69 results for “possible confusion”
57y · Male·cerebral arterial gas embolism (CAGE)
…made a rapid uncontrolled ascent causing gas embolism. Probable carbon monoxide exposure may have caused confusion contributing to the emergency. The death was entirely preventable through proper equipment maintenance, …
5y · Male·multiple stab wounds
A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in April 2018 following deteri…
55y · Female·UNASCERTAINED
This is a finding into the presumed death of Melva Jean Staff, who disappeared on 19 July 1981 whilst driving in regional Victoria. She had recently undergone surgery for an intracerebral tumour and was undergoing ongoin…
63y · Female·Aspiration of gastric contents and acute renal failure complicating intestinal p…
…ute renal failure complicating intestinal pseudo-obstruction. She presented with acute hyponatraemia and confusion on 30 October 2018. During her hospital stay, her hyponatraemia worsened despite fluid restriction and m…
64y · Male·Multiple severe injuries including skull fractures, vertebral fractures, bilater…
A 64-year-old male died in a head-on motor vehicle collision on the Bass Highway after driving the wrong way on a prohibited off-ramp. He had consumed approximately 750ml of beer and two shots of whisky, resulting in a b…
62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…
Michael Nelson, 62, died at Westmead Hospital on 3 May 2014 with multiple comorbidities including early-onset dementia, Parkinson's disease, neck dystonia (torticollis), and undernourishment. He presented to ED with inab…
72y · Male·multiple injuries resulting from catastrophic head injury with massive disruptio…
…ut the patient was determined. A trained nurse intervened without police direction, potentially creating confusion during negotiations. The police response was professional and timely. The death was not preventable give…
75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis
…n, warm right knee 10 days after a corticosteroid injection. Junior doctor Dr M. appropriately identified possible septic arthritis and contacted orthopaedic registrar Dr N., who advised withholding antibiotics pending j…
30y · Female·Multiple injuries due to motorcycle accident (pedestrian)
Amanda Lee Hirning, 30, died from multiple injuries sustained when struck by a motorcycle while crossing Stanley Street East in East Brisbane. She stepped onto the road 30-40 metres from a traffic light-controlled inters…
36y · Male·morphine toxicity
A 36-year-old man with morbid obesity, possible sleep apnoea, and respiratory symptoms died from morphine toxicity after taking three 100mg MS Contin tab…
80y · Male·Drowning
…treatment was appropriate, the observation error created a window where earlier detection might have been possible. Key clinical lessons include the importance of accurate documentation of observation orders, ensuring co…
88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…
An 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He w…
34y · Female·hypoxic brain damage complicating fresh water drowning
Alice Louise McTye, a 34-year-old woman with severe intellectual disability and epilepsy, died from hypoxic brain damage following fresh water drowning in a bath at a disability services residence. The coroner found she …
19y · Male·Jacob Allan Donohue: multiple (head, trunk and limb) injuries sustained as drive…
Two 19-year-old males died in a head-on motor vehicle collision on the Midland Highway near Oatlands, Tasmania. The driver of a Kia SUV unintentionally entered the opposing lanes while navigating roadworks in rainy, dark…
29y · Male·ligature compression of the neck (hanging)
…l history from family; (2) no medical assessment during 4+ hour wait despite deteriorating mental state (confusion, wandering at 7:15-7:30 am); (3) failure to implement the 'Did Not Wait' policy requiring follow-up of m…
64y · Male·complications in association with thermal injuries in a man with underlying chro…
…r cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including possible Korsakoff syndrome. Despite SAT guardianship orders and hospital care, he repeatedly discharged himself a…
50y · Male·Cerebral hypoxia and bronchopneumonia post episode of choking
Gregory Donald Cole, age 50, was a Wyndham Lodge aged care resident with significant disabilities including post-stroke paralysis and dysphagia requiring modified diet. He died on 25 June 2009 from cerebral hypoxia and b…
37y · Male·Gunshot wound to the abdomen
A 37-year-old deer hunter was fatally shot in the abdomen by a fellow hunter in a remote, densely vegetated area near Dandongadale, Victoria. The incident occurred approximately two hours before emergency services reache…
31y · Male·Status epilepsy secondary to cerebral cavernoma
Jesse Riley, a 31-year-old with undiagnosed cerebral cavernoma, experienced status epilepticus triggered by an unknown cause (possibly nicotine from recent vaping). While in post-ictal delirium, he was perceived as aggre…
29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …
Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…
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