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VIChome2016

Finding into death of Alexander James McCulloch

35y · Male·Complications of morbid obesity in a man with cardiomegaly and schizophrenia

Alexander McCulloch, a 35-year-old man with schizophrenia, morbid obesity (BMI 45), and cardiomegaly, was found dead in bed. Autopsy attributed death to complications of morbid obesity with cardiomegaly and schizophrenia…

psychiatrygeneral practicecommunicationsystemfluphenthixol decanoate
VIChospital2016

Finding into death of Barry Foster

79y · Male·Acute myocardial infarction

Barry Foster, a 79-year-old man imprisoned at Hopkins Correctional Centre, died from acute myocardial infarction. On 29 April 2016, he presented with chest tightness; an ECG showed no abnormalities and he was prescribed …

cardiologyemergency medicine
VICmental health2015-12-20

Finding into death of Danny Wayne Feschuk

46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…

A 46-year-old man with schizophrenia, COPD, hypoventilation syndrome, obesity and cardiomegaly died suddenly on a psychiatric inpatient unit from a cardiac arrhythmia. He had experienced multiple respiratory crises requi…

psychiatryrespiratory medicineoxycodone
VIChospital2015-12-02

Finding into death of Khodr El Mustapha

77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…

A 77-year-old man with iron deficiency anaemia and underlying ischaemic heart disease died from anaphylaxis following iron polymaltose infusion. Critical clinical lessons: (1) IV iron should only be administered after or…

emergency medicinehaematologydiagnosticproceduraliron polymaltose
VIC2015-12-01

Finding into death of James Willian Steele

63y · Male·Hypotensive and atherosclerotic heart disease

A 63-year-old male prisoner with Type II diabetes, hypertension, obesity and coronary atherosclerosis died of cardiac arrhythmia while engaged in farm work at a minimum-security prison. Dr L. provided acceptable diabetes…

general practicegeneral medicinedocumentationcommunicationlercanidipine
VICcommunity2015-08-21

Finding into death of Mohamed Hamza

40y · Male·coronary artery atherosclerosis

40-year-old male with hypercholesterolaemia presented to general practice with new-onset central chest pain radiating to neck and arm, plus shortness of breath. The practice nurse obtained an ECG and recorded the radiati…

general practicecardiologydiagnosticcommunicationatorvastatin
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

James Dougan, 32-year-old man with longstanding polysubstance abuse, died from mixed drug toxicity (codeine, methadone, alprazolam, diazepam) complicated by severe coronary artery atherosclerosis. He engaged in prescript…

general practiceaddiction medicinemedicationcommunicationalprazolam
VICcommunity2015-07-01

Finding into death of Robert Peter Ferrier

47y · Male·Drug toxicity in the setting of restraint

Robert Ferrier, aged 47, died from drug toxicity in the setting of restraint after ingesting excessive quantities of prescription antidepressants and other medications during a mental health crisis. The expert panel conc…

emergency medicinetoxicologyamitriptyline
VIChospital2015-04-23

Finding into death of Craig Ronald McMillan

37y · Male·Unascertained (death in custody)

Craig McMillan, 37-year-old male with chronic schizophrenia, died of undetermined cause (death in custody) after being transported by police divisional van to hospital. Despite documented tachycardia from Risperidone, th…

psychiatryemergency medicinecommunicationsystemrisperidone
VIChospital2015-02-17

Finding into death of Margaret Teresa O'Donnell

69y · Female·Congestive cardiac failure

Margaret O'Donnell, a 69-year-old woman with complex medical history including heart failure, diabetes, obesity and hypertension, died from congestive cardiac failure. She was admitted to Austin Hospital on 16 March 2013…

cardiologygeriatric medicine
VIChome2015-02-03

Finding into death of Alan Victor Webster

81y · Male·Intracerebral haemorrhage in the setting of heparinisation for subclavian artery…

81-year-old Alan Webster with atrial fibrillation on long-term Warfarin underwent colonoscopy in August 2011. His anticoagulation was interrupted and bridging Clexane prescribed. Post-operatively, critically sub-optimal …

cardiologyemergency medicinecommunicationsystemwarfarin
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infection, received app…

psychiatrygeneral medicinerisperidone
VIC2014-12-18

Finding into death of Neyko Dinkov

54y · Male·Ischaemic heart disease

A 54-year-old male prisoner died from ischaemic heart disease with acute myocardial infarction whilst playing football in the prison yard. He had disclosed no significant medical history on admission. He collapsed and de…

forensic medicineemergency medicine
VICaged care2014-12-15

Finding into death of Terence Joseph Roadley

63y · Male·Complications of disseminated tumour (primary site unknown)

Terence Joseph Roadley, aged 63, died from complications of disseminated carcinoma with unknown primary site in a palliative care setting. He had intellectual disability and was under state care via a Supervised Treatmen…

palliative caregeneral practicemetoclopramide
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …

vascular surgerycardiologysystemdelayquetiapine
VIC2014-10-27

Finding into death of Kyle William Vassil

12y · Male·Unascertained in the setting of immersion; involuntary inhalation of water after…

Kyle Vassil, a 12-year-old competent swimmer, died by submersion in a cold, murky dam at a school camp. After 4-5 minutes of swimming, Kyle experienced acute difficulty, likely related to panic, anxiety, possible asthma,…

general practicecardiologysystemcommunication
VIChospital2014-10-02

Finding into death of Penrin John Maxworth Halliday

60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…

A 60-year-old man with severe coronary artery disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodyna…

cardiologycardiothoracic surgery
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

Raymond O'Brien, a 71-year-old forensic patient with a history of ischaemic heart disease, hypertension, and dyslipidaemia, was admitted to hospital with chest pain in August 2013. Initial diagnosis of non-ST elevation a…

cardiologypsychiatryaspirin
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

Iman Kassis, a 46-year-old woman with Ehlers-Danlos Syndrome Type 4 and known severe aortic regurgitation with dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset severe throat pain, bradycar…

emergency medicinecardiologydiagnosticdocumentationflecainide
VIChospital2014-09-10

Finding into death of John William Macfie

73y · Male·complications of lung carcinoma in a man with multiple comorbidities

John William Macfie, a 73-year-old man with extensive medical comorbidities (COPD, ischemic heart disease, prior CABG surgeries, cardiac stents, hypertension, hyperlipidemia) and a chronic smoking history, died from comp…

respiratory medicineoncologyglyceryl trinitrate
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