918 results
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
Male·neck compression due to hanging
Two men died by suicide within five months of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after mi…
82y · Male·Pneumonia on a background of ischaemic and hypertensive heart disease
An 82-year-old man with advanced dementia, hearing impairment, and multiple comorbidities (ischaemic heart disease, hypertension, COPD) died of pneumonia at a residential aged care facility. He had been under guardianshi…
77y · Male·septic shock due to cellulitis of the left forearm
Malcolm Falkenberg, a 77-year-old man with dementia, died from septic shock due to cellulitis of the left forearm. He had been living independently with declining self-care and hygiene. Following a guardianship order, he…
63y · Male·coronary artery thrombosis
A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had severe triple-vessel coronary artery disease with acute throm…
66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease
A 66-year-old woman died from cardiac failure due to atherosclerotic and hypertensive heart disease. She presented to a rural GP with ankle oedema, cough, and palpitations during interstate travel. The GP diagnosed mild …
67y · Female·choking and ischaemic heart disease
Patricia Ann Fidge, 67, died at The Queen Elizabeth Hospital from choking and ischaemic heart disease. She was admitted with delirium, hypernatremia, and multiple comorbidities including COPD and sleep apnoea. While eati…
84y · Female·acute left subdural haematoma
Marie Janet Ford, 84 years old with dementia, fell from a chair at a residential aged care facility and sustained an acute left subdural haematoma. She was on warfarin for deep vein thrombosis and atrial fibrillation. In…
0y · Female·Blunt head trauma from multiple deliberate blows inflicted by father
Ebony Napier, aged 4 months, died from blunt head trauma resulting from multiple deliberate blows inflicted by her father Bradley Napier-Tucker over several weeks. A critical failure occurred when the South Australian ch…
83y · Male·end stage Alzheimer's disease (dementia)
An 83-year-old man with end-stage Alzheimer's disease died at a nursing home where he had resided since 2011. He was subject to guardianship orders including detention powers under section 32 of the Guardianship and Admi…
53y · Male·smoke inhalation and effects of heat from motor vehicle fire
A 53-year-old man died from smoke inhalation and heat effects after a vehicle fire while he was evading police apprehension inside a crash repair shop. In the weeks prior, he exhibited increasingly irrational and paranoi…
92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…
Mrs Betty Hewlett, 92, died of community-acquired pneumonia on a background of end-stage COAD. She was admitted to hospital in late December 2012 with health deterioration and malnutrition (38kg). She developed acute psy…
79y · Male·ischaemic heart disease
A 79-year-old man with a history of myocardial infarctions, coronary artery bypass graft, schizophrenia, and ischaemic heart disease died of acute cardiac failure while detained in a mental health facility. He had been a…
84y · Male·ischaemic heart disease on a background of advanced Lewy body dementia
An 84-year-old man with Lewy body dementia died from ischaemic heart disease while detained under a Mental Health Act order. He was admitted to hospital for management of aggressive behaviour related to his dementia. Dur…
75y · Male·Multiorgan failure complicating mixed drug toxicity
A 75-year-old man with end-stage cardiac failure and chronic renal failure died from multiorgan failure complicating mixed drug toxicity following intentional overdose of alcohol, temazepam, and oxycodone. He had express…
35y · Female·coronary artery dissection
Fiona Selby-Fullgrabe, 35, presented to Wallaroo Hospital with chest pain, arm weakness, and diaphoresis. Ambulance noted elevated troponin (121) and activated the chest pain protocol. However, Dr M. discharged her after…
83y · Female·right middle cerebral artery infarct/stroke
Mrs Arsho Balian, an 83-year-old woman with dementia, schizophrenia, diabetes and recurrent UTIs, suffered a right middle cerebral artery stroke while resident in aged care under a guardianship order. She was appropriate…
79y · Male·cardiovascular degeneration
John Alfred Beasley, aged 79, died of cardiovascular degeneration at Resthaven aged care facility on 16 August 2012. He had multiple chronic conditions including Type 2 diabetes, hypertension, cerebrovascular disease wit…
65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids
A 65-year-old man with multiple chronic conditions (COPD, cardiac failure, diabetes, obesity) was admitted with pneumonia and severe ischaemic right leg pain. Opioid analgesia for the leg pain precipitated delirium, requ…
75y · Female·exacerbation of end-stage chronic obstructive pulmonary disease
Judith Beverley O'Leary, 75-year-old woman with end-stage COPD, dementia, depression and multiple comorbidities, died from exacerbation of COPD with secondary respiratory tract infection. She was placed under guardianshi…
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