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VIChome2025-07-24

Finding into death of Bruce David Manintveld

50y · Male·Upper cervical spine injury

A 50-year-old farmer died from an upper cervical spine injury sustained in a motor vehicle accident during an extreme weather event. While riding a quadbike to bring cattle in for afternoon milking during a severe storm …

warfarin
VIChospital2025-07-24

Finding into death of Shane Michael Kelly

65y · Male·Aspiration pneumonia complicating urosepsis in setting of nephrolithiasis and ce…

Shane Michael Kelly, a 65-year-old man with cerebral palsy living in specialist disability accommodation, died from aspiration pneumonia complicating urosepsis secondary to nephrolithiasis. He was admitted to hospital on…

infectious diseasesurologyoxygen
VICaged care2025-07-24

Finding into death of Silvie Marion Burton

89y · Female·Acute upper airway obstruction by food bolus

An 89-year-old woman with dementia died from acute upper airway obstruction by food bolus while being fed lunch at an aged care facility. CCTV footage revealed significant discrepancies between reported actions and actua…

geriatric medicineemergency medicineproceduraldelaycitalopram
VIC2025-07-23

Finding into death of Rachael Lee Dixon

53y · Female·Unascertained

A 53-year-old woman died after consuming psilocybin-containing mushrooms at an unlicensed retreat. She consumed approximately 6 grams of mushroom powder brewed as tea, became unable to walk, reported breathing difficulti…

forensic medicinecardiologysystempsilocybin
VIChospital2025-07-22

Finding into death of Helena Zoe Broadbent

32y · Female·Head injuries in a motor vehicle incident

Helena Zoe Broadbent, a 32-year-old pregnant Aboriginal woman, died from severe head injuries sustained when her partner William Wilson drove off in a vehicle while she was partially inside it, causing her to be ejected …

emergency medicinetrauma surgerycommunicationsystemcannabis
VIChospital2025-07-17

Finding into death of John Conway McKenzie

65y · Male·Adenocarcinoma with unknown primary

John Conway McKenzie, a 65-year-old prisoner with gall bladder cancer, died from adenocarcinoma with unknown primary on 30 May 2025 at St Vincent's Hospital Melbourne. He was admitted on 11 May 2025 with sepsis, at which…

oncologyinfectious diseaseschemotherapy
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…

speech pathologygeneral practicecommunicationsystemmorphine
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal…

neurologyneurosurgeryanti-seizure medications
VIChome2025-07-15

Finding into death of Lachlan Rayner

44y · Male·Airways obstruction with mucous plugging secondary to quadriplegia post accident

Lachlan Rayner, a 44-year-old man with quadriplegia from a 2019 spinal injury, died from airways obstruction due to mucous plugging and pneumonia. He was a specialist disability accommodation resident receiving in-home c…

emergency medicineneurologydelayoxycodone
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

Maxwell Howard, 84, died from bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbid…

psychiatryemergency medicinecarbamazepine
VIC2025-07-14

Finding into death of Jennifer Mary Clayden

61y · Female·Complications of Down's syndrome, epilepsy and advanced dementia

Jennifer Clayden, 61, with Down's syndrome, epilepsy and advanced dementia, died in Specialist Disability Accommodation on 9 May 2024 from complications of her underlying conditions. She had been transitioned to comfort-…

general practicepalliative carebuprenorphine
VIChospital2025-07-14

Finding into death of Nitin Haldipur Prabhu

41y · Male·Head injury in the setting of an e-bicycle collision (rider)

A 41-year-old male cyclist died from severe traumatic head injury following an e-bicycle collision. The coroner found his e-bicycle was unregistered and did not comply with Victorian regulations, exceeding the 250-watt p…

VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell …

obstetricsneonatologydiagnosticcommunicationoxytocin
VICcommunity2025-07-10

Finding into death of Mr ZLS

34y · Male·Injuries sustained in motor vehicle collision (driver)

A 34-year-old man died in a high-speed motor vehicle collision on 24 August 2023, nine days after purchasing a significantly modified Audi R8. He was driving at approximately 100-111 km/h in a 50 km/h zone when he lost c…

fluoxetine
VIC2025-07-10

Finding into death of Mr JZQ

26y · Male·Injuries sustained in motor vehicle collision (passenger)

A 26-year-old male died as a passenger in a high-speed motor vehicle collision on 24 August 2023. The driver was travelling at approximately 100-111 km/h in a 50 km/h zone on a road known for 'hooning' activity. The vehi…

VIChospital2025-07-08

Finding into death of KD

48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…

KD, a 48-year-old woman with chronic schizo-affective disorder, end-stage renal failure, COPD, cardiac hypertrophy and obesity, died from combined natural causes while under assessment order in psychiatric care. She pres…

psychiatryintensive careolanzapine
VIC2025-07-07

Finding into death of Raymond John Blackney

83y · Male·end-stage Parkinson's disease (palliated)

Raymond John Blackney, an 83-year-old man with end-stage Parkinson's disease, died in custody at Port Phillip Prison from natural causes. He had complex medical needs including dementia, intellectual disability, and mult…

palliative caregeriatric medicinemorphine
VIChospital2025-07-07

Finding into death of Gregory Walter Heenan

66y · Male·acute myocardial infarction due to coronary artery atherosclerosis

Gregory Walter Heenan, a 66-year-old man with intellectual disability living in Specialist Disability Accommodation, was admitted to hospital on 12 April 2025 with vomiting and was diagnosed with ST-elevated myocardial i…

cardiologyemergency medicine
VIC2025-07-04

Finding into death of Brent Reker

35y · Male·Hanging

Brent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Corrections Centre on 12 December 2019, approximate…

psychiatryemergency medicinecommunicationsystemmethadone
VIChospital2025-07-04

Finding into death of Geoffrey David Thorn

62y · Male·urosepsis

Geoffrey Thorn, a 62-year-old man with intellectual disability, Lennox-Gastaut syndrome, and cerebral palsy, died from urosepsis following emergency urological surgery for a kidney stone. He presented to hospital with fe…

emergency medicineurology

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