1,488 results
16y · Male·Complications of acute alcohol intoxication
A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …
24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging
Jayke Aleckson, 24, died by hanging in a non-BDRP compliant prison health cell while on remand at Marngoneet Correctional Centre in October 2018. Key clinical lessons: (1) Multiple unmet requests for antidepressant medic…
79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…
A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate falls prevention after a second fall on …
62y · Male·Mediastinitis due to perforated oesophagus, with severe emphysema as a contribut…
A 62-year-old man with severe emphysema and chronic oesophageal stricture died from mediastinitis secondary to perforated oesophagus. He had undergone 46 oesophageal dilations since December 2022, with frequent mucosal t…
0y · Male·Hypoxic ischaemic encephalopathy due to an out of hospital cardiac arrest second…
A 10-month-old boy drowned in a backyard fishpond after a 27-minute period of inadequate supervision. He was found unresponsive by his aunt and underwent prolonged resuscitation, suffering severe hypoxic brain injury. De…
5y · Female·myocarditis
A five-year-old girl died from fulminant myocarditis caused by influenza A on 5 July 2022 at Canberra Hospital. The diagnosis was delayed over 7 hours from initial presentation. Critical failures included: ED triage Cate…
69y · Male·complications post trauma related acquired brain injury
A 69-year-old man died from complications of acquired brain injury sustained in a violent assault in December 2021. He had suffered a significant intracranial haemorrhage, facial fractures, and left hemiplegia, requiring…
59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…
Michael King, 59, died from aspiration pneumonia secondary to recurrent anal squamous cell carcinoma following total pelvic exenteration surgery in December 2021. He was admitted to Dandenong Hospital with vomiting, leth…
48y · Female·Pneumonia with anaphylaxis (treated), cerebral palsy, and epilepsy as contributi…
Narelle Sanders, a 48-year-old woman with cerebral palsy and epilepsy living in disability accommodation, died of pneumonia complicated by anaphylaxis. She was admitted with shortness of breath and cough following recent…
20y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
A 20-year-old male died from multiple injuries sustained in a head-on motor vehicle collision. He was driving a utility vehicle at 153-161 km/h in a 70 km/h zone, overtaking other vehicles on the wrong side of the road a…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years with multiple admissions for bowel was…
7y · Male·Hypoxic ischaemic encephalopathy in the setting of a breech delivery
A neonate born at home in breech presentation without medical assistance suffered hypoxic ischaemic encephalopathy and died at 7 days old. The mother had been counselled by hospital obstetricians about risks of home bree…
36y · Male·Complications of thermal burn injuries
Daniel Surtees, aged 36, died from complications of extensive thermal burn injuries (>80% body surface area) sustained during a domestic violence incident. After consuming 14 cans of bourbon at a party, Daniel returned h…
31y · Female·organ failure due to anorexia nervosa
Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, receiving multiple episodes of hospital-based refeeding that never achieved lasti…
48y · Male·Aspiration pneumonia
Luke McCormack, a 48-year-old NDIS participant with epilepsy living in supported accommodation, died from aspiration pneumonia. He had a respiratory illness with cough and runny nose on 6 January 2023, was prescribed ant…
65y · Male·Intracranial mass - glioblastoma multiforme
Stephen Hills, a 65-year-old NDIS participant in Specialist Disability Accommodation, died from glioblastoma multiforme after presenting with seizure-like symptoms on 11 April 2023. He was rapidly conveyed to hospital wh…
54y · Female·Aspiration pneumonia
Valerie Caithness, a 54-year-old with cerebral palsy and intellectual disability residing in specialist disability accommodation, died from aspiration pneumonia following an aspiration event during a colonoscopy performe…
16y · Male·severe traumatic brain injury
A 16-year-old male died from severe traumatic brain injury sustained when struck by a motor vehicle while riding an unlit, unmaintained scooter on the Lyell Highway at dusk. He was wearing dark clothing and no helmet. Th…
80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…
An 80-year-old man underwent elective microdiscectomy for spinal pain in April 2023. In late June, he developed a wound infection with Staphylococcus aureus causing discitis. Despite appropriate diagnosis and aggressive …
40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…
A 40-year-old man with obesity, COPD, diabetes and hypertension died from acute hepatic and renal failure following postoperative haemorrhage after left radical nephrectomy for a 10cm renal cell carcinoma. The surgeon ap…
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