530 results
66y · Male·Complications of metastatic lung adenocarcinoma, with terminal palliative care, …
Karl Frederick Dominic Holmes, a 66-year-old prisoner with metastatic lung adenocarcinoma and hepatocellular carcinoma, died from complications of his terminal cancer while serving a 7-year sentence. He received excellen…
67y · Female·Complications of metastatic lung cancer, in a woman with chronic obstructive pul…
Grethe Larsen, a 67-year-old woman with advanced multiple sclerosis, COPD, and metastatic lung cancer, died from complications of her malignancy. She resided in specialist disability accommodation funded by the NDIS with…
51y · Female·Aspiration pneumonia in a woman with cerebral palsy and epilepsy
Kathryne Callaghan, a 51-year-old woman with cerebral palsy, epilepsy and intellectual disability, died from aspiration pneumonia following COVID-19 infection. She was initially hospitalised in November 2022 with COVID-1…
48y · Male·Complications of infective exacerbation of bronchiectasis with cor pulmonale
A 48-year-old man with a significant history of bronchiectasis died in police custody from infective exacerbation of bronchiectasis with cor pulmonale. The inquest examined whether police took appropriate steps to obtain…
56y · Male·Aspiration pneumonia, complicated by myocardial infarction and right heart failu…
Wayne Thomas Jamieson, a 56-year-old man with profound intellectual disability and Osteogerma Dysblastica, died from aspiration pneumonia complicated by myocardial infarction and right heart failure. He was admitted to h…
5y · Unknown·Aspiration pneumonia complicating a gastrointestinal illness in a child with cer…
HMQ was a 5-year-old with severe cerebral palsy (GMFCS level 5), genetic disability (CACNA1A deletion), intractable epilepsy, and aspiration risk who died from aspiration pneumonia following a gastrointestinal illness. H…
54y · Female·metastatic squamous cell carcinoma of the lung
Tu Loan Le, a 54-year-old woman on home detention release from prison, died from metastatic squamous cell carcinoma of the lung at The Queen Elizabeth Hospital on 9 May 2020. She had been diagnosed with stage 4 lung canc…
59y · Female·Complications of blunt force chest injuries with clinically diagnosed Pseudomona…
A 59-year-old woman with Child Pugh C liver cirrhosis and COPD suffered a single-vehicle crash on 15 October 2024 after losing control of her vehicle at a caravan park entrance. She had a blood alcohol level of 0.096% (m…
74y · Male·Complications of multiple blunt force injuries sustained in a motor vehicle cras…
A 74-year-old Aboriginal man died from complications of multiple blunt force injuries sustained in a single-vehicle rollover crash on Christmas Day 2024. He was driving with a blood alcohol concentration of 0.14% (three …
74y · Female·Metastatic duodenal carcinoma
Elizabeth Helen Barber, a 74-year-old woman with schizophrenia and a Custodial Supervision Order at Thomas Embling Hospital, presented to Austin Hospital in April 2021 with postural hypotension, fainting, and weakness. I…
48y · Female·Aspiration pneumonia in the setting of percutaneous endoscopic gastrotomy (PEG) …
A 48-year-old woman with cerebral palsy, dysphagia, and a PEG tube died from aspiration pneumonia. She presented with low oxygen levels and abnormal breathing, and developed complications including vomiting, PEG site inf…
57y · Male·Combined effects of aspiration pneumonia and epilepsy (with cerebral palsy as un…
Mr Vincenzo Mario Chiarello, a 57-year-old man with cerebral palsy, intellectual disability, and epilepsy living in specialist disability accommodation, died from combined aspiration pneumonia and epilepsy complicated by…
46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…
Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…
52y · Male·hanging
A 52-year-old man with a history of depression, ankylosing spondylitis, and severe obstructive sleep apnoea died by hanging in custody. He had requested a CPAP machine for over 9 months without receiving one, which he be…
58y · Male·acute bronchopneumonia
Giovanni Trotta, aged 58, died in custody from acute bronchopneumonia. He was a vulnerable prisoner with COPD, schizoaffective disorder, and profound deafness. Clinical lessons include: (1) hospital discharge summaries m…
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…
48y · Male·unascertained
Abdurahman Faid, a 48-year-old man with chronic schizophrenia and acquired brain injury from cerebral malaria, died unexpectedly in hospital on 31 December 2018 while an involuntary psychiatric patient. He had untreated …
54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…
A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…
79y · Male·Pneumonia, due to or as a consequence of emphysema (chronic obstructive pulmonar…
Herbert Charles Hilsley, aged 79, died of pneumonia secondary to emphysema with contributing ischaemic heart disease while incarcerated at Rockhampton Base Hospital. He had extensive comorbidities including COPD, ischaem…
64y · Male·Complications of eosinophilic asthma with bronchiectasis and allergic bronchopul…
Wayne Mullin, a 64-year-old man with severe eosinophilic asthma, bronchiectasis, and allergic bronchopulmonary aspergillosis, died between 21 September and 20 October 2021. Toxicology revealed oxycodone and diazepam at l…
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