26y · Male·Unascertained on an unequivocal medical or pathological basis; likely multifacto…
Nick Karagiannis, a 26-year-old man with schizophrenia, obesity, and significant hepatic steatosis, died unexpectedly at Thomas Embling Hospital's secure psychiatric unit. He was found unresponsive in be…
32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction
A 32-year-old man with schizophrenia died at a mental health unit shortly after receiving emergency intramuscular sedation (haloperidol 10mg and midazolam 10mg) for acute agitation and refusal of oral medication. While t…
30y · Female·Acute ethanol toxicity on a background of chronic alcoholism
Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…
47y · Female·Sudden Unexpected Death in Alcohol Misuse (SUDAM)
Lesley Maree Smith, 47, died at home on 9 May 2013 from Sudden Unexpected Death in Alcohol Misuse (SUDAM). She had chronic alcohol misuse (2 bottles nightly) and was prescribed diazepam by her GP, Dr H., starting April 2…
59y · Male·ischaemic heart disease in the setting of chronic ethanol use
Robert Spencer, 59, called 000 at 4:27 am reporting weakness and inability to mobilise following a fall. He was triaged as Code 3 (non-urgent) and underwent secondary triage call-back attempts without success. An ambulan…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
Mark Gordon, 51, presented to Royal Hobart Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experi…
29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …
Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …
45y · Male·unascertained
Mark Anthony Theakston, a 45-year-old man with severe intellectual disability and autism residing in supported accommodation, died of an unascertained cause on 25 May 2008. He had collapsed on 21 May with a syncopal epis…
61y · Female·Complications of a rectal prolapse
Susan Maree Lawless, a 61-year-old woman with intellectual disability due to untreated phenylketonuria, died from complications of a rectal prolapse while residing in supported disability accommodation. She was found unr…
67y · Female·ischaemic heart disease
Merren Elizabeth Bartley, a 67-year-old woman with schizophrenia managed with clozapine and multiple comorbidities including coronary artery disease, died of ischaemic heart disease while an inpatient at a mental health …
47y · Male·combined effects of alcohol-induced central nervous system depression, hypotherm…
A 47-year-old man with longstanding alcoholism, hypertension, liver disease, and depression died from combined alcohol-induced central nervous system depression, hypothermia, and alcohol-related heart disease. He was fou…
43y · Male·Unascertained
Christopher Dabadie, a 43-year-old man with a history of alcohol use disorder and seizures, was found dead at home on 1 December 2021, two days after two presentations to hospital where he was intoxicated and self-discha…
53y · Male·Cardiomegaly in a man with obesity and chronic liver disease
Craig Ashley Hill, a 53-year-old man with multiple comorbidities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from…
52y · Male·Pulmonary thromboembolism
A 52-year-old man with autism, intellectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth a…
39y · Male·Multiple blunt force injuries due to motor vehicle collision (pedestrian), with …
A 39-year-old Aboriginal male with chronic alcohol intoxication was struck by a vehicle travelling at 79 km/h in a 60 km/h zone while crossing unsafely at an uncontrolled location. He sustained severe traumatic brain inj…
43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…
Shayn Darmanin, a 43-year-old man with epilepsy, died from mixed drug toxicity involving methadone, synthetic cannabinoids, olanzapine, and duloxetine. He had a significant history of substance abuse, family violence off…
51y · Male·unascertained; presumed sudden cardiac arrhythmia
Kenneth Stephens, a 51-year-old man with schizoaffective disorder, died from an unascertained cause while under involuntary psychiatric care. He presented with acute behavioural changes including excessive drinking, unus…
50y · Male·acute alcohol toxicity
A 50-year-old man died from acute alcohol toxicity in a hotel room after consuming approximately 700mL of vodka over a 24-hour period. He had a 10-year history of escalating alcohol use, multiple presentations to hospita…
67y · Male·Head injuries sustained in falls
Martin Barlow, 67, died from head injuries sustained in two falls on 5 August 2022 while intoxicated (BAC 0.17 g/100mL). He suffered subarachnoid haemorrhage and subdural haemorrhage. After Ms Burrell called emergency se…
37y · Male·combined ethanol and drug toxicity
Kenneth Agnew, a 37-year-old man resident in aged care, died from combined ethanol and drug toxicity involving methadone and benzodiazepines. He had hepatitis C and fatty liver disease. Critical clinical lessons include:…
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