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VIChospital2024-07-25

Finding into death of Nathan Ruan Roy Greenwood

18y · Male·Sodium nitrite toxicity

Nathan Greenwood, an 18-year-old with a history of anxiety and depression managed in primary care, died from sodium nitrite toxicity after intentionally consuming 30 grams of the substance. He had been under care at his …

general practicepsychiatrysystemdelaysodium nitrite
VICcommunity2024-07-22

Finding into death of Chenna Kesava Sai Prasangi

20y · Male·sodium nitrite toxicity

A 20-year-old Indian international student died from sodium nitrite toxicity following intentional ingestion. He had relocated to Australia in 2019 for university studies and initially struggled with the transition to on…

forensic medicinetoxicologysodium nitrite
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…

psychiatryaddiction medicinemedicationproceduralmethadone
NSW2024-05-17

Inquest into the death of Vicki Higgins

48y · Female·Ischaemic bowel; coronary artery disease, diabetes mellitus and Crohn's disease …

Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (with prior colectomy and ileostomy), and coronary artery disease, died from ischaemic bowel on day 17 of incarceration at Junee Correctional Centre du…

general practicegastroenterologydiagnosticcommunicationinsulin
VIC2024-05-15

Finding into death of Robert Leonard Morris

76y · Male·Terminal pancreatic cancer

76-year-old Robert Leonard Morris died from terminal pancreatic cancer while serving a custodial sentence at Port Phillip Prison. He had been diagnosed with inoperable pancreatic adenocarcinoma in December 2020 and comme…

oncologypalliative caremorphine
VIC2024-02-21

Finding into death of Tai Van Tran

43y · Male·Unascertained - attributed to metabolic/physiological derangement in context of …

Tai Van Tran, a 43-year-old man with daily heroin use, was arrested and remanded in police custody. He disclosed heroin use during intake assessment and was appropriately scheduled for medical review. On the following da…

emergency medicinecorrectional healthheroin
VIChospital2023-10-30

Finding into death of Greg John Howarth

62y · Male·Congestive Cardiac Failure in a man with Ischaemic and Hypertensive Heart Diseas…

Greg Howarth, a 62-year-old man incarcerated at Port Phillip Prison, died from congestive cardiac failure precipitated by acute myocardial infarction in the setting of ischaemic and hypertensive heart disease. He had met…

cardiologyoncologyoxycodone
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2023-06-26

Searle, William Edward

74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …

William Searle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons involve recognition of gastroparesis risk in high-risk …

general surgeryintensive carediagnosticcommunicationadrenaline
VIChospital2023-05-23

Finding into death of Silin Wang

25y · Female·multiple injuries

A 25-year-old woman with newly diagnosed metastatic gastro-oesophageal cancer and depression died by suicide on hospital grounds. She was admitted on 30 January 2021 after imaging showed cancer progression. Her sister di…

oncologypsychiatrycommunicationsystemdiazepam
VIChome2023-05-04

Finding into death of Jodie Overstead

34y · Female·Multi drug toxicity

Jodie Overstead, a 34-year-old with epilepsy, anxiety, and chronic pain, died from multi-drug toxicity involving tramadol, codeine, amitriptyline, benzodiazepines and other drugs. She engaged in 'doctor shopping', obtain…

general practicepain medicinediagnosticmedicationtramadol
VIC2023-03-20

Finding into death of Keanne Liza Whittam

43y · Female·Hypoxic ischaemic encephalopathy secondary to out of hospital cardiac arrest due…

43-year-old woman with severe, undiscovered coronary artery atherosclerosis died from out-of-hospital cardiac arrest while in police custody at Dame Phyllis Frost Centre. She had presented to ED 5 months earlier with leg…

cardiologyemergency medicinediagnosticheroin
WA2023-03-13

Inquest into the Death of Frank ALBERT

46y · Male·atherosclerotic heart disease

Frank Albert, a 46-year-old Aboriginal man, died from atherosclerotic heart disease while incarcerated at West Kimberley Regional Prison. Although his death was caused by severe coronary artery disease unrelated to medic…

cardiologyemergency medicinesystemcommunicationquetiapine
NSWaged care2023-03-01

Inquest into the death of Daryl Suckling

85y · Male·cerebellar haemorrhage due to hypertension

An 85-year-old man died in custody from cerebellar haemorrhage due to hypertension. He was in the palliative care unit following an advanced care directive refusing resuscitation. He reported nausea and vomited around 8p…

palliative caregeneral medicinemetoclopramide
VICaged care2023-02-20

Finding into death of Terence Michael Brooks

76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…

Terence Michael Brooks, a 76-year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care f…

geriatric medicinegeneral practicecommunicationdelayvenlafaxine
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

SJ, a 24-year-old man with recently diagnosed Stage 4B non-Hodgkin lymphoma and pre-existing depression managed by Orygen Youth Health, died by suicide on 22 September 2016 by jumping from the seventh-floor rooftop garde…

psychiatryhaematologycommunicationdelaymetoclopramide
VIC2023-01-16

Finding into death of Periklis Papadopoulos

75y · Male·Complications of multiple cardiac and respiratory comorbidities

A 75-year-old man with multiple cardiac and respiratory comorbidities died in prison from complications of his underlying conditions. He had pulmonary arterial hypertension, right ventricular failure, chronic lung diseas…

palliative carerespiratory medicinemorphine
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
VIChospital2022-11-03

Finding into death of Sotirios Temopoulos

76y · Male·Chest sepsis in a man with ischaemic heart disease

A 76-year-old man with multiple myeloma and complex medical history died from chest sepsis and myocardial infarction following a medication dispensing error. After discharge from hospital for spinal compression fractures…

pharmacyhaematologymedicationsystemvalsartan

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