34y · Male·Drowning due to shallow water blackout
…4-year-old man died from drowning in a residential swimming pool while practicing breath-holding with hyperventilation, a technique he had used since childhood for spearfishing competitions. The coroner concluded death r…
43y · Male·Hypoxic Ischaemic Encephalopathy due to out of hospital cardiac arrest, secondar…
…lude: (1) OSA with obesity carries serious unrecognised risks; (2) Mr Navarro had undiagnosed obesity hyperventilation syndrome (OHS), a more dangerous condition; (3) he failed to attend recommended annual sleep studies …
24y · Male·Drowning following accidental immersion in the sea
…ce of proper deck safety equipment and training for inexperienced crew; and understanding that panic, hyperventilation, and stress-induced arrhythmias can precipitate rapid deterioration. The immediate rescue response by…
Male·Faecal peritonitis due to perforated diverticulum
…and further investigation. Despite afternoon clinical deterioration—including tachycardia of 170 bpm, hyperventilation, elevated blood glucose—Dr B. discharged him without diagnosis. He died the next day of faecal perito…
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…
35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm
… 2017, he made 20 emergency 'knock-up' calls over three hours expressing extreme distress, confusion, hyperventilation and claustrophobia, but correctional officers failed to recognise these as signs of medical emergency…
Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …
…ied at the time. However, Phillip Lindsay presented with chest tightness, cramping in hands/neck, and hyperventilation—classic cardiac indicators—but officers accepted his explanation of bad fish and chips without hospit…
8y · Male·acute exacerbation of chronic asthma
An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…
16y · Male·Heat related illness in an individual with enterovirus D68 infection
…eratures reaching 39.1°C). He presented with classic heat illness symptoms including extreme fatigue, hyperventilation, confusion, and delirium after walking 14km carrying a heavy pack. Despite field recognition of heat …
31y · Male·undetermined
Erol Elmas, a 31-year-old man with schizoaffective disorder, died in custody at Thomas Embling Hospital on 30 November 2022. The cause of death remains undetermined despite thorough pathological investigation. Mr Elmas w…
55y · Male·Ascent barotrauma resulting in cerebral arterial gas embolism (CAGE) and drownin…
A 55-year-old man with undiagnosed viral myocarditis and cardiomegaly died from cerebral arterial gas embolism (CAGE) during a scuba dive at 37 metres depth. Despite being advised by his cardiologist not to dive, he igno…
Male·Hemant Chadha: acute on chronic pneumonia (mycoplasma pneumoniae). Sachintha Bat…
Two young men died after repeated ED presentations were not appropriately managed. Hemant Chadha (38) died of acute pneumonia complicated by possible neurological involvement after being discharged from Lyell McEwin Hosp…
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