36 results
73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…
Two elderly US-born residents died in a house fire caused by a 120-volt electric blanket operating on Australia's 230-volt grid, resulting in insulation failure and combustion. Mr Burkhalter (73) died from carbon monoxid…
52y · Male·pulmonary thromboembolism due to pancreatic contusion and necrosis from motorcyc…
A 52-year-old man died from pulmonary thromboembolism following a motorcycle accident on a winding road in Tasmania. He suffered pancreatic contusion and necrosis from handlebar impact when his motorcycle struck a rock w…
68y · Female·haemopericardium resulting from perforation of the pericardial sac during laparo…
Mrs Christine Flynn, aged 68, died from haemopericardium and pericardial tamponade following laparoscopic hiatus hernia repair. A 2mm perforation of the pericardial sac occurred during surgery, likely from mesh tacks pla…
16y · Male·transection of the liver and laceration of the inferior vena cava sustained in a…
A 16-year-old male died from transection of the liver and inferior vena cava laceration sustained in a quad bike accident. He was riding a single-rider ATV with a pillion passenger when he entered a left-hand corner too …
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…
68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)
Ms Heraghty, a 68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) …
54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…
A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…
<1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…
An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he ingested the screw and began choking. Parent…
63y · Male·pulmonary thrombo-emboli following coronary artery bypass grafting
Michael Nalder, 63, died from pulmonary thromboembolism on postoperative day 9 following elective coronary artery bypass grafting for severe coronary artery disease. He had multiple significant comorbidities including Ty…
<1y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…
A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour induction, oxytocin dosing, and emergency surgery were appropriat…
65y · Female·decompensated liver failure
Ms Revell, a 65-year-old with Child Pugh Class C cirrhosis secondary to 20 years of heavy alcohol use and hepatitis C, was admitted following an intoxicated fall causing an olecranon fracture. Post-operatively, she devel…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
80y · Male·aspiration pneumonia
Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…
83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…
An 83-year-old woman died from decompensated right heart failure (cor pulmonale) immediately following mitral valve replacement surgery. She had chronic pulmonary hypertension secondary to severe mitral regurgitation fro…
83y · Male·pulmonary fat embolism complicating interstitial lung disease
An 83-year-old experienced motorcyclist died from pulmonary fat embolism complicating interstitial lung disease following a compound fracture of the right tibia sustained in a motorcycle crash. Mr Salter lost concentrati…
Female·multi-organ failure
Mrs M died from multi-organ failure following recurrent intra-abdominal sepsis and surgical complications after endoscopic duodenal perforation in June 2019. During resection of a duodenal adenoma, perforation occurred r…
8y · Male·acute exacerbation of chronic asthma
An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial …
40y · Female·hypoxic encephalopathy due to asphyxia from hanging
A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despit…
81y · Female·hypovolemic shock due to haemorrhage during orthopaedic repair of a femur fractu…
Margaret Ann Whitney, an 81-year-old woman with vascular dementia, died from hypovolemic shock due to haemorrhage during orthopaedic surgery for a femoral fracture sustained in a fall at her nursing home. She had been su…
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