2,427 results
20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…
A 20-year-old woman with Down syndrome and Eisenmenger syndrome (cyanotic heart disease with ventricular septal defect) was admitted with abdominal obstruction. After appropriate diagnostic workup, laparotomy was perform…
24y · Female·multi organ failure due to meningococcal septicaemia
24-year-old woman presented to ED with fever (40.1°C), headache, myalgia and mild photophobia. RMO Dr R., relatively inexperienced (5 weeks in Australia), examined her thoroughly but focused on excluding meningitis throu…
31y · Male·hanging (self-inflicted)
Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after …
2y · Female·septicaemia
Zena Stevens, a 2.5-year-old Aboriginal girl, died from septicemia at Tennant Creek Hospital on 14 January 2005. She had presented to clinic on 11 January with fever, purulent ears and a recently lanced abscess after rec…
Male·Multiple crush injuries to the upper chest and neck sustained in a drilling rig …
Scott Karajic died when a stand of drill collars fell through a stabbing mat and crushed him against a mouse hole on a gas drilling rig at Berwyndale South on 28 February 2003. Despite comprehensive safety policies and a…
20y · Male·Hanging (wilful murder by Andrew Thomas Kranz)
Michael James Adams, aged 20, died by hanging in prison on 11 September 1997. He was placed in Unit 7B at Sir David Longland Correctional Centre despite documented concerns from medical and correctional staff about his s…
40y · Male·Asphyxia caused by a seizure resulting from severe alcohol intoxication. Underly…
Paul Meech, a 40-year-old man with bipolar affective disorder, died of asphyxia caused by a seizure from severe alcohol intoxication while in police custody at Hervey Bay watch house. Critical failures occurred: (1) The …
70y · Female·fungal pneumonia as a complication of breast cancer and its treatment
Dolly Granites, a 70-year-old Aboriginal woman, died from fungal pneumonia complicating breast cancer in September 2004. A significant 17-month delay occurred between initial detection of a breast lump in October 2002 an…
21y · Male·Multiple stab wounds inflicted by Andrew Kranz who was assisted in the murder by…
David Edward Smith, 21, was murdered in prison by inmates with 31 stab wounds after being forcibly moved to a high-risk unit despite clear and repeated warnings of danger. Staff ignored his requests for protection and fa…
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…
33y · Male·Self-inflicted hanging
Troy Crossman, a 33-year-old prisoner at Borallon Correctional Centre, died by hanging in his cell on 17 March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts.…
49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …
David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…
74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…
Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failur…
22y · Male·Mixed Diflunisal and Buproprion (Zyban) toxicity
A 22-year-old man presented to Royal Adelaide Hospital's Emergency Department after taking approximately 110 Zyban (bupropion) tablets as a suicide attempt. Unknown to treating staff, he had also ingested a potentially l…
20y · Male·Pelvic Injury
Peter Daryl Samson, a 20-year-old Aboriginal male, died from a pelvic fracture sustained in a motor vehicle rollover on 22 September 2003. He was brought to Derby Regional Hospital where he was assessed briefly by nursin…
31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…
Laura Marguerite Sinclair, 31-year-old primigravida, died from post-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at…
15y · Male·Ligature Compression of the Neck (Hanging)
Jake Dunne-Heynis, a 15-year-old Year 11 student at Exmouth District High School in rural Western Australia, died by suicide on 23 June 2004, two days after hanging himself at home. Jake had motor coordination difficulti…
46y · Male·Upper airway obstruction due to acute tonsillitis with laryngeal oedema and haem…
A 46-year-old man with acute tonsillitis complicated by upper airway obstruction died at Cunderdin District Hospital. He presented with severe pharyngitis on 5 September 2002, was admitted to Kellerberrin Memorial Hospit…
3y · Male·fatal stab wounds to the heart inflicted by his aunt Natalia Perry during an app…
A 3-year-old child was fatally stabbed by his aunt, Natalia Perry, a forensic patient with schizophrenia on limited community treatment (LCT), shortly after being discharged from emergency department. Perry had jumped fr…
34y · Male·multi-organ failure with right-sided tension pneumothorax
A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…
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