278 results
84y · Female·allergic reaction to metoclopramide (Maxalon) in a woman with acute myocardial i…
An 84-year-old woman with acute myocardial infarction (AMI) and ischaemic bowel died following an allergic reaction to intramuscular metoclopramide (Maxalon) administered by nursing staff without a doctor's order, despit…
65y · Male·Cardiac tamponade whilst undergoing CT-guided pericardiocentesis; perforation of…
A 65-year-old man with history of left pneumonectomy, COPD and cardiomyopathy died from cardiac tamponade during CT-guided pericardiocentesis. Key clinical issues: (1) Necessity of procedure was questionable—patient pres…
42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…
Glen Kingsun, 42, died from cardiac arrhythmia secondary to electrolyte imbalance and verapamil toxicity. He had complex medical needs requiring multiple specialist and GP care. Critical failures occurred: (1) Medication…
46y · Male·Complications of diabetic nephropathy
A 46-year-old man with a 25-year history of schizophrenia, poorly controlled type 2 diabetes, polysubstance abuse, and end-stage renal failure died from complications of diabetic nephropathy. He was admitted involuntaril…
71y · Female·Diffuse Lymphoid Malignancy
Mary Una Barnett, a 71-year-old woman in custody at Dame Phyllis Frost Centre, died from diffuse lymphoid malignancy (high-grade lymphoma) discovered shortly before her death. She had extensive comorbidities including ch…
58y · Male·Haemopericardium secondary to ruptured right coronary artery aneurysm
Anthony Mahoney, a 58-year-old man with intellectual disability living in a disability residential unit, died from haemopericardium secondary to rupture of a right coronary artery aneurysm. The aneurysm had been identifi…
74y · Female·haemothorax secondary to dissecting thoracic aorta
Mrs Petzierides, a 74-year-old woman, presented to the emergency department with sudden-onset, severe left scapular pain radiating to the jaw, occurring shortly after midnight. She was assessed by an emergency medicine r…
44y · Male·Effects of fire and smoke inhalation
A 44-year-old male died from fire and smoke inhalation following a single-vehicle motor collision on a wet road at high speed (≥117 km/h) in a 60 km/h zone. He was driving under the influence of cannabis (THC 1 ng/mL), h…
61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…
A 61-year-old woman with pathological obesity died from peritonitis secondary to anastomotic leak following laparoscopic sleeve gastrectomy. The procedure itself was appropriate for her failed previous lap band surgeries…
92y · Female·Ischaemic heart disease in the setting of inappropriate administration of antihy…
Norma Bensley, a 92-year-old aged care resident, died from ischaemic heart disease after being inadvertently administered another resident's antihypertensive medications. A newly qualified nurse administered the wrong me…
87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…
87-year-old Margaret Martyr-Paterson, a low-care resident with dementia and ischaemic heart disease at Shoreham House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multi…
78y · Male·Ischemic heart disease
Geoffrey Ashton, a 78-year-old with significant ischemic heart disease, died in the foyer of Croydon Police Station on 17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggere…
21y · Male·dilated cardiomyopathy
Dean Lovett, 21 years old, presented with fever, vomiting, cough and palpitations to his general practitioner on 6 September 2008. Dr G. identified clinical signs concerning for cardiac disease (tachycardia, finger clubb…
84y · Female·complications of mixed drug toxicity (morphine, zolpidem and alprazolam) in a wo…
An 84-year-old woman with dementia, ischaemic heart disease, and cancer died from mixed drug toxicity (morphine, zolpidem, alprazolam) while visiting her daughter. Her daughter, who had a history of depression and PTSD, …
51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…
Sean Raymond Adams, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea.…
56y · Male·Hypoxic ischaemic encephalopathy following cardiac arrest
Anthony Gaylard, a 56-year-old man with severe intellectual disability living in residential care, suffered a cardiac arrest on 14 September 2012 (note: document states 2007 in one place, 2012 elsewhere; finding date is …
4y · Male·hypoxic brain injury complicating out of hospital cardiac arrest (unknown cause)
Xavier Hart, a 4-year-old boy with obstructive sleep apnoea due to adenotonsillar hypertrophy, was found unresponsive and apnoeic at home on 21 December 2011. Despite immediate CPR and intensive resuscitation, he suffere…
39y · Male·Acute myocardial infarction arising from coronary artery atherosclerosis
Andrew Timothy Davies, a 39-year-old prisoner, presented with chest pain in August 2007. A 12-lead ECG was performed by Nurse Skrabl, a Division 2 registered nurse, showing abnormalities consistent with inferior myocardi…
63y · Male·Ischaemic heart disease and aortic stenosis
Walter Leonard Colyer, a 63-year-old man with intellectual disability living in supported residential care, died suddenly from ischaemic heart disease and aortic stenosis while visiting his sister. He had known aortic st…
72y · Male·ischaemic heart disease secondary to coronary artery disease
A 72-year-old man with hypercholesterolaemia and obesity presented to the ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus diagnosis based on pleurit…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.