37y · Female·sepsis due to necrotising fasciitis following abdominoplasty with liposuction
…tising fasciitis following abdominoplasty and liposuction. She was discharged on post-operative day 4 with severe pain, nausea, and vomiting, which were attributed to normal post-operative symptoms. Her GP telephone cons…
2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
Sebastian Hewitt, born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical cli…
57y · Male·Aspiration pneumonia in a man with cerebral palsy, intellectual disability and L…
…able factors and confirmed death from natural causes. The case highlights the vulnerability of people with severe disability living in supported accommodation and the importance of advance care planning in this populatio…
16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…
A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdomina…
70y · Female·Multi-organ dysfunction complicating sepsis of unknown origin in setting of Alzh…
…nknown origin. She collapsed at home on 9 May 2024 and was taken to hospital where investigations revealed severe infection, acute kidney injury, and metabolic derangement. She had an advance care directive preferring li…
81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…
An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management e…
67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…
…ion protocols, documentation of clinical discussions, and the importance of consultant-level assessment in severe sepsis.
47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…
…nd 5F-AMB), he became confused and dehydrated in a hot environment, developed uncontrollable seizures, and severe hyperthermia (42.2°C). Despite aggressive ICU management including mechanical ventilation, he developed di…
18y · Male·Drug toxicity (3,4-methylenedioxy-N-methylamphetamine (MDMA), methylone)
…ite appropriate emergency care including CPR, defibrillation, intubation, and ICU management, he developed severe metabolic derangement and brain death by day 5. The coroner found medical care at the festival and hospita…
0y · Female·Global hypoxic-ischaemic injury of unknown cause
…scitated and transferred to NICU but suffered extensive brain injury. MRI showed changes characteristic of severe acute hypoxia-ischaemia. Despite advanced medical care including therapeutic hypothermia and specialist co…
53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…
A 53-year-old woman with Type II diabetes, obesity, and Korsakoff dementia presented with acute severe abdominal pain from superior mesenteric artery (SMA) thrombosis at 3:00 AM on 19 August. Despite elevated …
29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…
A 29-day-old neonate died from severe neonatal encephalopathy following birth asphyxia. The infant was born after prolonged induction and protra…
47y · Female·Traumatic closed head injury likely sustained in a fall from standing
TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood …
0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension
Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
…e to financial constraints, leading to rapid deterioration. He presented to Bairnsdale ED on 24 March with severe abdominal distension, lactic acidosis, and signs of shock. Critical gaps in emergency care included incomp…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic i…
44y · Male·Airways obstruction with mucous plugging secondary to quadriplegia post accident
…d until 9:28am, arriving at 10:30am. On hospital arrival, oxygen saturation was critically low at 40% with severe left lower lobe collapse. Despite aggressive management, the mucous plug could not be removed and he deter…
23y · Male·complications of hypothermia
…mises without ensuring staff safety or knowing workers' locations. When discovered at 2:30pm, Mr Singh was severely hypothermic and in cardiac arrest. Despite heroic rescue efforts and helicopter retrieval, he could not …
0y · Male·neonatal encephalopathy due to perinatal compromise
…res and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging confirming severe bilateral brain injury. After detailed discussions with the parents regarding prognosis, intensive care wa…
7y · Male·Hypoxic ischaemic encephalopathy in the setting of a breech delivery
A neonate born at home in breech presentation without medical assistance suffered hypoxic ischaemic encephalopathy and died at 7 days old. The mother had been counselled by hospital obstetricians about risks of home bree…
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