3,729 results
0y · Male·Myocarditis
Baby C, a 5-month-old infant, died from myocarditis (viral heart inflammation) after presenting to Sunshine Hospital Emergency Department with fever, breathing difficulty, and cyanosis. He waited 1 hour 52 minutes before…
56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose
A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingested temazepam tablets accumulated over time and insulin stolen from his mother on 10-11 Nove…
79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…
A 79-year-old man with significant cardiovascular disease history (prior MI, triple bypass, hypertension, hypercholesterolaemia) was admitted to psychiatric care under an Inpatient Treatment Order following suicidal idea…
54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…
Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 M…
0y · Male·dehydration complicating diarrhoea (aetiology unknown)
A 10-week-old infant in out-of-home care in a remote Western Australian community developed acute diarrhoea and fever one day after routine immunisation. Despite appropriate initial care by foster parents and timely hosp…
78y · Male·Multiple organ failure in the setting of neuropathy and coagulopathy caused by t…
Winston William Fish, aged 78, died from multiple organ failure following tiger snake envenomation while working on his rural property in Tasmania. He was bitten at least twice by a 1400mm tiger snake while working near …
48y · Male·Head injury due to mountain bike crash
Colin Jamie Oliver, a 48-year-old experienced mountain biker and registered nurse, died from head injuries sustained in a single-vehicle mountain bike crash at Maydena Bike Park on 1 March 2018. He was riding the Tyenna …
66y · Female·Ischaemic heart disease
A 66-year-old woman with moderate intellectual disability living in a group home died from ischaemic heart disease due to severe coronary artery occlusion. On the morning of death, she presented with confusion, difficult…
17y · Male·Hanging
A 17-year-old male with a history of mental health concerns, prior suicide pact attempt, and escalating aggressive behaviour died by hanging shortly after being excluded from his home via a Family Violence Intervention O…
54y · Male·Cardiac arrest in a person with cardiac hypertrophy and generalised atherosclero…
Anthony Caristo died from cardiac arrest on 31 October 2017 following police deployment of a taser during a mental health crisis. He had consumed a lethal dose of methamphetamine, was actively self-harming with knives, a…
52y · Male·Polypharmacy overdose of amitriptyline and doxylamine in the context of underlyi…
A 52-year-old man with chronic facial pain, depression, obesity, cardiovascular disease and obstructive sleep apnoea died following restraint in ICU. He had ingested a polypharmacy overdose of amitriptyline and doxylamin…
5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …
A five-year-old girl with cerebral palsy and epilepsy resulting from non-accidental head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants i…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…
44y · Male·Subarachnoid haemorrhage due to ruptured anterior communicating artery aneurysm
A 44-year-old man died in prison from subarachnoid haemorrhage due to ruptured anterior communicating artery aneurysm. He had pre-existing hypertension, depression, anxiety, and chronic pain. While at the remand centre, …
73y · Male·Metastatic rectal carcinoma
A 73-year-old man died from metastatic rectal carcinoma while serving a prison sentence. He was transferred from Port Phillip Prison to St Vincent's Hospital on 16 September 2018 for end-of-life care and died five days l…
23y · Female·multiple blunt force injuries from fall from height
Grace Herington, 23, died from multiple blunt force injuries sustained in a fall from a highway off-ramp during an acute psychotic episode induced by cannabis use. She had attended Royal North Shore Hospital the previous…
6y · Male·Sepsis due to melioidosis
A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…
37y · Female·Hypoxic ischaemic encephalopathy as a direct result of neck compression
Ms TP, a 37-year-old woman of Indian origin living in Victoria, died from hypoxic ischaemic encephalopathy resulting from ligature strangulation (neck compression). She was admitted to ICU in cardiac arrest and died nine…
34y · Male·Methadone toxicity, with coronary artery atherosclerosis as a significant contri…
Ivan Mikic, a 34-year-old prisoner at Wellington Correctional Centre, died from methadone toxicity on 3 November 2015. The methadone was not prescribed to him and was most likely obtained through diversion by another inm…
70y · Male·Complications of Ischaemic cardiomyopathy and Chronic Obstructive Pulmonary Dise…
Stephen Pitty, aged 70, died from complications of ischaemic cardiomyopathy and chronic obstructive pulmonary disease whilst in custody at Long Bay Correctional Centre. He had significant cardiac history including seven …
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