3,425 results
65y · Male·Ischaemic heart disease in a man with epilepsy
Richard Paul Atkins, a 65-year-old man with intellectual disability and epilepsy living in specialist disability accommodation, died from ischaemic heart disease. Post-mortem examination revealed moderate to severe tripl…
20y · Male·Head, chest, pelvic and leg injuries sustained in a motor vehicle incident (moto…
A 20-year-old learner motorcyclist died from traumatic injuries sustained in a collision with a power pole while accelerating aggressively on a public road. The rider was inexperienced (obtained learner permit 4 months p…
55y · Male·Acute myocardial infarction secondary to coronary artery thrombosis due to coron…
Anthony Creaton, 55, died of acute myocardial infarction due to coronary artery thrombosis and atherosclerosis in prison custody. He presented with chest pain on 13 November 2022 (twice) and again on 14 November, but nur…
4y · Female·Hypoxic ischaemic encephalopathy following immersion
A 4-year-old girl drowned in a neighbouring pool after crawling through a gap in a shared boundary fence that served as a pool safety barrier. The fence had been certified as compliant in February 2024 but deteriorated s…
36y · Female·Peripheral T-cell lymphoma not otherwise specified
Sarah Anne Swallow, a 36-year-old woman with Down syndrome (Trisomy 21), died from peripheral T-cell lymphoma in September 2024. She was diagnosed with this aggressive cancer in April 2024 and commenced on chemotherapy, …
22y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian vs. car)
Frances Jeyann Ramirez, a 22-year-old student, was fatally struck by two vehicles while crossing Hopkins Street in Footscray on 25 November 2023. She sustained multiple injuries and died at the scene. The coroner found t…
Unknown·Injuries sustained in a motor vehicle incident
Four young people died in a single-vehicle motor vehicle collision on 27 May 2023. Jorja Fox (16, learner driver) was driving Alicia Montebello's vehicle at excessive speed when she lost control on a rural road. The vehi…
39y · Male·Drowning
A 39-year-old man drowned while snorkelling at Altona Beach wearing a 10.95 kg weight belt without fins or buoyancy compensation device. He became fatigued in deep, choppy water with poor visibility. The coroner found th…
73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…
A 73-year-old man with multiple comorbidities (diabetes, cardiac disease, liver cancer) slipped on wet tiles outside McDonald's and sustained cervical and thoracic spine fractures with spinal cord injury. Attending param…
64y · Male·Aspiration event obstruction in a man with oropharyngeal dysphagia and Parkinson…
Richard Ellis, a 64-year-old man with intellectual disability, schizophrenia, Parkinson's disease and oropharyngeal dysphagia, died from aspiration obstruction following a witnessed choking episode while eating. He prese…
0y · 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…
3y · Female·Streptococcus pyogenes septicaemia
A three-year-old girl with Down syndrome died from Group A Streptococcus septicaemia after a 10-day illness. She presented four times to hospital (ED and rapid review clinic) over three days with fever, rash, and diarrho…
24y · Male·multiple injuries and chest compression asphyxia (train strike)
Bryan Pham, 24, died by suicide via train strike on 2 June 2020, two days after release from remand custody. He had schizophrenia, substance use disorder, and was recently incarcerated for assault and FVIO breach. While …
47y · Male·Combined drug toxicity (heroin, amphetamines, hydroxyrisperidone, olanzapine)
Jay Joseph Harrison, a 47-year-old homeless man with schizophrenia and substance use disorder, died from combined drug toxicity involving heroin, amphetamines, hydroxyrisperidone, and olanzapine. He was found unconscious…
74y · Male·Congestive heart failure on a background of recent influenza A infection, end st…
Frederick William Boyle, aged 74, died of congestive heart failure in the setting of influenza A infection, end-stage dementia, and Parkinson's disease while in Port Phillip Prison. He had been transferred from St Vincen…
74y · Male·Pulmonary thromboembolism in the setting of deep leg vein thrombosis
A 74-year-old man died from pulmonary thromboembolism with deep vein thrombosis 10 days after elective umbilical hernia repair. He received appropriate VTE prophylaxis (mechanical and pharmacological) intraoperatively an…
24y · Female·Pulmonary and miliary tuberculosis
Manpreet Kaur, a 24-year-old Indian national on a student visa, died of pulmonary and miliary tuberculosis on 20 June 2024 at Melbourne Airport. She had been symptomatic for months, presenting to a GP on 19 May 2024 with…
61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis
A 61-year-old Vietnamese woman died from pulmonary thromboembolism secondary to deep vein thrombosis while an involuntary psychiatric patient. She had been admitted following a suicide attempt and was placed on an Assess…
74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…
A 74-year-old man with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while in aged care. Key cl…
0y · Female·Unascertained
Baby H was born at home on 21 September 2022 following an unassisted birth (freebirth) without medical oversight. The mother had received no antenatal care despite being unaware of the actual gestational age. The baby sh…
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