68y · Male·unascertained
A 68-year-old man with multiple chronic medical conditions including peripheral neuropathy, chronic pain, atrial fibrillation, dysphagia, and dep…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to h…
52y · Female·gunshot wound to head
…eported to or detected by healthcare providers. Significant clinical lessons include: GPs should maintain a low threshold for asking about family violence in patients presenting with depression, chronic pain, insomnia a…
72y · Female·environmental heat and cold exposure with severe dehydration
Susan Ann Deuchar, aged 72, died from environmental heat and cold exposure with severe dehydration following a motor vehicle accident on Anthony Road, Tullah, Tasmania on 10 December 2018. She suffered a loss of c…
41y · Male·subarachnoid haemorrhage due to rupture of a berry aneurysm of the right interna…
…ing migraines, head injuries, hypertension, and substance use. In June 2021, he presented with right facial pain initially attributed to sinusitis; a cranial CT was ordered but not completed before his collapse. Expert n…
76y · Male·ruptured abdominal aortic aneurysm
… (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two episodes of syncope at his physiotherapist. Despite a documented pr…
76y · Female·Acute renal failure due to dehydration due to upper gastrointestinal bleed
A 76-year-old woman with chronic pain was admitted to a small rural hospital on 1 April 2015 with haematemesis secondary to NSAID use. Blo…
61y · Male·Coronary atherosclerosis
…ctioned as clinical triggers for risk modification. Systemic improvements including a Nurse Navigator for chronic disease management have since been implemented.
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