1,963 results
74y · Female·Infective exacerbation of chronic obstructive airways disease in the setting of …
Caroline McCormack, 74, died from infective exacerbation of chronic obstructive airways disease following a medication administration error where pregabalin was erroneously included in her Webster-pak despite being cease…
68y · Female·Terminal palliation in the setting of ischaemic liver and bronchopneumonia
Ms Heather Ash, a 68-year-old woman with intellectual disability, Parkinson's disease, and dementia living in supported disability accommodation, died from terminal palliation in the setting of ischaemic liver and bronch…
73y · Male·Complications of multiple injuries sustained in a motor vehicle incident (car vs…
A 73-year-old man with extensive medical comorbidities including severe biventricular heart failure, COPD, sleep apnoea, and hypertension experienced a medical episode while driving, causing him to cross into oncoming tr…
43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…
Shayn Darmanin, a 43-year-old man with epilepsy, died from mixed drug toxicity involving methadone, synthetic cannabinoids, olanzapine, and duloxetine. He had a significant history of substance abuse, family violence off…
78y · Female·Bronchopneumonia
CFT, a 78-year-old woman with chronic schizophrenia, intellectual disability, and dementia, died of bronchopneumonia with hypothermia and coronary atherosclerosis. She lived with her nephew RDS who was her carer. Multipl…
58y · Male·Gunshot wound to the head
A 58-year-old Victoria Police Senior Sergeant died by firearm suicide at his workplace. He had a history of mild-to-moderate anxiety and depression managed with low-dose antidepressants and counselling since 2015, with n…
44y · Female·COVID-19
Ms Anne-Maree Tammy Carr, a 44-year-old woman with intellectual disability, cerebral palsy, diabetes, and high cholesterol living in Specialist Disability Accommodation, died from COVID-19 pneumonia on 6 October 2024, fo…
38y · Male·Compression of the neck (hanging)
Jason Muir, a 38-year-old Aboriginal man, died by suicide 24 days after release from custody. He had complex psychosocial needs including mental health issues, substance use history, and prior suicide attempts. While rei…
62y · Male·Complications of likely sepsis in the setting of a pseudo bowel obstruction in a…
Douglas Coyle, a 62-year-old man with Hirschsprung's disease, intellectual disability, and epilepsy, died from sepsis complicating pseudo bowel obstruction. He presented to hospital on 15 June with shortness of breath, r…
46y · Male·Respiratory arrest secondary to acute exacerbation of bronchial asthma caused by…
A 46-year-old man with poorly controlled asthma and known ibuprofen hypersensitivity presented to a rural hospital with chest pain. A remote on-call doctor prescribed aspirin without knowledge of the allergy or availabil…
15y · Male·Combined heroin and methamphetamine toxicity
T, a 15-year-old boy subject to a Care by Secretary Order, died from combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over 20 placements in two years), …
33y · Male·gunshot wounds to chest and upper arm
A 33-year-old man with bipolar disorder on reducing doses of risperidone experienced a psychotic relapse and stabbed a stranger at a railway station. He then entered a police station with a knife, advancing on officers d…
37y · Female·sepsis due to necrotising fasciitis following abdominoplasty with liposuction
A 37-year-old woman died from sepsis due to necrotising fasciitis following abdominoplasty and liposuction. She was discharged on post-operative day 4 with severe pain, nausea, and vomiting, which were attributed to norm…
89y · Male·Cervical spine trauma
Robert Driver, 89, died from cervical spine trauma sustained after being struck by another dementia-affected resident in an aged care facility. He was assessed overnight at the facility and transferred to hospital the fo…
Unknown·COVID-19 infection with various comorbidities as contributing factors
This inquest examined 19 COVID-19 deaths at Newmarch House residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical managem…
50y · Male·Unascertained
A 50-year-old homeless man from South Sudan was found deceased in a disused office space at a car wrecking workshop in Braybrook, Victoria. He had been medically obese with an unhealthy lifestyle including alcohol consum…
47y · Female·Mixed drug toxicity (venlafaxine, duloxetine, mirtazapine, oxycodone, tapentadol…
Kim Bartolo, a 47-year-old woman with depression, anxiety, alcohol use disorder and chronic conditions, died from mixed drug toxicity involving multiple prescription medications. She was admitted to Brunswick Private Hos…
25y · Female·Neck compression secondary to hanging
CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family violence. She presented to hospital multiple ti…
28y · Female·Cerebral x-linked adrenoleukodystrophy
Ivy McGowan, a 28-year-old NDIS participant with cerebral x-linked adrenoleukodystrophy, died at home on 5 October 2023 from natural causes. She had experienced progressive deterioration from late 2022, with increasing n…
65y · Male·Multiple organ failure of unknown origin
Kevin Parkhill, a 65-year-old NDIS participant with type 2 diabetes, chronic kidney disease, chronic liver disease and congestive cardiac failure, developed a Stage IV heel wound while in supported accommodation. Despite…
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