62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
A 62-year-old woman with chronic schizophrenia died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. …
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
A 37-year-old Aboriginal male prisoner with a long history of treatment-resistant schizophrenia died at the Darwin Correctional Precinct. He was on high-dose olanzapine (15mg twice daily) and zuclopenthixol when he devel…
54y · Male·Aspiration pneumonia
Dale Roberts, a 54-year-old man with cerebral palsy, intellectual disability, epilepsy and severe dysphasia, died from aspiration pneumonia following admission to Box Hill Hospital. He was admitted with aspiration pneumo…
32y · Female·Hypoxic brain injury due to a combination of factors arising from subdural haema…
A 32-year-old fit and healthy woman died from hypoxic brain injury following complications of spinal anaesthesia for caesarean section. She developed a subdural haematoma (rare complication) and persistent post-dural pun…
73y · Male·Complications, including multi-organ failure and pneumonia, of chronic obstructi…
Alexander Robert Eatts, a 73-year-old prisoner with severe chronic obstructive pulmonary disease (COPD), congestive cardiac failure, and multiple comorbidities, died from complications of COPD including multi-organ failu…
52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…
Caroline Monique Hall, a 52-year-old woman with intellectual disability, epilepsy, schizophrenia, and multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She…
65y · Male·Ischaemic heart disease in a man with epilepsy
Richard Paul Atkins, a 65-year-old man with intellectual disability and epilepsy living in specialist disability accommodation, died from ischaemic heart disease. Post-mortem examination revealed moderate to severe tripl…
49y · Male·Complications of craniopharyngioma and pan-hypopituitarism
Stephen Ross Gamble, a 49-year-old man with long-standing craniopharyngioma and pan-hypopituitarism, resided in a community residential unit. His condition had been deteriorating in the months before July 2010, with mult…
59y · Female·Aspiration pneumonia and urosepsis complicating Alzheimer's dementia in setting …
Michelle Anne Leiper, aged 59 with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia and urosepsis. She had significant dysphagia and was largely bedbound in her final years. After a February 2025 ho…
55y · Male·Aspiration pneumonia arising as a consequence of severe acquired brain injury
Sydney Dale Stanfield, 55, died from aspiration pneumonia secondary to severe acquired brain injury sustained in childhood. He resided in a disability accommodation service group home and had multiple comorbidities inclu…
43y · Male·Liver failure with cirrhosis in the setting of recent paracentesis and Hepatitis…
Mr Wilson was a 43-year-old Aboriginal man with end-stage liver cirrhosis and hepatitis C who died 18 days after emergency umbilical hernia repair and one day after paracentesis drainage of 8 litres of ascites at a rural…
72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)
…ck pain, fever, elevated inflammatory markers (CRP 77.9, high WBC), hypotension (98/59 mmHg at 6:30am), hyponatremia, and hypoalbuminemia—all consistent with sepsis. Despite these findings, he was discharged without vita…
85y · Female·Coronary artery disease and heat exposure
An 85-year-old woman with coronary artery disease was admitted to a low-care supported residential service following bowel surgery. She was frail, hard of hearing, wore spectacles, and showed signs of confusion and distr…
58y · Female·Enterococcus faecalis sepsis and acute renal failure
Robena Lloyd, a 58-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urin…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…
2y · Male·Hyaline membrane disease and pneumonia in the setting of pneumothorax
A 2-day-old term infant (2670g, small-for-gestational-age) presented with respiratory distress at 11 hours of life. A capillary blood gas at 1:14pm showed mixed respiratory and metabolic acidosis indicating decompensatio…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
31y · Female·organ failure due to anorexia nervosa
Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, receiving multiple episodes of hospital-based refeeding that never achieved lasti…
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