110 results
68y · Female·acute gastrointestinal haemorrhage secondary to bilateral dental extraction
A 68-year-old woman on long-term warfarin therapy for a prosthetic aortic valve died from acute gastrointestinal haemorrhage following dental extraction. The dentist failed to obtain an INR test within 24 hours of the pr…
28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…
Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She presented to Fremantle Hospital …
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…
38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…
Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially treated successfully in 2002 with recovery to normal cardiac function by…
51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …
Tom Foski, a 51-year-old man with chronic schizophrenia, died from congestive cardiac failure associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including diabetes, COPD, prev…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
Henry Edwin Kerr, 86, died of acute myocardial ischaemia following left inguinal hernia surgery at Esperance District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and …
87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …
An 87-year-old woman with dementia, heart disease, and hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical …
60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…
A 60-year-old woman died from massive retroperitoneal bleeding following coronary angiography. An Angio-Seal device was used to close the femoral artery puncture but failed to maintain seal. Post-discharge, rapid haemato…
81y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis
Robert Charles Bropho, an 81-year-old Aboriginal man imprisoned since 2008 with severe medical comorbidities including insulin-dependent diabetes, hypertension, chronic renal failure, and severe ischaemic heart disease, …
74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis
Mr Harris, a respected Aboriginal elder aged approximately 74 years, died of ischaemic heart disease with coronary artery atherosclerosis while travelling bush alone on 2 February 2010. He bogged his vehicle, attempted u…
51y · Male·Seizure consistent with alcohol withdrawal complicated by naturally occurring ca…
Dennis John Phillips, 51, died from a seizure triggered by alcohol withdrawal while in police custody. He had chronic health issues including diabetes-related amputations requiring daily medication, but police were unawa…
52y · Male·Coronary Atherosclerosis
Ronald Graham Williams, a 52-year-old sentenced prisoner with known cardiovascular disease, previous myocardial infarction, dyslipidaemia, hypertension, and type 2 diabetes, died of coronary atherosclerosis at Swan Distr…
57y · Male·Ischaemic Heart Disease
A 57-year-old man with extensive medical history including ischaemic heart disease, hypertension, hypercholesterolaemia and chronic airways disease died of acute myocardial infarction whilst being transferred by ambulanc…
86y · Male·Sepsis associated with a pericolic abscess, complicated by terminal large intest…
An 86-year-old life-sentenced prisoner died from sepsis associated with a pericolic abscess complicated by terminal gastrointestinal haemorrhage. He had extensive comorbidities including bilateral amputations, cardiac fa…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
An 86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarc…
38y · Female·Pulmonary Thromboembolism
Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…
0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease
Edward Thomas Collins was a 3-month-old neonate with surgically corrected congenital heart disease (Total Anomalous Pulmonary Venous Drainage) who died on 14 January 2007 from cardiac arrhythmia. On 13 January 2007, he p…
64y · Female·Acute bronchopneumonia in a woman with liver failure
Patsy Chubby, 64, died from acute bronchopneumonia complicated by terminal liver failure and multiple chronic conditions (cardiac cirrhosis, heart failure, COPD, diabetes, pulmonary hypertension). Discharged from hospita…
48y · Male·Hypoxic brain injury following cardiac arrest in a patient with sigmoid colon vo…
Daniel Allan Sullivan, a 48-year-old man with chronic paranoid schizophrenia who had been an involuntary patient at Graylands Hospital for 23 years, presented to Sir Charles Gairdner Hospital on 13 June 2004 with abdomin…
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