55y · Male·Multiple injuries sustained in a fall
Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…
19y · Male·Hypoxic brain injury due to aspiration of food bolus
Jesse Lee McGann, a 19-year-old with severe autism, Asperger's syndrome, and documented swallowing difficulties, died from hypoxic brain injury caused by aspiration of a food bolus while in disability respite care. Criti…
37y · Female·Hypoxic brain injury consequent upon hanging
Louise Litis, 37, died from hypoxic brain injury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two w…
73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …
Brian O'Connor, a 73-year-old man with vascular dementia, was admitted to a mental health inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level 3 falls risk. Over several wee…
59y · Male·Complications arising from blunt force trauma to the head consistent with a fall
Anthony Rimanich, a 59-year-old storeman, sustained a fatal head injury at work on 3 June 2008 when he fell while counting stock at a warehouse. He was found unconscious on the concrete floor after apparently losing his …
68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…
A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …
26y · Male·Upper cervical spinal cord injury
A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…
68y · Female·intracerebral haemorrhage
Eileen May Howell, a 68-year-old woman with intellectual disability and history of cerebral haemorrhage in 2004, suffered a fatal intracerebral haemorrhage on 25 December 2008 while at her brother's home. She had been pr…
28y · Male·hypoxic brain injury presumed to have occurred as a direct result from toxicity …
Christian Gonzalo Diaz, 28, died from hypoxic brain injury following presumed heroin toxicity on 9 January 2008. He was an involuntary psychiatric inpatient with schizophrenia and substance abuse history when he absconde…
62y · Female·pulmonary thromboembolism due to deep venous thrombosis of right calf
Ms Wendy Ryder, aged 62, died from pulmonary embolism secondary to deep venous thrombosis (DVT) six weeks after abdominal surgery (total abdominal hysterectomy and bilateral salpingo-oophorectomy) for treatment of severe…
19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)
Adam Fabre, a 19-year-old with fever, severe headache, neck pain, muscle pain (10/10), vomiting, tachycardia and blanching rash, presented to Casey Hospital ED at 3:45am on 14 July 2006. Despite expressing clear concern …
36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis
A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococcal sepsis. Hospital inv…
49y · Female·Multi organ failure and Pneumonia
Sharon Ann Looby, a 49-year-old woman with Down's syndrome, presented with symptoms of malaise, sweats, cough and bloating. Her general practitioner arranged blood tests which revealed renal impairment and liver inflamma…
29y · Female·Invasive aspergillosis
A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…
34y · Male·Hypoxic-ischaemic brain injury caused by hanging
Craig Stevens, aged 34, died from hypoxic-ischaemic brain injury following a suicide by hanging on 17 June 2008. Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resus…
33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia
Jodi McPaul, a 33-year-old woman with long-standing schizophrenia and chronic suicide risk, was admitted involuntarily to Frankston Hospital on 29 March 2007. Despite psychiatric team awareness of her vulnerability and p…
1y · Male·Cerebral anoxia caused by cardiac arrest caused by bronchiolitis and bronchopneu…
Timothy Wood, a 19-month-old boy, died from cerebral anoxia following cardiac arrest caused by bronchiolitis and bronchopneumonia secondary to influenza A infection. He initially presented with croup symptoms on 15 July …
49y · Male·effects of fire (70% body surface area full and partial thickness burns)
A 49-year-old man died from severe burns sustained at a hotel beer garden fireplace. He had consumed approximately 20 pots of beer over two days and had a blood alcohol level of 0.3g/100ml at autopsy. The fireplace guard…
54y · Female·sepsis
Ms Julie Stephens, aged 54, was admitted to Frankston Hospital on 5 December 2008 with a chest infection and multiple comorbidities including cardiac failure, respiratory failure, and obesity. She deteriorated with septi…
55y · Male·Ascending cholangitis due to choledocholithiasis
A 55-year-old man with Down syndrome died from ascending cholangitis due to choledocholithiasis following recurrent biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dys…
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