted the pow…
75y · Male·acute bronchopneumonia in a man with comorbidities
A 75-year-old sentenced prisoner died from acute bronchopneumonia with comorbidities. Mr Rice had extensive medical complexity including COPD, cardiac disease, peripheral vascular disease, and diabetes. He was appropriat…
72y · Male·Diffuse large B cell lymphoma
Douglas Stott, a 72-year-old prisoner with diffuse large B cell lymphoma, died of natural causes in hospital on 7 January 2021. He had been receiving telehealth oncology consultations while incarcerated but refused in-pe…
69y · Male·Chronic obstructive pulmonary disease, congestive cardiac failure and injuries s…
A 69-year-old man with severe COPD, congestive cardiac failure, epilepsy and high falls risk died following a fall from his motorised scooter at a post office. He had left his nursing home alone without direct staff cont…
3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…
Baby R, born at 38 weeks gestation to a mother with previous pregnancy losses, was small-for-gestational-age (SGA, 10th centile). The mother was appropriately excluded from the hospital-supported home birth program due t…
0y · Male·Perinatal hypoxia
An 8-day-old neonate died of perinatal hypoxia on 14 December 2019, 8 days after emergency caesarean section. The infant presented with seizures, hypotonia, and severe encephalopathy. Autopsy revealed severe global cereb…
67y · Male·Multiple injuries sustained in an air crash
A Beechcraft King Air B200 aircraft crashed at Essendon Airport 10 seconds after takeoff, killing the pilot Maxwell Quartermain (age 67) and four passengers. The aircraft's rudder trim tab was in a 'full nose-left' posit…
Male·Multiple injuries sustained in an air crash resulting from loss of controllabili…
Five people died in a Beechcraft King Air aircraft crash at Essendon Airport, Victoria on 21 February 2017. The aircraft took off but almost immediately veered left, climbed to only 160 feet, then descended and collided …
Unknown·multiple injuries sustained in air crash resulting from aircraft rudder trim bei…
A Beechcraft King Air B200 aircraft crashed shortly after takeoff from Essendon Airport on 21 February 2017, killing the pilot Maxwell Quartermain and four American passengers. The ATSB investigation determined the aircr…
Male·Multiple injuries sustained in air crash, caused by aircraft rudder trim being s…
Five people died in a Beechcraft King Air B200 crash at Essendon Airport on 21 February 2017. The aircraft took off with its rudder trim set to 'full nose-left' instead of neutral, causing a severe leftward yaw that pilo…
44y · Male·Unascertained
Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonazepam, trama…
44y · Female·Hanging
Kerry-Ellen Knight, aged 44, died by suicide in custody at Silverwater Women's Correctional Centre on 5 March 2021 after only 6 days in custody. She was in COVID-19 quarantine in an old-style cell with prominent hanging …
43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…
A 43-year-old woman died of pulmonary embolism following Achilles tendon rupture. She fell in a car park on 4 October 2021, sustaining a right ankle injury initially treated conservatively with immobilisation. An Achille…
59y · Female·Myocardial infarction secondary to ischaemic heart disease
Colleen Mary Chapman, a 59-year-old woman with intellectual disability living in a community residential unit, died of myocardial infarction secondary to ischaemic heart disease, with WHO Class IV obesity as a contributi…
66y · Male·Ruptured abdominal aortic aneurysm
A 66-year-old man presented to the Emergency Department with left-sided abdominal pain on 14 July 2021. After waiting over 6 hours in a crowded ED with restricted access to treatment spaces, he left without medical asses…
76y · Male·Small bowel obstruction and acute renal failure, due to or as a consequence of m…
Adrian Adams, aged 76, died in Princess Alexandra Hospital from small bowel obstruction and acute renal failure secondary to metastatic colorectal cancer. He was serving an eight-year sentence for sexual offences at the …
54y · Female·hypothermia, likely related to drug toxicity
Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…
70y · Male·Multiple injuries sustained in a motor vehicle incident (pedestrian)
Colin Snooks, aged 70, died from multiple injuries sustained when struck by a motor vehicle driven by his former partner, Janice Bufton, on 30 October 2017. The death occurred in the context of a family violence relation…
35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…
Trevor Samuel, a 35-year-old Aboriginal and Torres Strait Islander man with treatment-resistant schizophrenia and psychogenic polydipsia, died in custody from hyponatraemia following excessive water consumption. His psyc…
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