397 results
85y · Male·ischaemic heart disease
Eric Arthur Maggs, aged 85, died of ischaemic heart disease at Royal Adelaide Hospital. He was profoundly deaf from birth and had dementia. Admitted with acute chest pain and difficulty breathing, he became distressed an…
90y · Male·pneumonia leading to atrial fibrillation leading to myocardial infarction
A 90-year-old man with lung cancer, dementia, and frontal lobe disease died from pneumonia leading to atrial fibrillation and myocardial infarction while on an inpatient mental health treatment order. He was admitted wit…
92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…
A 92-year-old woman with dementia, heart disease, and COPD died from decompensated congestive cardiac failure secondary to haemophilus influenzae lower respiratory tract infection. She was admitted to psychiatric care un…
79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…
A 79-year-old man with significant cardiovascular disease history (prior MI, triple bypass, hypertension, hypercholesterolaemia) was admitted to psychiatric care under an Inpatient Treatment Order following suicidal idea…
56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose
A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingested temazepam tablets accumulated over time and insulin stolen from his mother on 10-11 Nove…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…
62y · Male·Multi-organ failure due to paraquat ingestion
A 62-year-old man with diabetes, renal failure, and hypertension died from multi-organ failure following intentional ingestion of approximately 100-150ml of paraquat. He had recently assumed sole responsibility for the f…
44y · Male·Ischaemic heart disease due to coronary atherosclerosis
Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigaret…
78y · Male·Subarachnoid haemorrhage (bilateral) and occipital fracture
A 78-year-old man with vascular and Alzheimer's dementia died from bilateral subarachnoid haemorrhage and occipital fracture sustained when he forcefully opened a bathroom door into his face while under an Inpatient Trea…
66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…
A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia dur…
70y · Female·end stage dementia
Carole Ann Dunstan, a 70-year-old woman with end-stage dementia, died of natural causes at Repatriation General Hospital on 17 June 2017 while subject to a Level 3 Inpatient Treatment Order. She had been admitted followi…
76y · Female·infective exacerbation of chronic congestive cardiac failure due to Respiratory …
Patricia Marie Foster, 76, died at Queen Elizabeth Hospital from infective exacerbation of chronic congestive cardiac failure due to Respiratory Syncytial Virus. She presented with multifactorial respiratory distress com…
75y · Male·bilateral subdural haematoma due to fall
Walter Robert Hanslow, a 75-year-old man with Parkinson's disease, Alzheimer's disease, and significant mobility limitations, sustained a fall at a nursing home on 9 June 2018. He was found on the ground but initially ap…
86y · Female·multi-organ failure due to sepsis
An 86-year-old woman with dementia, recent stroke, and multiple comorbidities was admitted with acute delirium and paranoia, subsequently placed on an Inpatient Treatment Order. She developed sepsis secondary to staphylo…
55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia
A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessment treated presumed UTI and discharged her. She returned the next day with wor…
44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…
Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital present…
92y · Male·pulmonary thromboembolic disease on a background of infective exacerbation of ch…
A 92-year-old man with chronic obstructive pulmonary disease, vascular dementia, and heart disease died from pulmonary thromboembolism complicated by respiratory infection. He was admitted after a fall at home, became ag…
79y · Male·Pneumonia complicating ischaemic heart disease and dementia
A 79-year-old man with advanced Alzheimer's disease, ischaemic heart disease, and behavioural disturbance died of pneumonia while on a Level 2 Inpatient Treatment Order at Flinders Medical Centre. He was admitted from a …
60y · Male·Ischaemic heart disease
A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart disease while an inpatient in a mental health facility under an Inpatient Treatment…
58y · Male·effects of chronic alcoholism
Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October…
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