86y · Male·hospital acquired pneumonia
…at home. He had significant comorbidities including dysphagia with aspiration risk, severe malnutrition, asbestosis, pulmonary fibrosis, and prior strokes. The Coronial Medical Consultant found the hospital care was of g…
79y · Male·Acute Myocardial Infarction; Underlying multiple pathologies including vascular …
79-year-old man with complex medical history (ischaemic heart disease, pulmonary fibrosis, pacemaker, renal impairment, vascular dementia) died from acute myocardial infarction while in acute psychiatric care. He was tra…
76y · Male·Pancreatic cancer
John Stuart Knox, aged 76, died from pancreatic cancer while in custody at Port Phillip Prison. He had been diagnosed with unresectable pancreatic adenocarcinoma in September 2020 and was receiving palliative care. He wa…
76y · Male·Pleuropulmonary Malignancy on the background of End-Stage Obstructive Pulmonary …
John Little, a 76-year-old man in custody, died from pleuropulmonary malignancy on a background of end-stage COPD. He had significant long-standing health problems including COPD related to smoking and asbestos exposure,…
Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…
Three men died in custody in Tasmania between 2016 and 2017. Ronald Grundy (80) died of advanced atherosclerotic coronary vascular disease while hospitalised with pneumonia and gastroenteritis; his treatment was adequate…
88y · Female·Complications of cholecystectomy surgery
Margaret Mariani, 88, died from complications of laparoscopic cholecystectomy for gallstone-induced pancreatitis. An iatrogenic small bowel perforation, likely caused by inadvertent suturing during closure, led to perito…
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