3,425 results
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…
57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…
Agostino Cutugno, a 57-year-old prisoner with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesio…
63y · Male·complications of an inverted positional event (asphyxia from airway occlusion)
A 63-year-old man with previous stroke and left-sided paralysis fell headfirst into his bedside drawer while attempting to open it from his motorised wheelchair. He became trapped with his airway occluded. An enrolled nu…
57y · Male·Complications of opioid (hydromorphone and morphine) toxicity and incised wounds…
Leslie Hawkins, aged 57 with dementia and significant medical comorbidities, died from opioid toxicity and incised wrist wounds as part of a suicide pact with his terminally ill wife. Mrs Hawkins, diagnosed with advanced…
62y · Male·Incised wound to the neck
A 62-year-old man died from an incised neck wound inflicted by his son during a psychotic relapse. The son, with a 15-year history of schizophrenia managed in the community, was experiencing worsening psychotic symptoms …
66y · Male·Aspiration pneumonia complicating a seizure in a man with dysphagia and phenylke…
A 66-year-old man with phenylketonuria and intellectual disability died from aspiration pneumonia complicated by seizure following missed anti-epileptic medications at his residential care facility. He presented to St Vi…
39y · Male·Cardiorespiratory arrest during prone restraint including pressure on the neck o…
A 39-year-old male died from cardiorespiratory arrest during a prone restraint with neck pressure while intoxicated with methylamphetamine. He was found behaving erratically and aggressively in a small town, entered a ta…
42y · Female·The combined effects of blunt force injuries to the head and penetrating injurie…
Traci O'Sullivan, 42-year-old woman, died from combined blunt force injuries to the head and penetrating injuries to the neck, chest and abdomen. The death occurred between 5-7 February 2015 at her home in Frankston Nort…
39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
Bartosz Zgadzaj, a 39-year-old man with cerebral palsy and intellectual disability, died from hypoxic ischaemic encephalopathy secondary to acute airway obstruction from a food bolus. He choked while eating unsupervised …
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…
67y · Female·Sudden unexpected death in epilepsy in a woman with schizophrenia and cardiomega…
A 67-year-old woman with epilepsy, schizophrenia, and cardiomegaly died suddenly and unexpectedly at home in disability accommodation. The coroner determined the cause as sudden unexpected death in epilepsy (SUDEP). The …
77y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis of the left leg
A 77-year-old woman with Factor V Leiden thrombophilia and history of PE presented to a rural urgent care centre on 19 April 2017 with shortness of breath and chest pain. She was examined by Dr H. who considered but dism…
17y · Male·Diabetic ketoacidosis
Caleb Pearson, a 17-year-old with undiagnosed Type 1 diabetes, presented with pharyngitis and was diagnosed and treated for a throat infection by his GP on 25 May 2015. Over the following two days he deteriorated with vo…
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…
63y · Male·Sepsis in a man with complicated peripheral vascular disease
Hong Tay, a 63-year-old man with extensive peripheral vascular disease, diabetes, and prior amputations, died from sepsis in an aged care facility following a cervical spine fracture sustained in a fall. After conservati…
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…
43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…
43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …
45y · Female·Hanging
A 45-year-old woman with bipolar affective disorder, borderline personality disorder, anorexia nervosa and depression died by hanging. She had chronic suicidal ideation and was managed in the community by a mental health…
69y · Male·Chest and head injuries sustained in a quad bike incident (driver)
A 69-year-old man died from chest and head injuries sustained in a quad bike rollover on his rural property. He was operating an older Honda quad bike without a safety helmet or crush protection device. Toxicological ana…
9y · Female·Acute exacerbation of asthma on a background of anaphylaxis
A 9-year-old girl with known egg allergy and asthma died from acute exacerbation of asthma on a background of anaphylaxis after consuming a Cadbury Chocolate Chip Cookie containing egg. The cookie was purchased in packag…
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