1,489 results
53y · Male·Complications of burns sustained in a blast
A 53-year-old qualified boiler maker died from complications of severe burns sustained in a gas explosion. While attempting to remove a refrigeration compressor from a hotel cellar with an unqualified colleague, they cut…
51y · Male·Complications of aspiration pneumonia in a man with status epilepticus
A 51-year-old man with Lennox-Gastaut syndrome, intellectual disability, and recurrent aspiration pneumonia died from complications of aspiration pneumonia and status epilepticus. He presented with status epilepticus and…
39y · Male·Hypoxic/Ischaemic Encephalopathy due to Cerebral Arterial Gas Embolism
Phillip Ibrahim, a 39-year-old man recovering well from community-acquired pneumonia in ICU, suffered a fatal cerebral air embolism on 28 October 2014. A CVAD removal order was given at midday but the device remained in …
27y · Male·Complications of snake bite
Shane Kyle Tatti, a 27-year-old gardener, died from complications of tiger snake envenomation. After a vigorous bite on 6 November 2014, he received one vial of tiger snake antivenom at Orbost Hospital 62 minutes post-bi…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…
62y · Male·cerebral haemorrhage (intracerebral bleed, large lobar within left cerebral hemi…
A 62-year-old man presented to ED with dyspnoea, diaphoresis, and hypertension caused by an evolving cerebral haemorrhage. He was initially misdiagnosed with NSTEMI based on elevated troponin and atrial fibrillation, lea…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…
70y · Male·aspiration pneumonia due to seizures
70-year-old man with insulin-dependent diabetes, cognitive impairment, depression, alcohol abuse history, and seizure disorder died from aspiration pneumonia following seizures while admitted under mental health legislat…
66y · Male·subdural haematoma from head injury sustained in a fall
Kevin Howard Weber, aged 66, fell backwards down four steps at a public memorial site, striking his head on concrete. He sustained a subdural haematoma requiring urgent craniotomy. Despite surgical evacuation, he develop…
49y · Male·Metastatic cholangiocarcinoma
Jamie Walker, a 49-year-old man with pre-existing epilepsy, cirrhosis, and hepatitis C, died in custody from metastatic cholangiocarcinoma. He presented with abdominal pain and leg swelling; initial ED assessment on 19 O…
72y · Male·Ruptured abdominal aortic aneurysm
A 72-year-old man died from a ruptured abdominal aortic aneurysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinic…
45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…
Stanley King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psyc…
75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…
A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …
9y · Female·complications of thermal injury
A 9-year-old child died from severe thermal injuries sustained in a house fire. The property had non-functional smoke alarms that the property management company knew about but failed to remedy or report to the landlord.…
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…
52y · Male·Left chest cavity and abdominal cavity haemorrhage due to multiple rib fractures…
A 52-year-old man died from massive internal bleeding (left chest and abdominal cavity haemorrhage) following a motorcycle accident with multiple rib fractures and splenic laceration. He initially appeared to recover wit…
88y · Male·Ischaemic bowel in a man with fractured pelvis secondary to a motor vehicle inci…
An 88-year-old man with mild cognitive impairment and recent depressive symptoms ran in front of a stationary truck on Burke Road Melbourne and was struck. He was admitted to Alfred Hospital with multiple pelvic fracture…
44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity
A 44-year-old male died from hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financial difficulties, and prior heroin use. After collapsing at a friend's …
26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis
Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…
59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…
59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. Key clinical issues included: surgical delays of 20 days between stent in…
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