66y · Male·unascertained
A 66-year-old man with insulin-dependent diabetes mellitus and severe hypoglycaemia unawareness died on 20 June 2013, the day after commencing a Medtronic Paradigm insulin pump. He was f…
84y · Female·Major cerebral infarct due to hypoglycaemia
Marie Goder, an 84-year-old with diabetes, developed severe hypoglycaemia following insulin administration at a nursing home on 1 November 2009, resulting in prolonged unconsci…
56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose
… stolen from his mother on 10-11 November 2018. He was found unconscious in cardiac arrest with severe hypoglycaemia. Despite paramedic resuscitation and hospital treatment including intubation, he sustained global cere…
57y · Female·right bronchopneumonia following hypoxic brain damage secondary to cardiac arres…
…arrest on 8 December 2001 and suffered severe hypoxic brain injury, dying from bronchopneumonia. While hypoglycaemia was present (BSL 2.1-2.4 mmol/L) and has been criticised as inadequately monitored, expert evidence in…
60y · Male·fracture dislocation through vertebrae C4/5 and basal subarachnoid haemorrhage (…
…en the tractor struck the riverbed. Evidence indicates Hall lost consciousness—most likely from either hypoglycaemia or cardiac arrhythmia—as he travelled 200 metres downhill without applying brakes. The tractor's engin…
1y · Female·Obstructive sleep apnoea occurring in the context of significant, unrecognised h…
…31 October 2021, died at 2 months from obstructive sleep apnoea in the context of severe, unrecognised hypoglycaemia associated with intrauterine growth restriction (IUGR). She was discharged from Campbelltown Hospital …
59y · Male·ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarc…
…dequate cardiac risk stratification and monitoring in aged care residents with multiple comorbidities. Hypoglycaemia at death may have contributed. Earlier coronary angiography and potential intervention might have alte…
26y · Male·Multiple trauma from motor vehicle crash
…nd collided with a tree at an estimated 79 km/h. He was not wearing a seatbelt. Expert review excluded hypoglycaemia despite his diabetic history. The coroner found the death preventable, emphasising that high alcohol i…
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
…19, developing without obvious symptoms. On the morning of his death, he presented with chest pain and hypoglycaemia (BGL 1.4 mmol/L). Critical clinical errors included: failure to escalate care despite vital signs in t…
62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus
…on at Carroll House when he suffered a fall on 22 June 2023. He subsequently developed severe anaemia, hypoglycaemia, and gastrointestinal bleeding from multiple gastric ulcers, requiring ICU admission on 28 June. Despi…
2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
…etal-maternal haemorrhage, and repeat blood gas analysis within 30-60 minutes of delivery. Significant hypoglycaemia (BSL 1.3-1.7 mmol/L) in the first hours of life should prompt immediate intravenous dextrose rather th…
82y · Female·Complications from hypoglycaemic brain damage and cerebral vascular accident
…hnston, 82-year-old admitted for UTI and confusion, was found comatose on 4 September 2006 with severe hypoglycaemia (glucose 0.8 mmol/L) despite being non-diabetic. Blood tests revealed high insulin and low c-peptide l…
57y · Female·Head and chest injuries due to motor vehicle collision (driver)
A 57-year-old woman with insulin-dependent diabetes died in a motor vehicle collision caused by hypoglycaemia while driving. Her insulin pump data showed 16 hypoglycaemic events in the preceding month, with multi…
54y · Male·hypoglycaemic encephalopathy complicating multiple injuries in a man with chroni…
…sible involvement of an associate. Key clinical lessons include the critical importance of recognising hypoglycaemia as a medical emergency in diabetic patients, particularly those with substance use disorders and menta…
57y · Male·Small bowel ischaemia (operated) with incarcerated umbilical hernia
Malcolm Colin Vincent, a 57-year-old resident of supported accommodation, presented to hospital with acute abdominal pain and was found to have incarcerated umbilical hernia with small bowel ischaemia requiring emergency…
56y · Male·Aspiration pneumonia, complicated by myocardial infarction and right heart failu…
…tician input, and nursing support, his condition deteriorated. He developed electrolyte abnormalities, hypoglycaemia, and fluid overload requiring multiple MET calls. On 10 October, a transition to palliative care was m…
31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…
Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image …
34y · Male·Septic shock from aspiration pneumonia; cerebral palsy was a contributing condit…
…eumonia and commenced on IV antibiotics but deteriorated despite treatment, developing hypotension and hypoglycaemia. Active management was withdrawn on 22 July and he died on 30 July 2009. Clinical lessons include reco…
3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…
A 3-year-old boy with septo-optic dysplasia and panhypopituitarism died from hypoxic ischaemic encephalopathy secondary to adrenal crisis and hypoglycaemic shock. He was in state care and had an emergency management plan…
39y · Male·Multidrug toxicity (GHB, methylamphetamine, ketamine) in a setting of restraint …
Anthony Parisi, 39, died from multidrug toxicity (GHB, methamphetamine, ketamine) in a setting of police restraint and moderate coronary artery atherosclerosis. He consumed large quantities of GHB and methamphetamine on …
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