3,729 results
80y · Male·Dehydration and the effects of heat with contributing Alzheimer's dementia
An 80-year-old man with advanced Alzheimer's dementia disappeared from a respite care facility on a day of extreme heat (39°C) and died from dehydration and heat exposure. Key failures included: (1) relocation of the day…
97y · Male·respiratory failure attributed to aspiration pneumonia on a background of advanc…
Richard Underwood, aged 97, died from respiratory failure due to aspiration pneumonia on a background of advanced dementia, a surgically repaired neck of femur fracture, and gastrointestinal haemorrhage. He was admitted …
76y · Male·combined effects of acute myocardial infarction and urosepsis
Pasquale Esposito, age 76, died in custody at Lyell McEwin Hospital from combined acute myocardial infarction and urosepsis. He had extensive cardiac history including prior MI, CABG, COPD, and recent stent placement. On…
20y · Female·multi-organ failure due to polypharmacy overdose
A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where i…
41y · Female·Aspiration pneumonia
Ms Jarm, a 41-year-old woman with a degenerative neurological disorder living in supported residential care, died from aspiration pneumonia complicated by acute respiratory distress syndrome. She developed symptoms of ga…
45y · Male·bronchopneumonia and combined drug toxicity
Boris Drleski, a 45-year-old with treatment-resistant chronic paranoid schizophrenia, antisocial personality disorder, and polysubstance use disorder, died from bronchopneumonia and combined drug toxicity. He was managed…
22y · Male·Hanging
A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…
69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus
Michael Wayne Reardon, aged 69, died at home from right lower lobe pneumonia as a complication of diabetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He…
81y · Male·Consequences of bowel obstruction
Ronald Turner, an 81-year-old man in lawful custody, died from consequences of bowel obstruction with aspiration pneumonia. He had a history of recurrent sigmoid volvulus despite previous surgery. On 22 January 2020, he …
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
Naser Vukovic, a 42-year-old prisoner with severe psychotic symptoms and dual P1/S3 risk ratings, died by self-inflicted neck laceration in Melbourne Assessment Prison on 8 June 2016. Despite two prior self-harm incident…
71y · Male·Drowning
Ross Powell, a 71-year-old experienced volunteer lifesaver, died by drowning on 21 April 2019 while operating the Pelican rescue vessel during a maritime emergency at Port Campbell, Victoria. A tourist (Mr Bhaskar) had e…
26y · Female·hypoxic ischaemic encephalopathy and bronchopneumonia in a woman with methylamph…
Ms Cherdeena Wynne, a 26-year-old Noongar Yamatji woman, died from hypoxic ischaemic encephalopathy and bronchopneumonia following cardiac arrest during police restraint on Albany Highway. She was intoxicated with methyl…
45y · Female·Cerebrovascular accident
Ms L, a 45-year-old woman with Down syndrome and multiple comorbidities including chronic rheumatoid arthritis, suffered a massive right basal ganglia cerebral haemorrhage with intraventricular extension on 28 February 2…
68y · Male·decompensated heart failure with pulmonary hypertensive crisis complicated by pn…
Peter Hohol, a 68-year-old prisoner with significant cardiac comorbidities including ischaemic and dilated cardiomyopathy, died from decompensated heart failure with pulmonary hypertensive crisis complicated by pneumonia…
76y · Male·Intracranial haemorrhage
Charles Bertram Squires, a 76-year-old prisoner on anticoagulant therapy (apixaban and aspirin), fell and struck his head on 26 January 2017. Nursing staff at the correctional facility inadequately assessed his traumatic…
24y · Male·Hypoxic brain injury secondary to hanging
BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicida…
38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…
Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3-year-old son Seth before taking her own life in Mar…
85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…
Allen William Harold Davies, 85, died of aspiration pneumonia due to dysphagia in the setting of multiple spinal fractures and dementia. He had collapsed at a hotel on 12 June 2019, was admitted to Lyell McEwin Hospital,…
42y · Female·Choking on a food bolus
Deva Frijlink, aged 42 years with intellectual disability and schizoaffective disorder, died from choking on a food bolus during a supervised mealtime excursion. She was under the care of a support worker at a shared acc…
24y · Male·Mixed drug toxicity (25C-NBOME, 4-fluoroamphetamine, LSD, MDMA, cocaine, ketamin…
A 24-year-old previously healthy male died from mixed drug toxicity after ingesting multiple substances (25C-NBOME, 4-fluoroamphetamine, LSD, MDMA, cocaine, ketamine) at a music festival. He presented to the Alfred Hospi…
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