57y · Male·Bilateral bronchopneumonia in a man with asthma, tetraplegia and multiple other …
Andrew McDougall, 57, a man with complex medical comorbidities including tetraplegia, COPD, asthma, ischaemic heart disease and diabetes, died from bilateral bronchopneumonia at his supported disability ac…
74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …
William Berger, a 74-year-old man serving a life sentence for murder, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contri…
20y · Female·acute asthma
Hope Carnevali, a 20-year-old law student with a history of severe allergic asthma and hay fever, died during the Melbourne Thunderstorm Asthma event on 21 November 2016. She experienced ac…
3y · Male·unascertained
…rs); (2) the missed opportunity to take chest pain more seriously in a child with respiratory symptoms and asthma history; (3) the need for systems to flag multiple medical presentations to alert clinicians to underlying…
36y · Male·bronchial asthma
Nathan Reynolds, a 36-year-old Aboriginal man with severe asthma, died from bronchial asthma in prison on 1 September 2018. His death exposed critical failings in both imm…
15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis
Jack Glen Irvine, a 15-year-old with documented severe nut allergies and asthma, died from anaphylaxis triggered by consuming a macadamia nut cookie at a Victorian Karting Association ca…
65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…
…limited forensic investigation. The coroner could not definitively prove suicide versus natural disease exacerbation. Critical lessons: (1) when suspicious circumstances suggest intentional harm, thorough forensic testin…
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
…bglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU with asthma exacerbation from respiratory infection, then transferred to a general ward on 20 May 2015. Critical failu…
87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…
Maureen 'Kitty' McDonald, 87, died from terminal exacerbation of COPD with an antecedent sacral pressure wound infection. She was admitted to residential aged care i…
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
A 62-year-old woman with chronic schizophrenia died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. She had been on escitalopram (SSRI) for depress…
13y · Male·Malignant hyperthermia due to a reaction to an anaesthetic agent administered to…
Louis Tate, a 13-year-old with known allergies to cow's milk, raw egg, peanuts and tree nuts, died following anaphylaxis to breakfast provided in hospital. Despite reasonable medical management of the anaphylactic reacti…
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