144 results for “forensic medical examination”
0y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…
A full-term infant, Matthew Anthony McPhail, was delivered at 9.55 pm on 9 July 2000 at Naracoorte Health Service with no signs of life (Apgar 0). CTG monitoring during labour showed concerning fetal bradycardia episodes…
56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely
…ptoms were attributed to alcohol withdrawal and liver disease rather than head injury. By 14 June, he was medically cleared for discharge, though formal arrangements were pending. That evening he left the ward unannounc…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
… behind his back, and placed in a holding dock where his neck flexed onto his chest. Paramedics delayed examination and chest compressions commenced nearly 2 minutes after cardiac arrest detected. Clinical lessons: drug…
41y · Male·Respiratory depression caused by alcohol and morphine poisoning
…ablets. The watch house sergeant assessed him as intoxicated from alcohol alone and reasonably decided no medical review was necessary based on his ability to walk and respond to questions. However, Perry's presentation…
48y · Female·Unascertained; presumed sudden cardiac arrhythmia
… intellectual disability, and multiple comorbidities died unexpectedly in residential care. Post-mortem examination showed acute pulmonary oedema and intra-alveolar haemorrhage with no anatomical cause identified. Toxic…
35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…
Stephen Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestina…
7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…
Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…
18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…
…ing on obvious diagnosis of boils) prevented broader assessment; communication gaps between custodial and medical staff compromised clinical information; earlier transfer to hospital for diagnostic evaluation was delaye…
31y · Male·Undetermined
…psychological stress, sedation). Paramedics failed to conduct adequate vital signs assessment, hands-on examination, or continuous monitoring pre-arrest. They mistook his rapid decline for expected sedation effect rathe…
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
…und supervision and care adequate but recommended improved communication between psychiatrists and prison medical staff regarding clozapine interactions, specifically regarding smoking cessation and caffeine intake.
48y · Male·Coronary atherosclerosis and minor trauma
…altercation with another prisoner. He had refused medications for several months citing cultural beliefs. Medical staff appropriately counselled him on risks; a multidisciplinary team assessed him and determined involun…
30y · Male·Unascertained; likely cardiac arrhythmia
… restraint after climbing onto roofs while displaying drug-affected and paranoid behaviour. Post-mortem examination revealed an unascertained cause, likely a cardiac arrhythmia triggered by extreme physical and psycholo…
17y · Female·Hanging
Tahlia Peden, a 17-year-old Ngunnawal woman, died by hanging ten days after being sexually assaulted. She was assessed by Wagga Sexual Assault Service but a critical breakdown in the referral pathway meant Goulburn SAS n…
38y · Female·multiple stab injuries to the chest and abdomen
…n police and hospital; loss of nursing notes due to system errors; assessment conducted without access to medical records or collateral history; and failure to notify police of discharge. The coroner identified opportun…
33y · Male·Pelvic crush injury sustained while working at an underground coal mine
…eakdowns, communication protocols between operators and pedestrians, and emergency response preparedness. Medical response was appropriate but injuries were unsurvivable given the mechanism of crush injury and extent of…
60y · Male·Hypertensive heart disease with chronic fatty liver as other significant conditi…
David Duggan, a 60-year-old man with hypertensive heart disease and cardiomegaly, was admitted to Caloundra Hospital on 10 January 2007 for management of severe acute back pain caused by a suspected L3/4 disc herniation …
25y · Male·Multiple organ failure due to acute paracetamol poisoning
…onal Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting and abdominal pain. Clinical care was critically deficient: blood…
38y · Male·metastatic lung carcinoma
…presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. Despite multiple medical consultations and investigations (X-rays, CT scans), imaging focused on musculoskeletal pathology and mis…
0y · Male·Sudden Infant Death Syndrome (SIDS) against a background of sub-glottic stenosis…
Brendan Scott Kay, a 104-day-old ex-premature infant with sub-glottic stenosis from prolonged neonatal intubation, died suddenly in his parents' car during transfer home from Brisbane to Tully. The stenosis had been inve…
0y · Female·brain death complicating head and neck injury
A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (eviden…
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