2,427 results
56y · Male·Benzalkonium chloride toxicity
Stephen Lim, aged 56, died from benzalkonium chloride toxicity after deliberately ingesting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to asp…
86y · Female·Multiple organ failure following sepsis due to infected pressure ulcer of the hi…
Jean May Reardon, an 86-year-old widow living at home with limited mobility, required care from her adult children. Following an influenza illness, she developed multiple pressure ulcers within 7-10 days, particularly on…
51y · Female·Pulmonary thromboembolism in the setting of morbid obesity
Ms Quinlan, a 51-year-old woman with morbid obesity (BMI 74.2), depression, bipolar disorder and recent diabetes diagnosis, died from pulmonary thromboembolism while an involuntary psychiatric inpatient. She presented wi…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…
This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…
32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…
This inquest examined the deaths of Benjamin Green (aged 32) and William Markee (aged 58) on 15 May 2015 in Nimmitabel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated…
72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma
A 72-year-old woman died of sepsis complicating chemotherapy for non-Hodgkin's lymphoma. She presented to ED with severe abdominal pain, elevated lactate (6.1 mmol/L), and signs of shock. The surgical team failed to reco…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: failure to cease anticoa…
43y · Male·acute neck compression due to hanging
Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…
87y · Male·Strangulated small bowel due to adhesions from previous abdominal surgery
An 87-year-old man with diabetes, hypertension and dementia was admitted with presumed UTI and dehydration. Within 24 hours, nursing staff observed a distended abdomen and bile-stained vomiting—clinical signs of bowel ob…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…
23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…
Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…
21y · Male·injuries sustained when struck by train
Michael Sean Daly, 21, died after being struck by a train on 22 August 2015 whilst under the influence of LSD. The coroner found he was incapable of forming suicidal intent due to the drug's effects. Clinical lessons: th…
64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…
Mr P, aged 64, presented to Royal Hobart Hospital's Emergency Department in October 2012 with severe central abdominal pain. The ED consultant diagnosed bowel obstruction but failed to consider critical complications suc…
65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…
A 65-year-old man presented with quad bike accident injuries and had markedly elevated inflammatory markers (CRP 329–556, WCC 12.3–18) during his first hospital admission. These were suggestive of developing infection, p…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
Mark Gordon, 51, presented to Royal Hobart Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experi…
53y · Male·Bilateral ACA stroke
A 53-year-old man presented to the emergency department with acute stroke symptoms (left-sided hemiplegia and dysphasia) with onset around 10:30 am. Due to fluctuating symptoms and delays in stroke team referral, he was …
55y · Male·Complications of right middle cerebral artery infarction
Simon Mark Everill, a 55-year-old man with intellectual disability and epilepsy, suffered a right middle cerebral artery infarction on 3 September 2014 after experiencing two falls during a day service activity. His symp…
33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)
A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiazepines). He engaged in 'prescription shopping' across multiple medical practices, …
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the s…
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