278 results
51y · Male·Complications of Recurrent Small Bowel Obstruction (palliated)
Matthew Clark, 51, with Down syndrome and chronic liver disease secondary to Hepatitis B, died from complications of recurrent small bowel obstruction. He had undergone emergency surgery in June 2018 for a perforated bow…
73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …
VA, a 73-year-old woman with mental health conditions and cardiac disease, died from congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been …
57y · Male·Multiple injuries sustained by being struck by a freight train
A 57-year-old man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management i…
53y · Male·Coronary artery atherosclerosis and cardiomegaly in a man using synthetic cannab…
A 53-year-old man died of sudden cardiac arrhythmia while travelling on a train. Autopsy revealed coronary artery atherosclerosis and cardiomegaly, with toxicology showing synthetic cannabinoid (Cumyl-PeGACLONE) use. The…
73y · Male·Dilated cardiomyopathy and chronic renal disease
Douglas Povey was a 73-year-old prisoner with multiple comorbidities including Type 2 diabetes, ischaemic heart disease with cardiac stents, severe ischaemic cardiomyopathy, hypertension, and chronic renal disease. In mi…
60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)
Christina Maree Chamberlain, aged 60, died when her vehicle drifted across lanes and collided with a tree on Great Alpine Road. She was taking multiple medications including oxycodone, amitriptyline, sertraline, diazepam…
82y · Male·Ischaemic heart disease
Timothy Leighton Richardson, 82, died of ischaemic heart disease while in custody at Port Phillip Prison. He had extensive cardiac history including prior coronary artery grafts and a recent myocardial infarction in Janu…
34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm
A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both times, before a c…
44y · Male·Heroin toxicity in the setting of ischaemic heart disease
Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had b…
65y · Male·Multiple injuries sustained in a light plane incident
A Piper PA-28 aircraft crashed into the Bass Strait in January 2016, killing four occupants including pilot Ian Chamberlain. The aircraft departed Moorabbin Airport in deteriorating weather conditions unsuitable for visu…
55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type…
A 55-year-old man with ischaemic heart disease and multiple system atrophy (MSA) died suddenly in custody from natural causes. He presented with tremors and collapse in 2017, and was appropriately diagnosed with MSA Park…
57y · Female·Complications of muscular dystrophy
A 57-year-old woman with longstanding muscular dystrophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility wit…
0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…
Armani El-Sayegh was a seven-month-old infant who died from right ventricular failure secondary to complex congenital heart disease (pulmonary atresia with ventricular septal defect and major aortopulmonary collateral ar…
65y · Male·Cardiomegaly
Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from cardiomegaly on 11 September 2017. Two days before hi…
92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …
A 92-year-old C4 quadriplegic man with ischaemic heart disease and cardiomegaly died following a fall at home. Two scheduled disability support shifts (1:00pm and 8:30pm) failed on 31 January 2019 due to staff rostering …
48y · Male·Dilated cardiomyopathy with contributing factor of acute renal impairment
David Farlech, a 48-year-old man with Down's Syndrome and intellectual disability living in a group home, died from dilated cardiomyopathy with acute renal impairment. He presented with chest, rib cage and abdominal pain…
48y · Male·Complications of metastatic melanoma
A 48-year-old man in custody at Port Phillip Prison died from complications of metastatic melanoma at St Vincent's Hospital. He had been diagnosed with melanoma in 2016 and developed metastatic disease in 2019. After pre…
55y · Male·Bronchopneumonia in a man with a healing myocardial infarction
Leon Edward Balshaw, aged 55, died from bronchopneumonia complicating a healing myocardial infarction while in police custody. He was arrested on 25 January 2018 following a domestic dispute and taken to Bairnsdale Regio…
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She pr…
68y · Male·Cardiomegaly
James Kenneth Cowl, a 68-year-old man with severe cardiomyopathy, atrial fibrillation, schizophrenia, and intellectual disability, died suddenly from cardiomegaly while in residential care. An echocardiogram performed sh…
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