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VIChospital2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …

Christopher McIntosh, a 54-year-old man with Type II diabetes and chronic foot ulcers, died from respiratory failure secondary to sepsis arising from an infected foot ulcer requiring above-knee amputation. He was incarce…

infectious diseasesvascular surgerydiagnosticsystemantibiotics
VIChospital2025-10-28

Finding into death of Kenneth James Anderson

85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…

Kenneth James Anderson, an 85-year-old man with intellectual disability and multiple comorbidities including diabetes, pancreatitis, and gallstones, died following emergency cholecystectomy for acute cholecystitis with M…

general surgeryintensive careantibiotics
VIChospital2025-10-09

Finding into death of Stephen Ross Stronach

57y · Male·Pneumonia with contributing factors of epilepsy and congestive cardiac failure d…

Stephen Ross Stronach, a 57-year-old man with intellectual disability living in specialist disability accommodation, died of pneumonia with contributing factors of epilepsy and congestive cardiac failure secondary to rep…

general practiceemergency medicineantibiotics
VIChospital2025-10-09

Finding into death of Graham Keith Moore

57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia

Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…

general medicinegeriatric medicineintravenous fluids
VIChospital2025-09-29

Finding into death of Baby M

<1y · Female·Perinatal asphyxia

Baby M was born at 38+4 weeks gestation in poor condition at The Royal Women's Hospital on 10 November 2022 and died at 24 minutes of age from perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-6…

obstetricsneonatologyproceduralcommunicationadrenaline
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

Andrew William Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his Februar…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication
VIChospital2025-08-20

Finding into death of Christine Klofa

47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection

Christine Klofa, a 47-year-old woman with Down syndrome and multiple comorbidities, died from mycoplasma pneumonia secondary to rhinovirus infection. She presented to her GP on 6 June with upper respiratory symptoms and …

general practiceemergency medicineamoxicillin
VIC2025-08-15

Finding into death of Donald Raymond Muir

59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)

Donald Raymond Muir, a 59-year-old man with Trisomy 21, non-verbal autism, dementia and epilepsy living in specialist disability accommodation, died of urosepsis and aspiration pneumonia. He had experienced progressive f…

general medicineoccupational therapydutasteride
VIChospital2025-08-06

Finding into death of Mr B

60y · Male·End stage multiple system atrophy

Mr B, a 60-year-old man with end-stage multiple system atrophy, was admitted to Box Hill Hospital on 5 June 2025 with respiratory distress, dysphagia, and recent upper respiratory tract infection. His condition progressi…

general medicineneurologyantibiotics
VIChospital2025-07-24

Finding into death of Shane Michael Kelly

65y · Male·Aspiration pneumonia complicating urosepsis in setting of nephrolithiasis and ce…

Shane Michael Kelly, a 65-year-old man with cerebral palsy living in specialist disability accommodation, died from aspiration pneumonia complicating urosepsis secondary to nephrolithiasis. He was admitted to hospital on…

infectious diseasesurologyoxygen
VIChospital2025-07-17

Finding into death of John Conway McKenzie

65y · Male·Adenocarcinoma with unknown primary

John Conway McKenzie, a 65-year-old prisoner with gall bladder cancer, died from adenocarcinoma with unknown primary on 30 May 2025 at St Vincent's Hospital Melbourne. He was admitted on 11 May 2025 with sepsis, at which…

oncologyinfectious diseaseschemotherapy
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal…

neurologyneurosurgeryanti-seizure medications
VIChome2025-07-04

Finding into death of Joan Pauline Skillen

93y · Female·Pneumonia

Joan Pauline Skillen, a 93-year-old woman with intellectual disability residing in specialist disability accommodation, died from pneumonia. She had dysphagia and multiple comorbidities. Initial symptoms (milky discharge…

general practicepalliative careantibiotics
TASaged care2025-06-16

Coroner's Finding: McDonald, Maureen June

87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…

Maureen 'Kitty' McDonald, 87, died from terminal exacerbation of COPD with an antecedent sacral pressure wound infection. She was admitted to residential aged care in October 2020 with a stage-two sacral pressure injury …

geriatric medicinegeneral practicesystemcommunicationantibiotics
VIChospital2025-04-30

Finding into death of Anthony Dzaja

44y · Male·Complications following seizure on a background of acquired epilepsy; acquired b…

Anthony Dzaja, aged 44, died from complications of seizures secondary to acquired brain injury sustained in a 1997 motor vehicle accident. He had progressively deteriorated over several years with worsening epilepsy, cog…

neurologypalliative caremidazolam
VIChospital2025-04-10

Finding into death of Hau Bui Nguyen

46y · Male·Aspiration pneumonia complicating epistaxis in the setting of prolonged nasal pr…

Hau Bui Nguyen, a 46-year-old man with severe acquired brain injury, dysphagia, and recurrent aspiration pneumonia, died from aspiration pneumonia complicating epistaxis following prolonged nasal prong oxygen therapy. Du…

general medicineemergency medicineamoxicillin
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
VIChospital2025-03-24

Finding into death of Isobel Francis

65y · Female·Status epilepticus complicating cerebral palsy

Ms Francis, a 65-year-old woman with cerebral palsy and intellectual disability, died from status epilepticus after multiple hospital admissions for aspiration pneumonia and declining functional status. She had recurrent…

general medicineneurologyantiepileptics
VIChospital2025-03-07

Finding into death of Heather Joan Moody

77y · Female·Pneumonia with contributing factors of acquired brain injury, Parkinson's diseas…

A 77-year-old woman with acquired brain injury, Parkinson's disease, epilepsy and intellectual disability died of pneumonia while an SDA resident. She presented with breakthrough seizures and aspiration pneumonitis on 16…

neurologyrespiratory medicineprednisolone
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…

intensive caregeneral surgeryclozapine

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