530 results
53y · Female·Bronchopneumonia on a background of cerebral palsy
Melissa Dibble, aged 53, died from bronchopneumonia in the context of cerebral palsy, spastic quadriplegia, cortical blindness and progressive dysphagia due to aspiration. She was admitted to The Alfred Hospital on 27 Au…
62y · Female·Aspiration pneumonia secondary to cerebral palsy
Maria Presti, 62-year-old non-verbal woman with cerebral palsy and dysphagia living in specialist disability accommodation, died from aspiration pneumonia with acute kidney injury and severe hypernatremia. She was admitt…
79y · Female·Chronic obstructive pulmonary disease
Jean Alice Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinic…
9y · Female·Streptococcus pneumoniae and Candida albicans pneumonia and empyema in a girl wi…
Makayla Lee Wadeson, a 9-year-old autistic girl with ulcerative colitis on immunosuppressive therapy, presented to the emergency department with ear infection symptoms on 29 July 2022. She was triaged Category 4 and disc…
51y · Male·Aspiration pneumonia secondary to traumatic brain injury arising from a scooter …
A 51-year-old man suffered a severe traumatic brain injury in an electric scooter crash on 14 March 2022 and died from aspiration pneumonia on 4 August 2022. He was riding a high-powered scooter (capable of 85km/h) at ex…
82y · Male·respiratory failure
Ronald William Barnard, an 82-year-old male prisoner, died from respiratory failure following a three-day illness. He presented to hospital on 20 January with shortness of breath and chest pain, was diagnosed with pneumo…
85y · Female·Asphyxia due to upper airways obstruction by mucoid plugging of the upper airway…
Betty Cliffe, 85-year-old with intellectual disability and oropharyngeal dysphagia, died from asphyxia due to upper airway mucoid plugging on a background of cardiomegaly and heart failure. She was admitted to hospital o…
56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…
Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately investigated following haemoptysis in October 2021, w…
64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection
Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from complications of hospital-acquired pneumonia and COVID-19 infectio…
48y · Male·Aspiration pneumonia in a man with Angelman syndrome
Jason Hosie, a 48-year-old man with Angelman syndrome and profound intellectual disability, died from aspiration pneumonia following a lung infection. He was residing in specialist disability accommodation. In December 2…
49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…
Phillip Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on…
76y · Male·metastatic prostate cancer with terminal palliative care
Kevin John Keath, aged 76, died from metastatic prostate cancer while serving a life sentence at Casuarina Prison. He received holistic, compassionate, and appropriate healthcare throughout his incarceration, including r…
81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…
An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit ident…
79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…
Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube …
68y · Male·Pneumonia on a background of interstitial lung disease
Stephen Lunson, a 68-year-old man with intellectual disability, epilepsy, and interstitial lung disease, died from pneumonia. He had been under medical review for progressive respiratory symptoms since 2019. In early Dec…
54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…
A 54-year-old man died from sepsis and multi-organ failure secondary to fulminant pneumonia with empyema. He presented to his GP on 1 April 2021 with concerning signs including bilateral oedema, fever, and respiratory sy…
60y · Female·sepsis due to community acquired pneumonia
Lynne Patricia Fisher, 60, presented to Mount Barker Hospital ED on 26 September 2018 with bilateral community-acquired pneumonia and was discharged after 6.5 hours despite clinical deterioration. She collapsed at home w…
58y · Female·Aspiration pneumonia
Gaye Marie Darby, a 58-year-old woman with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia following a three-week history of worsening dysphagia and anorexia. She presented to hospital with suspect…
44y · Female·Unascertained, presumed sudden cardiac death
44-year-old woman with schizophrenia and bipolar affective disorder died unexpectedly in a psychiatric inpatient unit. She had obstructive sleep apnoea and was on multiple antipsychotic medications. On the night before h…
40y · Male·Complications of Influenza A infection in a man with cerebral palsy and congenit…
Benjamin Suggate, a 40-year-old man with cerebral palsy, congenital brain malformation, quadriplegia and intellectual disability living in specialist disability accommodation, died from complications of Influenza A infec…
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