96y · Female·Decompensated frailty syndrome following right femoral neck fracture from fall
Margaret Wood, a 96-year-old resident of St Ann's aged care facility, died from decompensated frailty syndrome following a fall that resulted in a right femoral neck fracture. She was a frail elderly woman w…
82y · Male·bronchopneumonia
William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…
90y · Female·Multiple rib and pelvic fractures due to a fall from a wheelchair on sloping lan…
…lied, only the weaker attendant brakes which cannot hold a wheelchair on slopes; (2) failure to recognise frailty and immobility as key risk factors requiring maximum safety precautions; (3) unsafe placement of a vulner…
89y · Male·ischaemic heart disease and chronic obstructive pulmonary disease with aspiratio…
An 89-year-old man with ischaemic heart disease, COPD, dementia, and Korsakoff syndrome died at a nursing home from cardiorespiratory failure with aspiration pneumonia. He was found on the bath…
55y · Male·Bronchopneumonia in a man with functional decline and trisomy 21
Trevor Bayldon, a 55-year-old man with Down syndrome, dementia, and epilepsy, died from bronchopneumonia at St Vincent's Hospital. He presented with respirato…
87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …
An 87-year-old woman with dementia, heart disease, and hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical …
45y · Female·COVID pneumonia complicated by severe electrolyte abnormalities
A 45-year-old woman with cerebral palsy, Smith-Lemli-Opitz syndrome, and blindness died from COVID pneumonia complicated by severe electrolyte abnormalities. She was admitte…
90y · Male·pneumonia complicating ischaemic heart disease
Francis William Athol Cable, aged 90, died in the Corrective Services NSW Secure Annex at Prince of Wales Hospital on 12 September 2022. He had complex medical comorbidities including ischaemic heart disease, chronic car…
29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause
A 29-year-old woman with multiple comorbidities (Turner syndrome, type 1 diabetes, end-stage renal disease) presented to the ED in acute behavioural disturbance, requirin…
86y · Female·Cardiogenic shock
Adelaide Wilson, 86 years old, presented to an urgent care centre with two days of chest pain and vomiting. A point-of-care troponin test (i-STAT) returned 0.4 ng/L, interpreted as normal, and she was discharged with gas…
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