81y · Male·valvular heart disease with cardiac amyloidosis
…valvular heart disease with cardiac amyloidosis as cause. Clark had multiple recent falls and episodes of syncope, including post-micturition syncope 3 days before death. He refused vital sign observations on 12 Septemb…
58y · Male·Traumatic pulmonary artery rupture as a result of a motorcycle crash
…ollowing a motorcycle crash into a farm gate at low speed (~30km/h). He had a history of neurocardiogenic syncope with recurrent presyncope and palpitations previously investigated by a cardiologist. The most likely cau…
27y · Male·Immersion in the setting of a motor vehicle incident
… Ring Road at a bend and became submerged in a dam. The driver (also deceased) had a history of vasovagal syncope investigated in 2011 with normal cardiac findings, but exhaustive investigation could not definitively es…
29y · Male·Florid myocarditis
…. He presented on 5 December 2015 with a 3-day history of fatigue, feeling cold, and multiple episodes of syncope including collapse in the waiting room. Dr P. diagnosed viral illness with dehydration and discharged him…
27y · Male·Immersion in the setting of a motor vehicle incident
…ed mechanical failure, alcohol/drugs, dangerous driving, and distraction. Medical review examined whether syncope (fainting) could have caused the incident. Bradley had a history of neurally-mediated syncope episodes tr…
61y · Male·Multiple severe crushing injuries sustained when run over by a motor vehicle
…k by a car on Davey Street, Hobart, shortly after leaving his GP's surgery where he had reported a recent syncope episode. The coroner could not determine with certainty whether Mr Cashion fell due to loss of consciousn…
70y · Male·head injury
…h cardiac disease experiencing dizziness require prompt assessment for cardiac causes, and awareness that syncope from cardiac arrhythmia or hypotension can occur suddenly in workers at heights or near hard surfaces, wi…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
…oronary syndrome with elevated troponin. Over 36 hours he experienced multiple warning signs: unwitnessed syncope, light-headedness, pain radiating to his back, and pleuritic chest pain. Despite these classic signs of a…
66y · Male·blunt trauma head and chest
…osing vehicle control and crashing fatally. Autopsy revealed severe atherosclerosis with probable cardiac syncope or seizure as the precipitant. His suspended driver's license and failure to wear a seatbelt were contrib…
13y · Male·borderline myocarditis, most likely due to influenza A virus infection
…thy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was discharged after 6.5 hours with …
75y · Male·pneumonia and head injury from fall
…s, developed aspiration pneumonia, and died on 9 May 2020. The fall's cause (hyponatraemia versus cardiac syncope) could not be definitively determined. Clinical lessons include: recognising that hyponatraemia can manif…
77y · Female·combined effects of ischaemic heart disease and calcific aortic valve sclerosis
…llation, arrested and died. The coroner found her death possibly preventable if her serious condition and syncope presentation had prompted urgent referral and cardiac assessment. Key failures included: no follow-up ech…
86y · Male·Head injury due to quad bike accident
…and had significant medical comorbidities (diabetes, cardiovascular and cerebrovascular disease, previous syncope episodes) that may have contributed to loss of control. He had his driver's licence suspended for medical…
57y · Female·Haemopericardium complicating ascending thoracic aortic dissection
A 57-year-old woman presenting to the ED with sudden-onset sharp mid-back pain, syncope, shortness of breath, and lower limb neurological symptoms was diagnosed with musculoskeletal back pain a…
26y · Male·Head injury
…mine when the head injury occurred—it may have happened during descent from an unknown medical episode or syncope, or upon landing. The helmet worn was compliant with industry regulations but designed for water sports r…
76y · Male·contact range gunshot wound to the head, self-inflicted
A 76-year-old man with bilateral leg amputations maintained independent living until presenting with syncope. Hospital evaluation identified ischemic heart disease; he refused angiography and was discharged. Post-d…
76y · Male·ruptured abdominal aortic aneurysm
… Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two episodes of syncope at his physiotherapist. Despite a documented prior AAA repair in 1992, the Emergency Department and subse…
55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall
…juries in December 2014 and February 2015. Despite investigation by neurologists, the underlying cause of syncope/seizures remained unclear. Anticonvulsant medication was not prescribed, a decision supported by expert r…
81y · Male·acute subdural haematoma
…resented to the ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause for syncope based on chest pain, referred him for cardiology, and did not perform a head CT scan despite clear eviden…
41y · Male·Complications of blunt force injuries of the head
Colin Parker, aged 41, suffered an unwitnessed fall with head injury while experiencing syncope from atrial fibrillation in early May 2014. He was admitted to Campbelltown Hospital but his serious intr…
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