56y · Female·multi-organ failure due to anorexia nervosa
… Despite appropriate medical treatment in hospital, she deteriorated rapidly with hypoxia, hypotension and severe acidosis, requiring ICU admission and mechanical ventilation before dying. The coroner found her detention…
3y · Female·COMPLICATIONS FROM SEVERE CEREBRAL PALSY
Baby E, a 3-year-old with severe cerebral palsy, spastic quadriplegia, bulbar dysfunction and upper airway obstruction, died from complicat…
41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity
… to ICU where dialysis was commenced. Despite appropriate management including intubation and ventilation, severe lactic acidosis developed consistent with lethal metformin concentrations, leading to multi-organ failure …
59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome
A 59-year-old man with Lennox-Gastaut syndrome, spastic quadriplegia, and severe intellectual disability died of pneumonia following aspiration risk. He had persistent respiratory symptom…
70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…
…f medical treatment necessitated chemical restraint, delaying assessment and treatment. A blood gas showed severe acidosis (pH 7.08) with poor prognosis. He died hours later. The coroner found his medical care reasonable…
72y · Female·Large rectal prolapse and ischaemic bowel
… was provided. The case highlights the challenges of managing complex medical emergencies in patients with severe comorbidities and communication difficulties. Early recognition of the prolapse symptoms at the aged care …
4y · Female·Immersion (drowning)
… death arose by accident. Dr D., Director of Paediatric Care, noted concerning clinical findings including severe hypothermia (30°C), marked acidosis, and failure to establish adequate cardiac output, suggesting either p…
52y · Male·Community acquired pneumonia in a man with myotonic dystrophy
…h. He was initially discharged with mild pneumonia diagnosis but returned two days later with respiratory acidosis and type 2 respiratory failure. Non-invasive ventilation was commenced, but his condition deteriorated. C…
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
…soned at Junee Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to four weeks before 2 January 2019, develop…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 da…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
70-year-old Sean Thomas Montgomery died from severe metabolic acidosis and multi-organ failure following a thoracoscopic repair of a chronic right diaphragmat…
6y · Male·respiratory failure due to pneumonia
…-year-old Aboriginal child with multiple serious congenital conditions including cerebral palsy, epilepsy, severe developmental delay, aspiration syndrome, and microcephaly. He was in state care under a Protection Order.…
0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…
Lucy Margaret Campbell died eight days after birth from severe hypoxic ischemic encephalopathy following complicated assisted vaginal birth at Ingham Hospital. Her mothe…
40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …
…spite resuscitation and ICU support at North West Regional Hospital, he died with Glasgow Coma Scale 3 and severe metabolic acidosis. The coroner found no preventable factors or recommendations for improvement in clinica…
0y · Female·Methylamphetamine toxicity
…ry for monitoring. The acute deterioration at 5 a.m. with respiratory distress, pulmonary haemorrhage, and severe acidosis was consistent with methylamphetamine toxicity-induced cardiac dysfunction or pulmonary hypertens…
64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…
…nd ischaemic/alcoholic cardiomyopathy. He presented to Royal Adelaide Hospital hypotensive with metabolic acidosis and was admitted to ICU. By 18 September, he wished to self-discharge against medical advice despite bein…
56y · Female·Complications of cervical cancer
Kerry Forrest, aged 56, died in custody on 26 January 2016 from complications of advanced cervical cancer. She was serving a 25-year sentence after being diagnosed with terminal cervical cancer in 2012, prior to sentenci…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
… 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement. He was airlifted…
31y · Male·Undetermined
…idol by paramedics. He deteriorated rapidly in the ambulance and suffered cardiac arrest. Autopsy revealed severe premature coronary atherosclerosis. Death was undetermined, likely multifactorial (cardiac disease, methyl…
80y · Female·Haemoperitoneum/retroperitoneal haematoma due to rupture of the abdominal aorta …
…s and treated with fluids and antibiotics. She appeared to stabilize but deteriorated further at 11am with severe hypotension, severe anaemia, and metabolic acidosis. Resuscitation failed and she died. Autopsy revealed a…
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