36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…
Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiag…
15y · Male·head injury from motorcycle accident resulting in extensive brain injury and bas…
Jack MacNicol, a 15-year-old boy working on his family's cattle station, sustained a fatal head injury after falling from a motorcycle while mustering cattle without wearing a helmet. He suffered a severe head injury wit…
12y · Female·Cardio-respiratory failure due to aspiration pneumonia
Angelique Burton-Ho, age 12, with VACTERL syndrome and difficult airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately triaged initially, then readmitted that evening wi…
22y · Female·cardio-respiratory arrest as a consequence of drowning in freshwater
Natasha Charlesworth, 22, died from drowning following entrapment in the Tully River during a white water rafting tour with Raging Thunder. The raft capsized while navigating rapids, and Ms Charlesworth became trapped un…
76y · Female·Ludwig's angina
A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…
54y · Male·Early bronchopneumonia complicating subarachnoid haemorrhage due to a ruptured b…
Bac Lam Banh, a 54-year-old prisoner at Walpole Work Camp, suffered a ruptured berry aneurysm while working on 4 September 2012. He received prompt first aid from prison staff and emergency responders, with transfer to A…
57y · Male·hypoxic ischaemic brain injury complicating acute asthma
A 57-year-old man with asthma and hay fever died from hypoxic ischaemic brain injury following an acute asthma exacerbation during Melbourne's November 2016 thunderstorm asthma event. The deceased was outdoors during the…
50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus
A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriat…
0y · Unknown·unascertained
A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was…
28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…
Grant Cook, aged 28, collapsed during a rugby league game after a tackle caused him to fall and hit his head. He suffered a grand mal seizure with snoring/obstructed breathing, leading to respiratory arrest, cardiac arre…
48y · Male·undetermined
A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…
2y · Male·Myocarditis secondary to Kawasaki Disease
Christopher Tao, aged 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September…
17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis
James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…
48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…
Roy Rodney Jacobs, a 48-year-old Aboriginal man with cirrhosis and coronary artery disease, died of acute myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain an…
27y · Female·chest injuries
Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trials. She successfully negotiated fence 8A but fell at fence 8B. The coron…
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