31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…
…ed appropriate medical care in custody. The death was attributed to complications of long-term indwelling bladder catheterisation, a known risk factor for sepsis in spinal cord injury patients. The expert specifically c…
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
…tment including antibiotics for polymicrobial bacteraemia, he deteriorated and died. The coroner found no bladder perforation. Key clinical lesson: routine catheter replacement at fixed intervals is not evidence-based p…
54y · Female·Respiratory failure secondary to pneumonia, due to multiple sclerosis
A 54-year-old woman with multiple sclerosis residing in specialist disability accommodation died of respiratory failure secondary to pneumonia. She presented with breathing difficulty and vomiting on 10 January 2024, was…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…
58y · Male·Pneumonia and urosepsis
Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing ureth…
22y · Female·bowel obstruction due to faecal impaction
Susan Windie, a 22-year-old with rare congenital abnormalities affecting bowel function, died from bowel obstruction due to faecal impaction complicated by abdominal compartment syndrome. She presented to Carnarvon Hospi…
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