1,489 results
37y · Female·Multiple drug toxicity
Sharni Dee Connolly, a 37-year-old registered nurse turned naturopath, died from multiple drug toxicity following a hamstring injury requiring opioid analgesia. She was prescribed excessive quantities of pregabalin (105m…
69y · Female·Complications of a subdural haemorrhage (palliated) sustained in a fall
Josephine Helen Clarke, age 69, died from complications of a subdural haemorrhage sustained in a fall at Kingston Centre rehabilitation facility on 11 September 2018. Mrs Clarke had been recovering from a subarachnoid ha…
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…
56y · Male·Complications of atraumatic bilateral femoral fractures (repaired) during a seiz…
Mark O'Brien, a 56-year-old man with Down syndrome and dementia, sustained multiple seizure-related bilateral femoral fractures. A subtle posterior cortical fracture to his left femur, sustained during a seizure on 15 Ju…
56y · Male·sepsis
A 56-year-old man died from sepsis following elective bladder cancer surgery. Post-operative infection developed with clear clinical signs: elevated CRP (205-284 mg/L), positive bacterial cultures (Staphylococcus aureus,…
64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall
Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…
17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)
A 17-year-old male died from mixed drug toxicity involving 25C-NBOMe and 4-fluoroamphetamine after consuming a substance he believed was MDMA or psilocybin, obtained from unregulated drug markets. He experienced severe s…
38y · Female·Hypoxic ischaemic encephalopathy due to cardiorespiratory arrest caused by mixed…
Constance Burrett, 38, died from mixed drug toxicity (heroin and methylamphetamine overdose) causing hypoxic ischaemic encephalopathy and cardiorespiratory arrest. The coroner found it more likely than not that her partn…
22y · Male·Hypoxic/ischaemic encephalopathy secondary to restraint in the context of combin…
A 22-year-old male died from hypoxic-ischaemic encephalopathy following restraint during acute intoxication with novel psychoactive substances (NPS). He unknowingly ingested 25C-NBOMe and 4-fluoroamphetamine (sold as MDM…
95y · Female·Complications post scooter versus car incident
A 95-year-old woman died from complications of injuries sustained in a collision between her motorised mobility scooter and a car while crossing Raymond Street in Sale. She suffered flail chest, hemopneumothorax, and spi…
68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…
Cyril Churchill, a 68-year-old man with multiple comorbidities, died from surgical complications after laparoscopic cholecystectomy for acute cholecystitis. Postoperatively, he developed profound hypotension. The treatin…
3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…
Master T, aged 3 years, died from hypoxic brain injury secondary to cardiorespiratory arrest, likely due to aspiration pneumonitis. He had severe congenital abnormalities including holoprosencephaly with VP shunt, anal a…
25y · Male·Multiple system failure and ingestion of sodium nitrite
BT, a 25-year-old man with bipolar affective disorder and long-standing depression, died from intentional sodium nitrite ingestion while an inpatient in the Behavioural Assessment Unit at Royal Melbourne Hospital. He pre…
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…
1y · Male·Hypoxic ischaemic encephalopathy due to neck compression from faulty portacot
Jordan White, a 14-month-old boy, died from hypoxic ischaemic encephalopathy caused by neck compression when trapped in a faulty portacot. The portable cot had a defective bottom rail that would not lock, leaving it in a…
22y · Male·Hypoxic ischaemic encephalopathy complicating hanging
Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…
43y · Male·Liver failure with cirrhosis in the setting of recent paracentesis and Hepatitis…
Mr Wilson was a 43-year-old Aboriginal man with end-stage liver cirrhosis and hepatitis C who died 18 days after emergency umbilical hernia repair and one day after paracentesis drainage of 8 litres of ascites at a rural…
37y · Male·hypoxic encephalopathy due to asphyxia from hanging
Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…
64y · Male·Left-sided intracerebral haemorrhage associated with deep brain stimulator wire …
A 64-year-old man died from intracerebral haemorrhage along a deep brain stimulator wire tract four days after elective neurosurgery for essential tremor. He was readmitted on day 4 with suspected stroke and started on t…
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