918 results
58y · Male·metastatic multiple myeloma
Harry Richard Nylander, aged 58, died in prison custody from metastatic multiple myeloma on 25 January 2008. An inquest was mandatory due to his custodial status. Expert medical review by a senior medical oncologist conc…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…
42y · Male·ischaemic heart disease due to coronary atherosclerosis
Jonathon Candy, aged 42, died from acute coronary syndrome one day after inappropriate discharge from Queen Elizabeth Hospital ED. He presented with recurrent chest pain on exertion (gym evening of 18 May, workplace morn…
46y · Female·mixed drug toxicity
46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …
69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…
Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …
49y · Male·pneumonia, hypoxic brain injury and cardiac arrest
49-year-old male with chronic cannabis dependence and depression developed post-surgical delirium following emergency anterior resection for perforated diverticulum. He became acutely agitated and paranoid, was detained …
34y · Female·hypoxic ischaemic encephalopathy due to anaphylactic shock due to antibiotic all…
A 34-year-old woman died from anaphylactic shock to Ceclor, a cephalosporin antibiotic prescribed for otitis externa. Her medical records clearly documented allergies to cephalosporins (Ibilex) and sulphur-based antibiot…
28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…
Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …
carbon monoxide poisoning
Two individuals died from carbon monoxide poisoning on 31 December 2008. Sonia Aufiero, aged 28, was a detained patient on an acute psychiatric ward (Ward C3) at Royal Adelaide Hospital under a 28-day mental health deten…
53y · Male·neck compression due to hanging
Neil Heyward, aged 53, died by hanging in Port Augusta Prison on 6 June 2009 while on remand for murder. He had been in custody since December 2007 and was managed by prison social workers and medical staff. Although he …
61y · Male·paraneoplastic syndrome caused by metastatic adenocarcinoma of the lung
Peter Andrew Johnson, aged 61, died from paraneoplastic syndrome caused by metastatic adenocarcinoma of the lung. He had been diagnosed with lung cancer in March 2007, undergoing right upper lobectomy in April 2007. Subs…
69y · Male·haemopericardium due to extensive aortic dissection due to hypertensive heart di…
A 69-year-old man died in prison from haemopericardium secondary to extensive aortic dissection caused by chronic hypertension. Death was rapid and occurred in the early morning hours. The autopsy confirmed natural cause…
32y · Male·hanging
A 32-year-old man with bipolar disorder and recent suicide attempt died by hanging in a closed psychiatric ward. He was admitted following overdose and suicidal ideation, deemed high-risk, and placed on standard half-hou…
37y · Male·Morphine toxicity from accidental overdose of crushed Kapanol (slow-release morp…
A 37-year-old male subject to home detention bail died from morphine toxicity due to accidental overdose of crushed Kapanol (slow-release morphine capsules). He had a long history of polysubstance abuse, encephalitis fro…
79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …
A 79-year-old man with metastatic lung cancer suffered multiple strokes causing confusion and behavioural disturbance. He was detained under Mental Health Act. On the night shift, nursing staff found him unresponsive and…
50y · Male·multiple injuries sustained when struck by a multi-tyred road roller
A 50-year-old road worker was struck and killed by a multi-tyred roller he was operating while reversing during road spray-sealing work. The driver made steering errors while reversing—the primary human factors being: un…
38y · Male·Multiple injuries
Damian Kay, aged 38, died from multiple injuries after jumping from the 16th floor of a hotel on 22 September 2010, with a blood alcohol concentration of 0.71%. The death occurred in the context of recent relationship br…
0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…
Trinity Kison, a 21-hour-old neonate born at 35 weeks gestation, died from respiratory failure due to congenial pneumonia caused by streptococcus pneumoniae. The maternal high vaginal swab taken one week before delivery …
76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…
A 76-year-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her husband lost control of a shopping trolley with …
62y · Male·multi organ failure due to atypical pneumonia
William Gripton, 62 years old with post-polio syndrome, presented to Kangaroo Island Hospital with upper respiratory tract infection that progressed to atypical pneumonia causing multi-organ failure and death. Critical c…
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