50y · Male·Advanced Parkinson's disease
…admission for palliative care management of progressive fatigue, reduced oral intake, pain from dystonias/rigidity, and ongoing seizures. He had been residing in Specialist Disability Accommodation under NDIS funding. Th…
86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…
…ing programs to emphasize configuration selection based on patient factors (catheter use, skin integrity, rigidity), and implementing systems to track near-misses and communicate with manufacturers.
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
…malnutrition and chronic disease related to extreme obesity and dietary restriction driven by behavioural rigidity. The key clinical lesson is that children with severe developmental disabilities require proactive, coord…
50y · Male·coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia
…ting doctor's illness. He did not attend this appointment; the treating team attributed this to his known rigidity and non-cooperation with appointment changes. Delayed follow-up allowed an additional day before welfare …
60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…
A 60-year-old man with frontotemporal dementia, diabetes, and ischaemic heart disease died from sepsis secondary to pressure ulcers while subject to a Mental Health Act inpatient treatment order. He developed sacral and …
26y · Male·Brain death post mixed drug toxicity including MDMA and cocaine
…rom MDMA and cocaine consumed at a music festival. He presented with seizures, hyperthermia (42.2°C), and rigidity at the festival medical tent and received appropriate emergency treatment including seizure management an…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
… by stability is characteristic and should not provide false reassurance; (5) lack of shock, guarding, or rigidity does not exclude serious intra-abdominal bleeding; (6) a previous similar death at the same hospital (Hoo…
18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)
PJQ was an 18-year-old in state care who died from multidrug toxicity (GHB, amphetamines, benzodiazepines) after being discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and…
76y · Male·Effects of fire due to home oxygen ignition in the setting of smoking; lung canc…
A 76-year-old man with lung cancer and mesothelioma died from thermal injuries sustained when his home oxygen ignited while smoking. He had been discharged on self-funded home oxygen despite a recent smoking history, aft…
64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …
Dennis Childs, a 64-year-old Indigenous man serving a life sentence, died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused …
0y · Male·Severe acute dehydration and acute malnutrition
…sessments. Officers failed to recognise severe nappy rash, poor growth parameters, and behavioural signs (rigidity, shaking) as indications of serious neglect. The child's twin brother survived but required hospital admi…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
Rachael Anne Rasmussen, a 31-year-old mother of three with severe neck deformities (torticollis, dysmorphia, short rigid neck), died on 17 June 2003 from cerebral anoxia following attempted intubation at Joondalup Health…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…
An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatra…
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