55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease
Philip Baker, a 55-year-old man with multiple comorbidities including hypertensive heart disease, atherosclerosis, and chronic kidney disease requiring dialysis, was admitted to Rockhampton Hospital with severe headache …
86y · Female·subdural haemorrhage due to or as a consequence of a fall
Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…
31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …
Christopher Neil Adams, 31, died from mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine, diazepam) combined with advanced coronary atherosclerotic disease. He had a documented history of opi…
20y · Male·stab injury to the back
…le died from exsanguination due to a stab wound to the back sustained during an organised group fight. The injury penetrated the lung and involved medium calibre pulmonary vessels. Despite immediate emergency management …
0y · Male·unascertained
…of inflicted injuries in infants despite absence of obvious acute trauma, careful history-taking regarding injury mechanisms, and awareness that subdural haematomas, metaphyseal fractures and oral frenulum injuries in in…
64y · Female·head injury sustained in a single motor vehicle accident
Mrs Alyson Margaret Mellor, aged 64, died from a head injury sustained in a single-vehicle motor accident on 30 April 2022. She had type 1 diabetes managed with an ins…
64y · Male·Multi organ failure due to metastatic adenocarcinoma of the lung
A 64-year-old man died of multi-organ failure secondary to metastatic adenocarcinoma of the lung while serving a sentence on home detention. He had a significant cardiac history including bypass surgery and stent placeme…
58y · Male·pulmonary thromboemboli complicating deep venous thrombosis
…pulmonary thromboembolism complicating deep venous thrombosis. Three days before death, he sustained a leg injury at work (chair thrown at his lower leg causing bruising). He subsequently developed malaise, shortness of …
81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…
…lowing pacemaker insertion for sick sinus syndrome. Multiple venous punctures during the procedure caused vascular injury. Critical clinical lessons include: (1) failure to recognise deteriorating patient due to use of s…
47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…
A 47-year-old NDIS participant with a history of stroke, diabetes, and complex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support serv…
85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…
…omy for acute cholecystitis with Mirizzi's syndrome. Intraoperative complications included major bile duct injury, right hepatic artery transection, and portal vein occlusion—all iatrogenic injuries from difficult dissec…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She sub…
29y · Female·Bronchopneumonia in a woman with brain injury
…en days after transfer to the trauma ward, she experienced sudden respiratory arrest causing hypoxic brain injury. Despite resuscitation, she suffered profound neurological injury with poor prognosis and was transferred …
47y · Female·Large intestinal infarction due to volvulus
…on requiring careful dietary management and regular laxatives. The coroner found no evidence of procedural injury from nasogastric intubation. The death resulted from a vascular catastrophe (complete bowel twist causing …
76y · Female·Immersion (with underlying cause undetermined in circumstances of a fall into a …
76-year-old woman with vascular dementia and wandering behaviour was found submerged in a courtyard water fountain at an aged care facili…
53y · Male·Right ventricular tear due to blunt chest trauma sustained in a motor vehicle in…
…al chest tube thoracostomies, resuscitation, and attempted surgical repair, but the severity of myocardial injury (friable tissue tearing under sutures) was incompatible with survival. The death was primarily attributabl…
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 wate…
74y · Female·Complications of carotid artery injury from central line insertion in the settin…
Susan Royals, a 74-year-old woman with metastatic colon cancer, died from complications of carotid artery injury sustained during central venous catheter (CVC) insertion as part of a Whipple procedure and hemicolectomy.…
81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…
An 81-year-old man with end-stage dementia, severe frontal lobe injury, and ischaemic heart disease died from pneumonia following hip fracture surgery. He fell while hip protect…
51y · Male·Traumatic brain injuries resulting from blunt head trauma: multiple calvarial an…
Adrian Garcia, 51, died from traumatic brain injuries sustained during an assault in a public park in Sorell, Tasmania on 10 March 2021. He was heavily intoxicated when struck by a baseball bat multiple times by his fian…
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