1,488 results
27y · Male·Head injury
Abdullahi Bashir, 27, died from a severe head injury sustained during an alleged altercation on 7 June 2017. Following a punch to the face, he fell backwards and struck his head on the road. He was taken to a private res…
54y · Male·hypoglycaemic encephalopathy complicating multiple injuries in a man with chroni…
James Williamson, a 54-year-old man with diabetes, chronic lung disease, and ischaemic heart disease, died from hypoglycaemic encephalopathy following multiple traumatic injuries. He was found unresponsive in his apartme…
41y · Male·Multiple injuries to head, trunk and limb sustained in motorised bicycle collisi…
Nathan John Hardie, aged 41, died from multiple injuries sustained in a motorised bicycle collision with a parked truck on 25 May 2021, five days after the accident on 30 April 2021. He was riding an unregistered, unroad…
38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…
A 38-year-old man with chromosome 1 short arm deletion syndrome, intellectual disability, and scoliosis died from sepsis following iatrogenic pneumothorax and emergency laparotomy for small bowel obstruction. He was admi…
1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…
A 19-month-old girl with history of Wilms tumour presented to Launceston General Hospital with vomiting, pain and lethargy. A Children's Early Warning Tool score of 6 triggered mandatory protocols including senior doctor…
24y · Male·methylamphetamine toxicity
LT, a 24-year-old male prisoner, died from methylamphetamine toxicity after ingesting multiple drug-filled balloons that ruptured in his stomach. He had received a prison visit from two individuals with prior contraband-…
91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…
A 91-year-old man with known diltiazem allergy was prescribed diltiazem by a geriatrician despite documented allergy records. The geriatrician relied on the patient's verbal denial of allergies despite significant dement…
20y · Male·Head injury
Khaled El Rafihi, a 20-year-old apprentice electrician, died from head injuries sustained during a 'ute surfing' incident. He was sitting on the rear boot lid of a moving utility vehicle when he fell onto the road and st…
43y · Female·Hypoxic ischaemic encephalopathy secondary to out of hospital cardiac arrest due…
43-year-old woman with severe, undiscovered coronary artery atherosclerosis died from out-of-hospital cardiac arrest while in police custody at Dame Phyllis Frost Centre. She had presented to ED 5 months earlier with leg…
Female·Not definitively stated in judgment; death followed complications from initial s…
This judgment concerns a pre-inquest motion by the Christian Congregation of Jehovah's Witnesses challenging the scope of a coronial inquiry into Heather Winchester's death. Mrs Winchester died following emergency surger…
17y · Male·Circulatory failure caused by traumatic brain injury from being struck by a log
Christiaan Adriaan Roodt, a 17-year-old Year 10 student, died from traumatic brain injury when struck by a 6-metre log during a 'Capture The Flag' game at Mount Ainslie, near his school. Key clinical lessons: (1) The ina…
84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …
An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…
47y · Male·Follicular lymphoma with transformation to acute lymphoblastic leukaemia and the…
Matthew Geoffrey Smith, a 47-year-old man imprisoned for sexual offences, died in the ICU of Prince of Wales Hospital on 5 May 2022 from follicular lymphoma that had transformed to acute lymphoblastic leukaemia with comp…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 A…
79y · Male·complications of peritonitis
A 79-year-old man with multiple comorbidities presented with a perforated bowel requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the…
16y · Male·cardiac arrhythmia or hypoxia in the setting of hydrocarbon inhalation
Bradley Hope, 16, died from cardiac arrhythmia or hypoxia following inhalation of hydrocarbon propellants from an aerosol deodorant purchased at a supermarket self-checkout. After engaging in volatile substance use with …
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…
67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…
A 67-year-old woman died from intra-abdominal sepsis following an anastomotic leak from elective colorectal surgery to repair a vesico-colic fistula. The initial surgery on 1 November 2017 was appropriately performed, an…
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department. She presented with …
68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…
A 68-year-old man died of community-acquired pneumonia complicated by asplenia (absent splenic function), chronic liver disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia,…
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