3,425 results
41y · Male·Cardiomegaly in a man with WHO Class III obesity
Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …
16y · Male·Complications of acute alcohol intoxication
A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …
60y · Female·Complications of urinary tract disease in the setting of COVID pneumonitis on th…
A 60-year-old woman with complex comorbidities (diabetes, post-stroke paralysis, hypertension, ischaemic heart disease) residing in specialist disability accommodation tested positive for COVID-19 on 31 August 2023. She …
73y · Male·Head injury sustained in an e-scooter accident
A 73-year-old man died from head injuries sustained in an e-scooter accident. He was riding on a non-shared footpath without a helmet, carrying unwieldy cargo in one hand which compromised vehicle control. He lost contro…
24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging
Jayke Aleckson, 24, died by hanging in a non-BDRP compliant prison health cell while on remand at Marngoneet Correctional Centre in October 2018. Key clinical lessons: (1) Multiple unmet requests for antidepressant medic…
50y · Male·Motor neurone disease
Ronald Lalli-Cafini, a 50-year-old NDIS participant with motor neurone disease, died of natural causes at Bacchus Marsh Hospital. The coroner found no evidence of deficient clinical management or care by the Supported In…
63y · Male·Aspiration pneumonitis with contributing conditions of ischaemic gut, dysphagia …
Robert Easter, 63, a man with cerebral palsy, intellectual disability, blindness and hearing impairment, died of aspiration pneumonitis following admission to hospital with a choking episode, vomiting, lethargy and abdom…
66y · Female·Right middle cerebral artery and posterior cerebral artery stroke
Rose Gajica, a 66-year-old NDIS participant with advanced multiple sclerosis residing in supported accommodation, suffered two major strokes on 11 December 2022 whilst at home. Emergency services were immediately called …
52y · Male·Right severe Middle Cerebral Artery stroke
Timothy Jeitz, a 52-year-old NDIS participant living in supported accommodation, died from a right severe middle cerebral artery stroke on 22 January 2023 at Wimmera Base Hospital. He suffered the stroke at home on 18 Ja…
61y · Female·Decompensated liver failure - Child's Pugh B cirrhosis secondary to renal failur…
Debra Louise Goold, a 61-year-old NDIS participant living in Specialist Disability Accommodation, died from decompensated liver failure (Child's Pugh B cirrhosis) and renal failure. She was admitted to Ballarat Base Hosp…
64y · Female·Cholecystitis with significant contributing condition of secondary progressive m…
Marie Therese Brolan, a 64-year-old NDIS participant with secondary progressive multiple sclerosis residing in supported accommodation, died from cholecystitis following admission to hospital for recurrent gallbladder in…
37y · Male·Pseudomonas pneumonia
Peter Keating, a 37-year-old man with cerebral palsy and intellectual disability living in supported accommodation, died from pseudomonas pneumonia following a month-long hospitalisation. He was admitted in November 2022…
64y · Male·Acute renal failure with significant contributing condition of stroke
Paul Munt, a 64-year-old NDIS participant with severe acquired brain injury living in supported accommodation, died of acute renal failure with stroke as a contributing condition. He was assessed by his GP on 17 July 202…
53y · Female·Recurrent aspiration pneumonitis secondary to cerebrovascular accident and conge…
Sonya Marshman, a 53-year-old woman with cerebrovascular accident and congenital rubella, died from recurrent aspiration pneumonitis at her specialist disability accommodation residence. She declined in February 2023, wa…
45y · Female·COVID pneumonia complicated by severe electrolyte abnormalities
A 45-year-old woman with cerebral palsy, Smith-Lemli-Opitz syndrome, and blindness died from COVID pneumonia complicated by severe electrolyte abnormalities. She was admitted three times over 3 weeks with progressive ele…
0y · Male·Hypoxic ischaemic encephalopathy due to an out of hospital cardiac arrest second…
A 10-month-old boy drowned in a backyard fishpond after a 27-minute period of inadequate supervision. He was found unresponsive by his aunt and underwent prolonged resuscitation, suffering severe hypoxic brain injury. De…
Unknown·Drowning (Reema Sondhi, Jagjeet Singh Anand, Kirti Bedi); Complications followin…
Four members of a family group from India drowned at Forrest Caves Beach, Phillip Island on 24-25 January 2024. All four deceased had limited or no swimming ability and no experience with Australian ocean conditions. The…
58y · Male·Aspiration pneumonia in the setting of recurrent aspiration pneumonia and heart …
Paul Philpott, a 58-year-old man with Down's Syndrome, died from aspiration pneumonia with recurrent aspiration and heart failure. He was found non-responsive and vomiting in his supported accommodation on 28 March 2023,…
64y · Female·End stage renal failure in the setting of sepsis
Elizabeth Shine, a 64-year-old NDIS participant living in Specialist Disability Accommodation, died from end-stage renal failure complicated by sepsis. She presented with a blocked parotid gland treated with antibiotics.…
65y · Male·Metastatic lung cancer
James Van Wyk, a 65-year-old NDIS participant living in Specialist Disability Accommodation, died from metastatic lung cancer. He presented with breathing difficulty and chest pain on 16 July 2023, was diagnosed with ple…
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