155 results for “weight loss”
67y · Female·Sepsis as a result of gastric perforation
… aged 67, died from sepsis following gastric perforation after an intragastric balloon (IGB) procedure for weight loss. She had undergone fundoplication for hiatus hernia in 2012. Despite prior gastric surgery being an a…
10y · Male·Unascertained - sudden and unexpected death; evidence did not allow determinatio…
Ezekiel Howard, a 10-year-old boy, died suddenly in his sleep on 12 September 2011. His death remains unexplained despite extensive investigation. The coroner could not determine whether death resulted from undiagnosed e…
33y · Female·Injuries sustained as a result of aviation accident—specifically, controlled fli…
…uded the accident was caused by navigation in Dead Reckoning (DR) mode on the Trimble GPS unit after signal loss. Air traffic controllers failed to alert the pilot to significant track deviations when two Route Adherence…
Unknown·Injuries sustained in violent attack by Antony Waterlow (stab wounds caused by k…
Nicholas Waterlow and his daughter Chloe Heuston were fatally attacked by Antony Waterlow, Nicholas's son and Chloe's brother, in November 2009. Antony suffered from untreated paranoid schizophrenia, characterized by per…
68y · Male·Metastatic Pancreatic Adenocarcinoma
Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…
34y · Male·Plastic bag asphyxia
A 34-year-old man on remand died by plastic bag asphyxia at Shortland Correctional Centre on 5 May 2020, hours before his release on bail. He had disclosed anxiety and depression, made multiple self-referrals for mental …
71y · Male·End-stage chronic obstructive pulmonary disease and atherosclerotic heart diseas…
Colin Albert Winter, a 71-year-old prisoner who died from end-stage COPD and atherosclerotic heart disease, received comprehensive medical care during 33 years of incarceration at Casuarina Prison. Key clinical lessons i…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did not recognize her de…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…
2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection
A two-year-old girl died from complications of severe iron-deficiency anaemia and COVID-19 infection. She had significant feeding difficulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with po…
49y · Male·complications of non-small cell carcinoma of the lung
…ite Howlett receiving such care in the community. Symptoms including severe vomiting, diarrhoea, pain, and weight loss were inadequately managed. No psychiatric assessment occurred despite known mental health issues. The…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
…ed became available during his 17-day wait. His dramatic physical decline—marked by multiple falls, severe weight loss, and repeated desperate requests for water and food—was not recognized as requiring urgent hospital t…
28y · Female·bronchopneumonia complicating oxycodone toxicity
Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
…case manager failed to report the deplorable flat conditions (severe disorganisation, lack of food, marked weight loss) to the psychiatrist; medication monitoring was inadequate—Clozapine dispensed in 4-week batches with…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…
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