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VIChospital2011-07-27

Finding into death of Wladislaw Kowalzcyk

62y · Male·Severe congestive heart failure and ischaemic cardiomyopathy

A 62-year-old man with intellectual disability living in supported residential care presented to the emergency department with breathlessness and was diagnosed with chronic heart disease and multi-organ failure. He was t…

emergency medicinecardiologymorphine
VICmental health2011-07-22

Finding into death of Lionel Raymond Perry

44y · Male·Cardiomegaly

Lionel Perry, a 44-year-old Aboriginal man with schizoaffective disorder and polysubstance abuse history, died from cardiomegaly (enlarged heart due to concentric ventricular hypertrophy) while an involuntary psychiatric…

psychiatryemergency medicinecommunicationdocumentationmethadone
VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

Robert William Keith, aged 34, was found deceased in his caravan on 28 June 2010. He had a long-standing history of paranoid schizophrenia managed with risperidone injections and oral medications under a Community Treatm…

psychiatryemergency medicinerisperidone
VICaged care2011-06-06

Finding into death of John Bateman

76y · Male·Complications following surgery for intradural cervical meningioma

John Bateman, a 76-year-old man with intellectual disability, underwent neurosurgery for an intradural cervical meningioma in August 2010. Post-operatively, his condition initially improved but he subsequently deteriorat…

neurosurgerypalliative care
VICaged care2011-05-24

Finding into death of Dorothy Plumb

65y · Female·Ischaemic heart disease (coronary artery atherosclerosis); probable cardiac arrh…

Dorothy Plumb, a 65-year-old woman with intellectual disability living in a residential unit, was found unresponsive in bed and pronounced dead. Autopsy revealed significant coronary artery atherosclerosis with triple ve…

cardiologygeneral practicedocumentationcommunication
VIChome2011-04-06

Finding into death of Mykayla Chloe Marshall

1y · Female·Pulmonary hypertension and right heart failure secondary to total anomalous pulm…

Mykayla Marshall, a 15-month-old child with complex congenital heart disease including total anomalous pulmonary venous drainage, pulmonary vein stenosis, and septal defects, died at home from pulmonary hypertension and …

cardiologypaediatrics
VICcommunity2011-03-17

Finding into death of Stuart Judd

39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …

Stuart Judd, a 39-year-old Parks Victoria Ranger, died of acute myocardial infarction due to left anterior descending coronary artery occlusion with ruptured plaque. Eight days before death, he presented to GP Dr V. with…

general practicecardiologydiagnosticdelayomeprazole
VIChospital2011-02-25

Finding into death of Michael Peysack

69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …

Mr Peysack, a 69-year-old with complex cardiac disease on Warfarin, collapsed at work with witnessed loss of consciousness and occipital laceration. Despite meeting criteria for urgent head CT imaging (age >65, head inju…

emergency medicinecardiologydiagnosticcommunicationwarfarin
VIChospital2011-01-07

Finding into death of Greg Norman Mackrell

47y · Male·cardiomyopathy in a 47 year old man with Down syndrome

Greg Norman Mackrell, a 47-year-old man with Down syndrome and known cardiomyopathy with pacemaker, was admitted for elective colonoscopy. The anaesthetist reviewed him preoperatively and the procedure was completed quic…

anaesthesiagastroenterology
VIChospital2010-12-10

Finding into death of Angela Budaj

60y · Female·haemopericardium following thoracic aortic dissection Type A

Angela Budaj, a 60-year-old woman with hypertension and smoking history, presented to the ED with back pain, vomiting, incontinence, and sore throat. An abnormal ECG was obtained but not appropriately interpreted. She ha…

emergency medicinecardiologydiagnosticcommunicationibuprofen
VIChospital2010-12-08

Finding into death of Antonio Totaro

81y · Male·Head injuries sustained in a motor vehicle incident (pedestrian) in a man with i…

An 81-year-old man with ischaemic cardiomyopathy, diabetes, previous stroke, and peripheral vascular disease was struck by a motor vehicle while crossing Cranbourne Road in Frankston. He sustained severe head injuries wi…

trauma surgerycardiology
VIChospital2010-09-03

Finding into death of Jacinta Megan Pascoe

0y · Female·Myocardial infarction

Jacinta Pascoe, a 4-week-old premature infant, died of myocardial infarction due to unclear aetiology on 10 July 2007. She presented to Austin Hospital via ambulance on 9 July with vomiting, limpness, and grunting. Clini…

neonatologyemergency medicinecommunicationsystem
VICaged care2010-06-21

Finding into death of Brian Royce Anderson

50y · Male·coronary artery disease in the setting of double vessel coronary atherosclerotic…

Brian Anderson, a 50-year-old quadriplegic resident of a disability support centre, died from coronary artery disease with double vessel disease and cardiomegaly. He had recently experienced a chest infection treated wit…

cardiologygeneral practiceantibiotics
VIChospital2010-05-31

Finding into death of Paul Alexander Goodwin

85y · Male·Ruptured abdominal aortic aneurysm

An 85-year-old man with known inoperable abdominal aortic aneurysm died from rupture of this aneurysm while hospitalized for acute exacerbation of COPD. A medication error occurred at admission when Dr T. inadvertently i…

general medicinerespiratory medicinemedicationgabapentin
VIC2010-05-24

Finding into death of Phillip William Banner

79y · Male·Ischaemic heart disease

Philip William Banner, aged 79, died of ischaemic heart disease while an inmate at Port Phillip Prison. He experienced chest pain at 2:11am, a Code Black was immediately called, and MICA paramedics arrived within 26 minu…

emergency medicinecardiology
VIChome2010-03-15

Finding into death of Terence Thomas Wilson

76y · Male·Upper airway obstruction by food bolus in a man with ischaemic heart disease

Mr Terence Wilson, aged 76, died from upper airway obstruction by food bolus while attending a family gathering. He had recently been diagnosed with ischaemic heart disease requiring bypass surgery and bipolar affective …

emergency medicinepsychiatrysodium valporate
VIChospital2003-06-29

Finding into death of Mohammed Tartourssi

3y · Male·unascertained

Mohammed Tartoussi, aged 3 years 11 months, presented to Bell Street Family Medical Centre on 28 June 2003 with chest pain and mild upper respiratory symptoms. He was diagnosed with mild symptoms and given prednisolone. …

emergency medicinepaediatricsdiagnosticsystemsalbutamol
VICaged care

Finding into death of Ellen Plymin

85y · Female·Sepsis relating to an infected right shoulder wound (including MRSA)

Ellen Plymin, aged 85, sustained a fractured humerus in a fall and underwent surgical fixation at Western Hospital on 10 May 2007. She returned to Westgate Aged Care Facility post-operatively on 14 May. By 28 May, wound …

general practiceorthopaedic surgerydiagnosticdelayoxycodone

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