1,527 results
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
42y · Female·Global cerebral ischaemia in a setting of anaesthesia
A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a functioning puls…
56y · Female·Hypoxic ischaemic brain injury due to upper airway obstruction by food bolus
A 56-year-old woman with intellectual disability and acquired brain injury died from hypoxic ischaemic brain injury following upper airway obstruction by a food bolus while eating dinner in supported accommodation. She w…
62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…
A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
78y · Male·head injury sustained when struck by a car
A 78-year-old man with a history of gastric cancer, depression, and splenectomy was struck by a car while crossing a street in Sydenham. He sustained severe head injury with bilateral frontal and temporal haemorrhagic co…
15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …
A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…
15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis
Jack Glen Irvine, a 15-year-old with documented severe nut allergies and asthma, died from anaphylaxis triggered by consuming a macadamia nut cookie at a Victorian Karting Association camp. The cookie was provided despit…
62y · Male·respiratory failure secondary to high cervical cord injury (C3/4 and C7/T1 fract…
William Bernard Brown, a healthy 62-year-old, died from respiratory failure secondary to cervical spinal cord injury after being struck by a falling branch from an African Mahogany tree at a golf course. Six days after t…
51y · Male·undetermined natural causes
Chris Prasad, a 51-year-old involuntary psychiatric inpatient with schizoaffective disorder, diabetes type 2, hypertension, and obesity (BMI 30.8), was granted day leave on 17 January 2013 during extreme heat (38°C) at C…
29y · Female·Exsanguination post tubal ligation procedure
A 29-year-old woman died from exsanguination following an iatrogenic injury during elective laparoscopic tubal ligation at a regional hospital. A vascular injury to the right external iliac artery occurred during the pro…
66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease
A 66-year-old woman died from cardiac failure due to atherosclerotic and hypertensive heart disease. She presented to a rural GP with ankle oedema, cough, and palpitations during interstate travel. The GP diagnosed mild …
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
Ida Romeo, 59, died during cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve. She had consented to a right heart study to investigate suspected constrictive …
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…
84y · Female·Myocardial infarction
Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch blo…
82y · Male·complications from multiple injuries received in a motor vehicle accident
Karl Guy Meyers, 82 years old, died from complications of multiple injuries sustained in a motor vehicle accident. He developed an ileus or pseudo-colonic obstruction requiring nasogastric tube (NGT) insertion. The key c…
19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…
Tommy Ngo, 19, died from ischaemic brain injury following cardiac arrest caused by blunt force neck injuries sustained during Chinese lion dancing training. He was propelled into a steel pole when his partner missed a ju…
50y · Male·Complications of urosepsis in the setting of T3/4 paraplegia
George Mavraganis, a 50-year-old man with T3/4 paraplegia from a childhood injury, was residing in supported accommodation. He had a chronic indwelling urinary catheter with recurrent infections. On 24 August 2015, his l…
<1y · Female·head injury from non-accidental trauma
Chloe Murphy, an 11-month-old girl, died from severe head injuries on 5 December 2010 after being left in the care of a babysitter (Mrs Jenkins) on 3 December. Medical assessment revealed a skull fracture, bilateral subd…
<1y · Male·head injury of undetermined aetiology
Christopher O'Sullivan died aged 29 days from head injury of undetermined aetiology. He presented on 15 September 1993 with fixed pupils, cyanosis, and seizure-like activity, progressing to cardiac arrest. Autopsy reveal…
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