1,488 results
79y · Female·medication related cardiac arrest (verapamil and propranolol) in a patient with …
Mrs Patricia Croxon, a 79-year-old admitted with community-acquired pneumonia, died from medication-related cardiac arrest caused by verapamil and propranolol. The verapamil was charted in immediate release form when she…
72y · Male·acute cerebral infarction complicating acute myocardial infarction
Ronald Bromage, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without perfo…
31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…
Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: inadeq…
45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…
David Smith, aged 45, died from haemorrhagic transformation of cerebral infarction secondary to essential thrombocytosis with bilateral internal carotid artery thrombosis. He developed an acute ischaemic stroke on 9 July…
76y · Male·Complications following head injuries (operated)
A 76-year-old man died from complications of head injuries sustained during an altercation. After his vehicle was stolen, the deceased became intoxicated and angry, went to a nearby address with an axe believing the occu…
17y · Male·head injury in a fall from a height
Bailey Blackwell, a 17-year-old Aboriginal man, died from a head injury sustained in a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open cliff face, the ground…
55y · Male·right intracerebral haemorrhage and left middle cerebral artery cerebrovascular …
Wayne Shore, 55, died from right intracerebral haemorrhage and left middle cerebral artery stroke complicating infective endocarditis, end-stage renal failure, and multiple myeloma. He was subject to a Level 1 Inpatient …
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulati…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
Andrea Lester, age 49, suffered a subarachnoid haemorrhage from a PICA aneurysm in March 2018 with delayed diagnosis. Following complex neurosurgery causing Wallenberg syndrome, she required tracheostomy for bulbar dysfu…
51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…
Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …
27y · Male·Global cerebral ischaemic injury in the setting of hanging
Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric uni…
6y · Male·cardiopulmonary arrest on a background of earlier cardiac arrests and resuscitat…
Austin Facer, a 6-year-old boy, suffered multiple cardiac arrests at school on 21 October 2019, initially resuscitated successfully, but died during transfer preparation to a higher-level hospital that evening. Autopsy r…
3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…
A 3-year-old boy with septo-optic dysplasia and panhypopituitarism died from hypoxic ischaemic encephalopathy secondary to adrenal crisis and hypoglycaemic shock. He was in state care and had an emergency management plan…
64y · Male·Pulmonary thromboembolus as a result of bilateral deep vein thrombosis which dev…
RW, a 64-year-old with chronic ischaemic heart disease, suffered traumatic brain injury from an intentional motorcycle collision and underwent emergency neurosurgery. He was subsequently treated with unfractionated hepar…
55y · Female·exsanguination due to a gunshot wound to the upper left chest
A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) and was managed by her general practitioner and Tasmania Heal…
58y · Male·complications of large bowel pseudo-obstruction
Paul Desmond Smith, aged 58, died from complications of large bowel pseudo-obstruction following discharge from hospital after inadequate assessment. He had presented to the ED with lower abdominal pain and severe faecal…
25y · Male·Ruptured berry aneurysm and sequelae resulting in catastrophic subarachnoid and …
A 25-year-old Aboriginal man on remand in custody collapsed during a shower and was found to have suffered a catastrophic ruptured berry aneurysm causing massive subarachnoid and intracerebral haemorrhage with brain deat…
3y · Unknown·High grade pontine glioma
A three-year-old child in foster care died from high-grade pontine glioma, an aggressive brain tumour. The child had presented with severe developmental delay, behavioural problems, and global developmental concerns attr…
55y · Male·Urosepsis and pneumonia, with contributing factor of Down syndrome
Gregory Duffy, a 55-year-old man with Down syndrome and intellectual disability living in supported accommodation, died from urosepsis and pneumonia following recurrent urinary tract infections. He had multiple UTIs duri…
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