383 results
88y · Male·acute traumatic left cerebral convexity subdural haematoma
An 88-year-old man with age-related cerebral atrophy fell at home on 10 August 2022, injuring his thumb. He presented to the ED alert and orientated, denying head strike or loss of consciousness. His thumb dislocation wa…
68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…
A 68-year-old man presented to the emergency department with two episodes of fresh rectal bleeding and elevated blood urea. Despite stable vital signs, he was discharged after two hours with haemorrhoid suppositories and…
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 in October 2020 with a stage-two sacral pressure injury …
84y · Male·Head injury - left lateral convexity acute subdural haematoma with 2mm midline s…
An 84-year-old man with Parkinson's disease and moderate dementia was admitted to a rehabilitation unit after a fall at an acute hospital. He had been assessed as high falls risk and required a patient sitter at the acut…
40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …
Trent Ian Johnston, a 40-year-old man with a history of chronic paranoid schizophrenia, alcohol and substance abuse, died from aspiration pneumonitis complicated by mixed drug toxicity (codeine, morphine, diazepam, parac…
86y · Male·aspiration pneumonia following injuries sustained in a motor vehicle crash and p…
Kenneth Warn, 86, sustained a T12 burst fracture and bilateral pleural effusions from a motor vehicle crash on 1 March 2024 while a passenger in a Mercedes panel van. The driver suddenly lost control on Tea Tree Road; th…
41y · Female·frontal lobe ischaemic infarcts (strokes) caused by cerebral artery vasospasm co…
A 41-year-old woman died from frontal lobe ischaemic infarcts caused by cerebral vasospasm complicating subarachnoid haemorrhage from a ruptured aneurysm. She presented to multiple healthcare providers over five days wit…
69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…
Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…
38y · Female·end stage renal failure (Stage 5 chronic kidney disease)
Ms Harwood, a 38-year-old transgender woman with end-stage renal disease, died of natural causes following refusal of dialysis. Her mother claimed the death was suicide prompted by fear of returning to prison following a…
93y · Female·acute right lower limb ischaemia
Adelina Zito, a 93-year-old resident of an aged care facility, died from acute limb ischaemia after a 6-7 day delay in escalating her care. She developed right leg pain around 26-28 July 2022 that worsened despite parace…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
A 77-year-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousne…
Female·drowning (all three deceased)
This coronial finding examined three flood-related deaths in Tasmania during June 2016 following exceptional rainfall. Mary Allford drowned when her Latrobe home was inundated; Trevor Foster was swept away at Ouse; Peter…
26y · Female·Multiple head, chest and limb injuries sustained in a motor vehicle crash
Danielle Kate Walker, a 26-year-old experienced driver, died in a head-on motor vehicle collision on Boyer Road, Tasmania on 3 June 2023. The crash was caused entirely by the driver of the other vehicle, Graham John Free…
37y · Female·sepsis due to necrotising fasciitis following abdominoplasty with liposuction
A 37-year-old woman died from sepsis due to necrotising fasciitis following abdominoplasty and liposuction. She was discharged on post-operative day 4 with severe pain, nausea, and vomiting, which were attributed to norm…
86y · Male·Traumatic closed head injury suffered in a fall
Alan Noel Sheedy, 86 years old, died from traumatic closed head injury sustained in a fall at a residential aged care facility. He had been admitted for respite care following previous falls and was assessed as moderate …
76y · Male·Extensive small bowel infarction caused by superior mesenteric artery thrombus
A 76-year-old man presented to ED with sudden onset left-sided abdominal pain, vomiting and bowel incontinence. Initial CT imaging was reassuring. However, mesenteric ischaemia—characterised by severe pain without signif…
91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…
Shirley Dorothy Dawn Martin, an 91-year-old with advanced Alzheimer's disease and multiple comorbidities, sustained a hip fracture from an unwitnessed fall at an aged care facility on 8 August 2022. She underwent surgica…
64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …
A 64-year-old man with complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed…
62y · Male·Mediastinitis due to perforated oesophagus, with severe emphysema as a contribut…
A 62-year-old man with severe emphysema and chronic oesophageal stricture died from mediastinitis secondary to perforated oesophagus. He had undergone 46 oesophageal dilations since December 2022, with frequent mucosal t…
18y · Male·head injury sustained in motor vehicle crash
Hayden Kennedy, 18, died from a head injury sustained as a passenger in a Polaris UTV driven by Thomas Rowlands. The vehicle crashed into a tree stump on a rural gravel road after Rowlands lost control negotiating a curv…
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