660 results
65y · Female·Bronchopneumonia and rhinovirus infection in a woman with cerebral palsy and epi…
Lynn Maree Sturgess, aged 65, a long-term resident of supported disability accommodation with cerebral palsy and well-controlled epilepsy, was admitted to Bendigo Hospital with febrile illness in May 2025. She was diagno…
77y · Male·Congestive cardiac failure with an antecedent cause of ischaemic cardiomyopathy …
Alan Frederick Cornish, aged 77, died in lawful custody at Long Bay Hospital on 1 September 2025 from congestive cardiac failure with ischaemic cardiomyopathy, complicated by chronic kidney disease, COPD, and type 2 diab…
82y · Male·Multiple injuries sustained in a motor vehicle incident (car vs. tree, driver)
An 82-year-old man with recently diagnosed emerging Alzheimer's disease presented to his GP with lower respiratory infection and mild confusion. The GP appropriately arranged hospital admission via family transport. Howe…
78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…
A 78-year-old woman with mixed dementia living in aged care suffered an unwitnessed fall on 22 March 2023, sustaining facial fractures and eye laceration. The fractures were not identified during her initial hospital ass…
89y · Male·Traumatic intracranial haemorrhage and skull fractures following a fall, on a ba…
Ronald Thomas Creek, aged 89 with dementia, fell at St Basil's Aegean Village aged care facility on 9 January 2023, striking his head on a doorframe despite wearing protective headgear. CT imaging showed traumatic intrac…
59y · Male·Pneumonia in a man with cerebral palsy, asthma and epilepsy
Alfred Johann Faltermaier, a 59-year-old man with cerebral palsy, intellectual disability, asthma, and epilepsy, died from pneumonia with sepsis and multiorgan failure on 8 May 2025. Living in supported disability accomm…
76y · Male·congestive cardiac failure complicated by type 2 respiratory failure
Peter Vernon Wallace was a 76-year-old man with schizophrenia subject to a Psychiatric Treatment Order, living in aged care. He had serious physical comorbidities including congestive cardiac failure, type 2 respiratory …
86y · Male·Multiorgan failure due to neurological failure due to Alzheimer's dementia
An 86-year-old man with advanced Alzheimer's dementia developed multiple pressure injuries while residing in aged care. A Stage 1 sacral pressure wound rapidly deteriorated to Stage 4 over two weeks despite appropriate a…
79y · Male·acute aspiration of food on a background of Alzheimer's dementia
John Murray Leditschke, aged 79 with Alzheimer's dementia, died from acute aspiration of food while eating in hospital. He was admitted to Lyell McEwin Hospital on 22 March 2023 with low oxygen saturation and suspected p…
74y · Male·Left cerebral ischaemic stroke caused by cerebral arterial cardioembolism
Desmond George Buckby, a 74-year-old prisoner detained under the Dangerous Prisoners (Sexual Offenders) Act, suffered a massive left cerebral ischaemic stroke caused by cardioembolism while in Wolston Correctional Centre…
85y · Male·systemic sepsis due to infected right perineal ulcer and associated perianal abs…
An 85-year-old man with dementia and multiple comorbidities died of sepsis caused by an infected sacral pressure ulcer that developed and deteriorated while resident at an aged care facility. Initially assessed as stage …
78y · Male·Aspiration pneumonia on a background of advanced vascular dementia
Leonard John Warwick, 78, died on 14 February 2025 in Long Bay Hospital's Aged Care and Rehabilitation Unit while serving a life sentence without parole. He had advanced vascular dementia, hydrocephalus, type 2 diabetes,…
87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…
An 87-year-old woman with Parkinson's disease sustained an unwitnessed fall at a residential aged care facility, resulting in head injuries and a hip fracture. Critical clinical lessons emerged: (1) neurological observat…
90y · Female·Choking
A 90-year-old woman with dysphagia died from choking after consuming thin fluid (coffee) against medical recommendation. She had been reviewed by a speech pathologist on 15 November 2024 who recommended thick fluids only…
85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …
An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …
61y · Male·Natural causes unascertained
David Evan Wild, 61 years old, died of natural causes of unascertained origin while residing in specialist disability accommodation. He had frontal temporal dementia diagnosed in 2020 and required 24/7 care. He experienc…
84y · Male·The available evidence does not allow for any finding to be made as to the cause…
An 84-year-old man with Alzheimer's dementia and a history of wandering left his home on 15 September 2017 and was never found alive. The coroner determined he is deceased, likely died within days of going missing in bus…
85y · Male·Aspiration pneumonia in the setting of ischaemic heart disease, type 2 diabetes …
An 85-year-old man died of aspiration pneumonia in a prison healthcare setting while receiving palliative care. He had experienced a stroke two years prior resulting in cognitive decline and required assistance with all …
59y · Female·Aspiration pneumonia and urosepsis complicating Alzheimer's dementia in setting …
Michelle Anne Leiper, aged 59 with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia and urosepsis. She had significant dysphagia and was largely bedbound in her final years. After a February 2025 ho…
Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…
Two aged care residents died from choking on bread despite being prescribed minced and moist diets that prohibited regular bread. Mr Gesios was fed bread dipped in Milo by an inexperienced AIN without adequate supervisio…
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