88 results for “blood screening”
38y · Male·metastatic lung carcinoma
Thomas Brigham, a 38-year-old prison inmate, died from metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. D…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
… and non-compliance with medication (zero Clozapine levels); Dr E. did not adequately communicate the zero blood level result to the case manager; the case manager failed to report the deplorable flat conditions (severe…
30y · Male·Cyanide poisoning
A 30-year-old teacher in regional Victoria died from cyanide poisoning in June 2020. He presented to his GP in February 2020 with atypical features including fear of being poisoned, which raised concerns for possible psy…
0y · Female·Group B Streptococcus meningitis and sepsis
An 18-day-old baby died from late-onset Group B Streptococcus (GBS) meningitis and sepsis. She was born at a regional private hospital after labour complicated by maternal fever (37.6°C), foetal tachycardia (160-170 bpm)…
74y · Male·cardiac arrhythmia in an elderly man with chronic obstructive pulmonary disease …
Ian Head, a 74-year-old man with chronic obstructive pulmonary disease, hypertension, and chronic kidney disease, died from cardiac arrhythmia following COVID-19 infection while imprisoned at Acacia Prison. He had receiv…
48y · Male·gunshot wound to chest
Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …
14y · Female·hanging
Sharkia Handy, a 14-year-old girl in out-of-home care, died by hanging in December 2007. She had significant unaddressed mental health concerns including suicidal ideation, self-harm, and grief following peer suicides. T…
16y · Male·pulmonary embolism secondary to nephrotic syndrome
Dylan Riley, a 16-year-old with steroid-responsive minimal change nephrotic syndrome, died from a massive pulmonary embolism (PE) on 1 August 2015. He presented to Rockingham Hospital with dyspnoea, hypoxia, tachycardia …
Immersion (Drowning)
Two children, Jack Craig Anstey (7) and Ashleigh Fiona Mungur (8), drowned on 3 October 2003 when the Jeep Cherokee in which they were passengers was washed from a low-level ford crossing of the Blackwood River on Jalbar…
gunshot wounds; multiple deaths during police interventions with mentally ill in…
…nt criteria emphasising capacity rather than danger alone, improved medication monitoring including drug screening, better police-health information sharing, tactical withdrawal training for officers, and critical incid…
10y · Male·Unascertainable
Two young children, Malachi (10 months) and Lochlan (2 years), died on 7-8 November 2008 in their mother's home en suite, with cause of death unascertainable. The mother claimed to have blacked out for approximately 10 h…
47y · Male·ligature compression of the neck (hanging)
A 47-year-old Aboriginal man died by suicide in custody at Roebourne Regional Prison while on SAMS mental health monitoring. He had paranoid ideation, delusions about 'black magic', and auditory hallucinations, which wer…
36y · Male·Acute on Chronic Myocardial Infarction
Mark Anselo Ugle, a 36-year-old Aboriginal man with a significant history of cardiac problems, seizures, and non-compliance with medication, died in East Perth Lockup on 9 December 2000 from acute on chronic myocardial i…
51y · Male·Combined effects of atherosclerotic cardiovascular disease and seizure activity …
…ent. The prison subsequently implemented improved documentation systems, vital signs monitoring, and ECG screening for patients over 50 on reception.
34y · Male·Septicaemia resulting from Melioidosis
Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …
43y · Male·Bilateral pulmonary thrombo-emboli; contributory factors included obesity, coron…
…ould have been considered earlier, transfer should have occurred on 9, 10, 15 or 16 October, and Q fever screening should have occurred at initial presentation given occupational risk. While earlier diagnosis might not …
Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …
…els found at autopsy; (2) dangerously low body weight not considered in dosing decisions; (3) no 6-monthly blood tests for patients on long-term antipsychotics; (4) documented medical risk factors not investigated or re…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did not recognize her de…
48y · Male·Injuries sustained when struck by a train
A 48-year-old man with mental health issues including depression and possible bipolar disorder died by suicide following train strike. He had a complex presentation with diagnostic uncertainty between bipolar affective d…
6y · Male·Sepsis due to melioidosis
A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.