1,489 results
55y · Female·Complications of metastatic colorectal carcinoma
Lorinda Ruff, a 55-year-old woman with intellectual disability and bipolar disorder, died from complications of metastatic colorectal carcinoma. She presented to her GP on 29 July 2019 with three days of appetite loss an…
72y · Female·Pneumonia as a consequence of chronic obstructive airway disease
Ms Vigor-Newitt, a 72-year-old woman in prison, died from pneumonia complicated by chronic obstructive airway disease. She had presented with respiratory symptoms on 27 and 29 September 2020 and was appropriately hospita…
56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy
Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed…
34y · Female·Pneumonia in a woman with intellectual disability and asthma
Simone Grigg, a 34-year-old woman with intellectual disability and asthma, died from pneumonia. She was living in DHHS supported accommodation and attending Amicus day services. On 21 November 2017, she developed respira…
8y · Male·acute exacerbation of chronic asthma
An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…
42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…
Anthea Ryder Moketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitte…
83y · Male·respiratory failure due to chronic obstructive lung disease
An 83-year-old man with chronic obstructive pulmonary disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respirator…
74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …
William Berger, a 74-year-old man serving a life sentence for murder, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contributing condition. …
48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…
Kathryn O'Rourke, aged 48, a resident with severe intellectual disability and dysphagia in a disability residential care facility, aspirated a piece of toast during breakfast on 10 May 2018 and died from hypoxic-ischaemi…
3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea
A 3-year-old Aboriginal girl died from bronchopneumonia complicated by severe obstructive sleep apnoea. She had rapid-onset childhood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardiopulmonary complic…
0y · Male·Head injury
A 7-month-old boy died from severe head trauma following an unwitnessed incident on 6 June 2018. The child was found unconscious after reportedly being pushed from a highchair by his 4-year-old brother and died 4 days la…
17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…
A 17-year-old male died from massive head injury sustained in a fall from approximately 3.5 metres through a shade sail at a primary school. He landed on concrete at 10:30 pm after the sail tore under his weight while ju…
13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity
Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …
72y · Male·Complications of subtotal colectomy for diffuse polyposis and invasive adenocarc…
Melvin Lynch, aged 72, died in custody at Prince of Wales Hospital on 9 December 2019, nine days after elective subtotal colectomy for bowel cancer. Post-operatively, he developed complications including pleural effusion…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial …
29y · Female·Mixed Drug Toxicity
A 29-year-old woman died from mixed drug toxicity after being found unresponsive at a residential parenting program. She had complex medical conditions including coproporphyria, epilepsy, and opioid use disorder. Critica…
36y · Male·Multiple organ failure and hypoxic encephalopathy due to cardiac arrest from inj…
Nathan John Jones, aged 36, died from multiple organ failure and hypoxic encephalopathy following cardiac arrest after self-injecting methamphetamine. The substance was supplied by Hannah Weate and contained methamphetam…
59y · Male·Intracerebral haemorrhage
A 59-year-old man imprisoned at Hopkins Correctional Centre collapsed on 16 July 2019 with a left thalamic intracerebral haemorrhage with intraventricular rupture. He was transferred to Royal Melbourne Hospital where an …
61y · Female·Multiple drug (tapentadol, morphine, diazepam, citalopram) intoxication
Margaret Cahill, a 61-year-old nurse assistant, died from multiple drug intoxication after a GP administered 60mg intramuscular morphine without knowing she had consumed tapentadol 1-2 hours earlier. The coroner identifi…
26y · Male·Hypoxic ischaemic encephalopathy in the context of neck compression
A 26-year-old man with longstanding mental health issues and substance use died from hypoxic ischaemic encephalopathy caused by neck compression during a physical altercation with his brother at a family event. Mr Anthon…
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