278 results
53y · Male·Cardiomegaly in a man with obesity and chronic liver disease
Craig Ashley Hill, a 53-year-old man with multiple comorbidities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from…
73y · Male·Acute on chronic renal failure and multi-factorial encephalopathy in a man with …
A 73-year-old man with significant comorbidities (cirrhosis, dilated cardiomyopathy, chronic kidney disease) died in prison from acute-on-chronic renal failure, hepatic encephalopathy, and multiorgan failure. He was init…
46y · Male·Coronary artery atherosclerosis with plaque rupture and acute myocardial infarct…
A 46-year-old man died in custody at a remand centre from acute myocardial infarction due to coronary artery atherosclerosis with plaque rupture. He had a significant family history of cardiac disease but no prior formal…
56y · Male·Aspiration pneumonia, complicated by myocardial infarction and right heart failu…
Wayne Thomas Jamieson, a 56-year-old man with profound intellectual disability and Osteogerma Dysblastica, died from aspiration pneumonia complicated by myocardial infarction and right heart failure. He was admitted to h…
60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…
Mr XML, aged 60, died from mixed drug toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving…
88y · Male·Sepsis of unknown aetiology in a man with ischaemic cardiomyopathy and other med…
An 88-year-old man incarcerated at Hopkins Correctional Centre died from sepsis of unknown aetiology with ischaemic cardiomyopathy. He developed pneumonia while in custody, was admitted to Ararat Hospital twice in late J…
62y · Male·Congestive Cardiac Failure in a man with Ischaemic and Hypertensive Heart Diseas…
Greg Howarth, a 62-year-old man incarcerated at Port Phillip Prison, died from congestive cardiac failure precipitated by acute myocardial infarction in the setting of ischaemic and hypertensive heart disease. He had met…
86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …
An 86-year-old woman underwent elective surgery to excise a probable squamous cell carcinoma from her left hand with split-thickness skin grafting under local anaesthesia with intravenous sedation. She suffered an unexpe…
59y · Female·Complications of Trisomy 21
Catherine Mary Lyons, aged 59 with trisomy 21 and moderate intellectual disability, died from complications of her underlying condition. She presented with respiratory tract infection symptoms on 8 December 2022 and was …
55y · Male·cardiac arrest in the setting of methylamphetamine toxicity, with possible serot…
Angelo Gioscio, aged 55, died from cardiac arrest in the setting of methylamphetamine toxicity with possible serotonin syndrome, complicated by pre-existing cardiac and respiratory disease, whilst in police presence. He …
27y · Male·Injuries sustained in motor vehicle collision (driver)
Jackson Eales, 27, died in a motor vehicle collision at an intersection when truck driver Gerard Voss failed to stop at a stop sign in December 2016. The coroner found it highly probable Voss had undiagnosed severe obstr…
50y · Male·Cardiomegaly and ischaemic coronary artery disease
A 50-year-old man with significant cardiac risk factors (family history of heart disease, prior coronary stent, diabetes, hypertension, hypercholesterolaemia, smoking) collapsed in cardiac arrest on a V/Line train. Despi…
48y · Male·Cardiac hypertrophy, combined with effects of gamma hydroxybutyrate and amphetam…
A 48-year-old man with previously undetected cardiac hypertrophy died from a combination of cardiac arrhythmia triggered by illicit drug use (GHB and amphetamines). He collapsed at a friend's house after drug ingestion a…
61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…
A 61-year-old woman with severe restrictive lung disease, obesity, cardiac failure, and diabetes underwent cataract surgery at a private day surgery centre on 13 August 2018. She was unable to lie flat and became hypoxic…
40y · Male·Cardiomyopathy in the setting of immersion and amphetamine use
Brad Godressi, a 40-year-old man with end-stage dilated cardiomyopathy recently discharged against medical advice from ICU, died from cardiomyopathy in the setting of immersion and amphetamine use while operating a boat …
90y · Female·abdominal sepsis complicating perforated diverticular abscess of the sigmoid col…
Thelma Annie Ogilvy, a 90-year-old woman from rural Victoria, died from abdominal sepsis complicating a perforated diverticular abscess. She presented with bowel obstruction requiring laparotomy on 21 October 2019, was d…
43y · Female·Hypoxic ischaemic encephalopathy secondary to out of hospital cardiac arrest due…
43-year-old woman with severe, undiscovered coronary artery atherosclerosis died from out-of-hospital cardiac arrest while in police custody at Dame Phyllis Frost Centre. She had presented to ED 5 months earlier with leg…
84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …
An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 A…
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…
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