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VICcommunityNew2026-08-25

Finding into death of Garry William Ledger

78y · Male·Complications of acute renal impairment in the setting of pelvic and lumbar frac…

Garry Ledger, 78-year-old South Australian visitor, died three weeks after falling on a Melbourne tram on 28 August 2025. While boarding tram route 16, he fell during tram acceleration while using his Myki card and befor…

trauma surgerygeriatric medicinewarfarin
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
NSWhospital2025-12-19

Inquest into the death of JBO

27y · Female·Cardiac arrhythmia (first confirmed as ventricular fibrillation) of unascertaine…

A 27-year-old Aboriginal woman suffered sudden cardiac arrhythmia (ventricular fibrillation) immediately after recording video evidence of a suspected breach of her protective apprehended personal violence order (APVO). …

emergency medicinecardiologycommunicationsystemamiodarone
TAScommunityPodcast2025-07-04

Coroner's Finding: de-identified KT

26y · Male·multiple injuries, primarily severe chest trauma, due to jumping from the Tasman…

A 26-year-old man with psychosis and acute schizophrenia died by suicide jumping from the Tasman Bridge. He had been diagnosed with ADHD, generalised anxiety disorder, and sleep-wake disorder in 2021, with subsequent psy…

psychiatryemergency medicinepaliperidone
VIC2025-06-13

Finding into death of Ian William McCulloch

63y · Male·Unascertained (natural causes) in a man with advanced myotonic dystrophy

Ian William McCulloch, aged 63, died of unascertained natural causes in the context of advanced myotonic dystrophy while residing in a disability accommodation facility. He was found unresponsive in his room on the eveni…

forensic medicineamiodarone
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
VIChospital2025-01-02

Finding into death of Sheila Marion Quairney

68y · Female·Acute myocardial infarction and coronary artery atherosclerosis

A 68-year-old woman presented to St Vincent's Hospital emergency department with upper abdominal and left-sided chest pain following a stationary bicycle fall. Clinicians attributed her symptoms to codeine adverse reacti…

emergency medicinecardiologydiagnosticsystemparacetamol
QLDhospital2024-08-13

Non-inquest findings into the death of RJH

70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…

A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…

cardiologyemergency medicinediagnosticmedicationflecainide
VICaged care2024-05-27

Finding into death of Jon Lewis

57y · Male·Ischaemic heart disease in a man with chronic schizophrenia

Jon Lewis, a 57-year-old man with chronic schizophrenia, ischaemic heart disease, diabetes, hypertension, and cardiomyopathy, died from acute myocardial infarction or fatal cardiac arrhythmia at a specialist disability a…

cardiologypsychiatryvenlafaxine
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
TAS2023-07-05

Coroner's Finding: Crump, Damian Michael

36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…

Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and midazolam stolen f…

paramedicinepsychiatrysystemdelaymorphine
VICcommunity2023-06-05

Finding into death of Brad Anthony Godressi

40y · Male·Cardiomyopathy in the setting of immersion and amphetamine use

Brad Godressi, a 40-year-old man with end-stage dilated cardiomyopathy recently discharged against medical advice from ICU, died from cardiomyopathy in the setting of immersion and amphetamine use while operating a boat …

cardiologyintensive caresystemdelayamphetamine
VICaged care2022-12-09

Finding into death of Blake Edwards

33y · Male·Ventricular arrhythmia associated with cardiomegaly

Blake Edwards, a 33-year-old man with Tatton-Brown-Rahman syndrome and cardiomegaly, died suddenly from ventricular arrhythmia while in respite care. He became unresponsive approximately 30 minutes after being given yogh…

cardiologypathologyoxycodone
VICaged care2022-11-30

Finding into death of Ian Dunlop

74y · Male·Pericarditis post aortic valve surgery with large pericardial effusion leading t…

Ian Dunlop, a 74-year-old man, died from pericarditis with large pericardial effusion and tamponade four days after aortic valve replacement surgery. Post-operative imaging showed a small pericardial effusion, considered…

cardiothoracic surgerycardiologycommunicationsystemapixaban
QLD2022-11-15

Chardon, John William

73y · Male·Coronary atherosclerosis with hypertension, diabetes mellitus, emphysema and per…

John William Chardon, a 73-year-old prisoner, died from coronary atherosclerosis with severe calcified atheroma causing >70% stenosis of coronary arteries. He presented with dizziness on 21 October 2020, which initially …

cardiologygeneral medicineamiodarone
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

A 62-year-old woman with significant comorbidities (cirrhosis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparoscopic hysterectomy fo…

gynaecologyanaesthesiadiagnosticsystemmetaraminol
WA2022-08-05

Inquest into the Death of Michael James HARDIE

41y · Male·haemothorax due to ruptured thoracic aortic aneurysm in a man with Marfan syndro…

A 41-year-old man with Marfan syndrome and a thoracic aortic aneurysm managed conservatively with blood pressure medications died from aneurysm rupture while imprisoned. Methylamphetamine in his system significantly elev…

cardiologyvascular surgerycommunicationsystemmethamphetamine
VIChome2022-07-20

Finding into death of Brian Kevin Scurrah

75y · Male·Complications of multiple myeloma (palliated)

Brian Kevin Scurrah, a 75-year-old man with intellectual disability living in a supported residential service, died from complications of multiple myeloma. He was diagnosed with advanced multiple myeloma in June 2021 fol…

oncologypalliative careamiodarone
WA2022-07-06

Inquest into the Death of Paul Stephen KEATING

60y · Male·atherosclerotic heart disease (cardiac arrhythmia secondary to severe long-stand…

Paul Stephen Keating, a 60-year-old man with severe atherosclerotic heart disease, died from cardiac arrhythmia while incarcerated in Casuarina Prison, Western Australia. He had significant coronary artery disease diagno…

cardiologycorrectional healthamiodarone
VIChome2022-05-25

Finding into death of Margaret Anne Brown

68y · Female·Cardiomyopathy with atrial fibrillation, pulmonary hypertension, and alcohol int…

Margaret Brown, a 68-year-old woman with significant cardiac disease (cardiomyopathy, atrial fibrillation, pulmonary hypertension) and chronic alcohol abuse, died at home from cardiomyopathy with alcohol intoxication as …

cardiologyemergency medicineamiodarone

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