3,729 results
19y · Male·Hanging
Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre in January 2016. Critical clinical lessons …
5y · Male·Hypoxic ischaemic encephalopathy due to near-drowning
A 5-year-old boy who could not swim drowned in a public aquatic centre after crossing from a shallow ramp area into a 1.2-metre deep main pool, unobserved by his parents. He was underwater for 90 seconds before being ret…
70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…
David McDermott, a 70-year-old man with intellectual disability in supported residential care, died from congestive cardiac failure secondary to ischaemic and hypertensive heart disease. He was admitted to hospital with …
53y · Male·Right ventricular tear due to blunt chest trauma sustained in a motor vehicle in…
A 53-year-old male died from a right ventricular tear sustained in a motor vehicle collision after failing to give way at a signed intersection. He was driving unlicensed at the time. Toxicology detected methylamphetamin…
85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…
An 85-year-old woman sustained multiple serious injuries (bilateral rib and pelvic fractures, thoracic spine fractures) in a motor vehicle collision on 20 June 2018. She was treated with ICU admission, induced coma, and …
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old …
29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity
Elia Wani, a 29-year-old man with bipolar affective disorder managed on a community treatment order, died from methaemoglobinaemia following sodium nitrite ingestion. He purchased 50g of sodium nitrite powder online on 1…
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac a…
88y · Female·Head injury in a fall due to atrial fibrillation on anti-coagulants
An 88-year-old woman with atrial fibrillation on anticoagulation died from a subdural haemorrhage sustained in a fall at a rehabilitation hospital. She was assisted to the toilet by a single nursing student despite a doc…
77y · Female·haemoperitoneum and retroperitoneal haematoma secondary to Type I aortic dissect…
Helen Mary Badcock, 77, presented to Launceston General Hospital on Christmas Day 2020 with abdominal pain and right leg numbness. Ambulance paramedics documented inability to obtain blood pressure on her right arm—a cri…
16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…
A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…
87y · Male·Blunt trauma of the head and chest
Henry Arthur Roberts, 87, died from blunt trauma to head and chest after being overrun by his tractor on 16 March 2020. He had multiple serious health conditions including leukaemia, severe vision impairment from macular…
81y · Male·valvular heart disease with cardiac amyloidosis
Murray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collapsed and died in prison infirmary on 20 September 2019…
48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…
Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of h…
32y · Male·Subarachnoid haemorrhage due to rupture of basilar artery aneurysm
Matthew Wade Ansink, 32, died at Glenside Hospital on 28 June 2019 from subarachnoid haemorrhage due to ruptured basilar artery aneurysm. He was found collapsed in the shower while an inpatient on an Inpatient Treatment …
55y · Female·Aspiration pneumonia in a woman with cerebral palsy (spastic quadriparesis)
Raylene Barbara Armstrong, a 55-year-old woman with cerebral palsy, spastic quadriparesis, dysphagia and achalasia, died from aspiration pneumonia. She had a complex medical history requiring pureed foods and thickened f…
35y · Male·Gunshot wound to the head (self-inflicted)
Daniel Thomas, aged 35, died from a self-inflicted gunshot wound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge…
34y · Male·Neck compression by hanging
Frederick Row Row, a 34-year-old Aboriginal man, died by suicide in Capricornia Correctional Centre following a precipitous change in risk assessment from high to low in less than 48 hours. After assaulting another priso…
1y · Female·unrecognised oesophageal intubation
A 19-month-old girl died from unrecognised oesophageal intubation during anaesthesia for finger laceration repair. The anaesthetic team failed to recognise multiple clinical indicators of tube misplacement: absence of pe…
25y · Male·Multiple organ failure due to acute paracetamol poisoning
Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …
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