61y · Male·ischaemic heart disease with left ventricular hypertrophy
A 61-year-old Aboriginal man died in prison custody from ischaemic heart disease with left ventricular hypertrophy. He had significant cardiac risk factors including type 2 diabet…
61y · Male·Ischaemic heart disease in the setting of aspiration pneumonia in a man with Pra…
…De Julia, a 61-year-old man with Prader-Willi syndrome, complex medical history including severe ischaemic heart disease, and multiple comorbidities, died of ischaemic heart disease complicated by aspiration pneumonia. …
40y · Male·ischaemic heart disease due to left ventricular hypertrophy and coronary artery …
A 40-year-old Aboriginal man with longstanding rheumatic heart disease, left ventricular hypertrophy, and coronary artery atherosclerosis died from acute myocardial infa…
73y · Male·Unascertained
…difficult terrain and dying from exposure, or suffering a medical episode (he had significant prostate and heart conditions). Key clinical lessons: elderly patients with multiple comorbidities undertaking strenuous remo…
76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease
… serial troponin protocols, failure to involve cardiology, and poor documentation. ED overcrowding and bed-block likely contributed to hastily made discharge decisions.
51y · Female·Complications of anorexia nervosa
… severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart block, and extreme malnutrition. She was discharged after only 2 days with minimal medical follow-up and n…
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
…ration pneumonia after waiting 1 hour 43 minutes before admission; Graham Jessett (64) died from ischaemic heart disease complicated by undetected hyperkalaemia. Panella's death was not preventable given her rapid deter…
81y · Male·valvular heart disease with cardiac amyloidosis
…nt TAVI procedure, collapsed and died in prison infirmary on 20 September 2019. Autopsy confirmed valvular heart disease with cardiac amyloidosis as cause. Clark had multiple recent falls and episodes of syncope, includ…
84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…
…e comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. He underwent total dental clearance (extraction of 15 teeth)…
93y · Male·ischaemic heart disease
A 93-year-old man with extensive cardiac history died of ischaemic heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary…
86y · Male·End-stage congestive cardiac failure on a background of dilated cardiomyopathy
…it. He had multiple chronic conditions (dilated cardiomyopathy, chronic kidney disease, diabetes, ischemic heart disease) and had signed advance care directives refusing cardiopulmonary resuscitation. He was appropriate…
24y · Female·Cardiac conducting system disease leading to asystole against a background of a …
…dmitted to a secondary hospital with a respiratory tract infection and bradycardia with left bundle branch block. She deteriorated into asystole during overnight monitoring. Cardiac telemetry alarms sounded for approxim…
83y · Male·Ischaemic heart disease secondary to coronary atherosclerosis
Neil Bethune, 83, died from ischaemic heart disease with coronary atherosclerosis while an involuntary psychiatric patient at Normanby House. He was a…
70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…
…n supported residential care, died from congestive cardiac failure secondary to ischaemic and hypertensive heart disease. He was admitted to hospital with sepsis and acute kidney injury in May 2018, followed by a compli…
87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…
An 87-year-old woman died following a CT-guided epidural injection at a private radiology clinic. Although she had undergone the procedure for spinal pain, the radiologist performed an epidural injection at the T12 level…
78y · Male·cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascula…
Ronald William Hopkins, aged 78, died in Mount Gambier Prison on 20 April 2014 from cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascular disease, with contributing chronic obstructive pulmona…
Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…
Three men died in custody in Tasmania between 2016 and 2017. Ronald Grundy (80) died of advanced atherosclerotic coronary vascular disease while hospitalised with pneumonia and gastroenteritis; his treatment was adequate…
92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…
A 92-year-old man with complex cardiac history was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the Emergency Medical Unit (EMU) for five days despite clinical deterioration, …
57y · Male·Aspiration of gastric content (due to choking on food)
Christopher Barca, a 57-year-old man with Down syndrome and intellectual disability living in a Department of Human Services group home, died from aspiration of gastric content. He had oropharyngeal dysphagia, epilepsy, …
68y · Male·Complications following myocardial infarction and its treatment in a man with mu…
Salvatore Otranto, a 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and …
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