383 results
90y · Female·Multiple rib and pelvic fractures due to a fall from a wheelchair on sloping lan…
Cynthia Stevens, aged 90, died from multiple fractures sustained when her wheelchair rolled uncontrolled down a steep slope in a medical car park. The primary clinical lessons include: (1) inadequate application of wheel…
82y · Male·bronchopneumonia
William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…
31y · Male·global hypoxic brain injury secondary to positional asphyxia following an epilep…
KL, a 31-year-old male with longstanding epilepsy, died from global hypoxic brain injury caused by positional asphyxia following an epileptic seizure at home on 26 April 2019. He fell in the toilet during a seizure, beca…
75y · Male·bronchopneumonia
Barry Ronald Tate, 75, died of bronchopneumonia following a fall at a palliative care ward. He sustained an unwitnessed fall on 26 September 2019 while attempting to shave himself without assistance, despite being advise…
81y · Male·pneumonia due to traumatic internal bleeding of the chest wall sustained in fall…
An 81-year-old man with Parkinson's disease, dementia, and multiple comorbidities residing in aged care suffered an unwitnessed fall on 6 June 2021, sustaining a right-sided chest wall haematoma. Staff found him at 7:40a…
57y · Male·hanging
Christopher Maxwell Lampkin, a 57-year-old man with longstanding depression and alcohol dependence, died by hanging in July 2021. He had been treated for depression since 2009 and had attended an alcohol and drugs servic…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
45y · Male·mixed drug toxicity
Glenn Sturley Meyer, aged 45, died from mixed drug toxicity on 22 August 2019. He had chronic pain, PTSD, depression and anxiety managed with oxycodone and diazepam. He also had obesity and probable obstructive sleep apn…
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
A 66-year-old man with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulti…
69y · Male·Chronic obstructive pulmonary disease, congestive cardiac failure and injuries s…
A 69-year-old man with severe COPD, congestive cardiac failure, epilepsy and high falls risk died following a fall from his motorised scooter at a post office. He had left his nursing home alone without direct staff cont…
43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…
A 43-year-old woman died of pulmonary embolism following Achilles tendon rupture. She fell in a car park on 4 October 2021, sustaining a right ankle injury initially treated conservatively with immobilisation. An Achille…
54y · Female·hypothermia, likely related to drug toxicity
Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…
51y · Male·multi-organ failure due to acute kidney injury and haemodynamic shock as a conse…
A 51-year-old man with significant alcohol intoxication sustained thermal burns affecting over 60% of body surface area when he accidentally set fire to himself while homeless. He was transported from Launceston General …
42y · Male·Traumatic asphyxia due to motor vehicle accident
Gary Wayne Walker, a 42-year-old truck driver, died from traumatic asphyxia following a motor vehicle accident on the Arthur Highway, Tasmania. He was driving a prime mover and trailer loaded with approximately 14,000 kg…
29y · Male·complete transection of the vertebral column from the base of the skull sustaine…
A 29-year-old male university student died from complete transection of the vertebral column sustained in a motor vehicle collision while walking on the Brooker Highway at Granton, Tasmania. He had consumed alcohol (BAC …
14y · Male·chest and abdominal injuries following a single motorcycle collision
A 14-year-old male died from chest and abdominal injuries sustained in a motorcycle collision on Christmas Day 2020. He was riding an unregistered Yamaha WR 450F at approximately 96 km/h (nearly double the 50 km/h speed …
82y · Female·aspiration pneumonitis
An 82-year-old woman with cerebral palsy, epilepsy, spastic tetraplegia and blindness died of aspiration pneumonitis at North West Regional Hospital. She had been deteriorating since a February 2021 palliative care revie…
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
A 63-year-old man with multiple chronic conditions including psoriatic arthritis, depression, prostate cancer, and recent dental issues died by self-inflicted sharp force wounds while on approved leave from a mental heal…
60y · Female·undetermined; natural causes not excluded (possible paraganglioma infarction, pn…
A 60-year-old woman with depression, recent acute kidney injury from dehydration, and suicidal ideation was discharged from hospital on 27 August 2021 after psychiatric improvement. She was prescribed increased Sertralin…
76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…
Wayne Douglas Tedmanson, aged 76, died from ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.