66y · Male·End stage chronic obstructive pulmonary disease
…. In September 2012, he was admitted with acute COPD exacerbation causing severe respiratory failure and hypoxemia. After assessment by a respiratory physician in November 2012, a palliative management approach was adop…
39y · Male·respiratory failure and cardiac arrest
…aviour. He was appropriately assessed in the Short Stay Unit, where blood gas analysis revealed critical hypoxemia (pO2 48mmHg, PaCO2 100mmHg) following midazolam administration. Despite these serious findings suggestin…
20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…
A 20-year-old woman with Down syndrome and Eisenmenger syndrome (cyanotic heart disease with ventricular septal defect) was admitted with abdominal obstruction. After appropriate diagnostic workup, laparotomy was perform…
40y · Female·Complications of influenza A infection in a woman with Moebius syndrome (palliat…
A 40-year-old woman with Moebius syndrome, cerebral palsy and intellectual disability died from complications of influenza A infection. She resided in specialist disability accommodation with 24/7 support. On 3 July, she…
82y · Female·Acute bronchopneumonia
Gwenda Margaret Membery, an 82-year-old resident of aged care with dementia, COPD, and diabetes, died from acute bronchopneumonia. She presented with fever and cough on 3 July 2014, was diagnosed with respiratory tract i…
23y · Male·Unascertained
Umut Selek, aged 23, died in police custody following apprehension under the Mental Health Act 1986. He presented with acute agitation, aggression, and unusual strength after what appears to be a mental health or drug-re…
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…
Unknown·drowning (Thomas Hunt); drowning/immersion with head injury (Youngeun Kim)
Two young international visitors died by drowning at Josephine Falls in Queensland's wet tropics, separated by two years. Both were swept away by rapidly rising floodwaters in Bottom Pool after heavy rainfall in the Moun…
71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…
Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensland Correctional C…
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
Christopher John Debnam, 40, died from cardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensat…
60y · Female·sepsis due to community acquired pneumonia
Lynne Patricia Fisher, 60, presented to Mount Barker Hospital ED on 26 September 2018 with bilateral community-acquired pneumonia and was discharged after 6.5 hours despite clinical deterioration. She collapsed at home w…
68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…
A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharg…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…
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