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VIChospital2010-04-16

Finding into death of Kum Yeo Bae

60y · Female·Penetrating injury of the descending thoracic aorta complicating spinal stabiliz…

A 60-year-old woman died from a penetrating injury to the descending thoracic aorta sustained during spinal stabilisation surgery for a T12 burst fracture. During pedicle cannulation, the surgical awl fractured the left …

neurosurgeryanaesthesiacommunicationdelay
VIChospital2010-04-13

Finding into death of Gary Allan Carrick

45y · Male·Bronchopneumonia

Gary Carrick, a 45-year-old man with Down syndrome and severe progressive cervical myelopathy, died from bronchopneumonia. He experienced rapid functional decline from January 2008, including loss of mobility, incontinen…

neurologypalliative caredelaystaphylex
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a…

emergency medicineobstetricscommunicationsystemmorphine
VIChospital2010-04-08

Finding into death of Wendy Alice Ryder

62y · Female·pulmonary thromboembolism due to deep venous thrombosis of right calf

Ms Wendy Ryder, aged 62, died from pulmonary embolism secondary to deep venous thrombosis (DVT) six weeks after abdominal surgery (total abdominal hysterectomy and bilateral salpingo-oophorectomy) for treatment of severe…

neurologygeneral surgerydiagnosticnarcotics
VICaged care2010-03-30

Finding into death of Mark Anthony Theakston

45y · Male·unascertained

Mark Anthony Theakston, a 45-year-old man with severe intellectual disability and autism residing in supported accommodation, died of an unascertained cause on 25 May 2008. He had collapsed on 21 May with a syncopal epis…

general practiceforensic medicinesystemcommunicationchlorpromazine
VICaged care2010-03-30

Finding into death of John James Byron

95y · Male·bronchopneumonia in a man who has sustained extensive head injury

A 95-year-old man with multiple comorbidities including ischaemic heart disease, atrial fibrillation, chronic airways disease, aspiration pneumonia history, and dementia was struck unprovoked by a cognitively impaired co…

geriatric medicineneurosurgery
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

Adam Fabre, a 19-year-old with fever, severe headache, neck pain, muscle pain (10/10), vomiting, tachycardia and blanching rash, presented to Casey Hospital ED at 3:45am on 14 July 2006. Despite expressing clear concern …

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
VIChospital2010-03-24

Coroner's Finding: Janet Carol Rosse

32y · Female·Mexiletine toxicity

Janet Rosse was a 32-year-old woman with hyperkalaemic periodic paralysis, a genetic neurological condition causing recurring paralytic episodes and chronic pain, and a concurrent history of major depression and anxiety.…

neurologypsychiatrycommunicationsystemmexiletine
VIC2010-03-23

Finding into death of Unknown Remains Comprising Human Cranium

Female·unknown cause

Unknown human remains comprising a female cranium of Aboriginal ancestry were examined by a forensic anthropologist. The cranium showed evidence of trauma and metabolic disease but was determined to be archaeological rat…

forensic medicine
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococcal sepsis. Hospital inv…

emergency medicineintensive careheroin
VIChospital2010-03-17

Finding into death of Sharon Ann Looby

49y · Female·Multi organ failure and Pneumonia

Sharon Ann Looby, a 49-year-old woman with Down's syndrome, presented with symptoms of malaise, sweats, cough and bloating. Her general practitioner arranged blood tests which revealed renal impairment and liver inflamma…

general practiceemergency medicine
VIChome2010-03-17

Finding into death of Paul Gledhill

37y · Male·smoke inhalation

Paul Gledhill, a 37-year-old man with schizophrenia managed by community mental health services on a Community Treatment Order, died from smoke inhalation in an accidental house fire. He had a blood alcohol level of 0.23…

psychiatryforensic medicineflupenthixol
VIC2010-03-16

Finding into death of Gregory Price

46y · Male·MULTIPLE INJURIES SUSTAINED IN INDUSTRIAL ACCIDENT

Gregory Price, a 46-year-old foreman-carpenter, died when an elevated work platform (EWP/scissor lift) he was operating tipped over during panel installation. A rope had been tied to the EWP's handrail contrary to manufa…

systemcommunication
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
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
VIChospital2010-03-05

Finding into death of Jock Allan Adams

68y · Male·Pneumonia due to bowel obstruction due to follicular lymphoma

Jock Allan Adams, a 68-year-old man imprisoned at Port Phillip Prison with a history of diabetes, schizophrenia, early dementia and follicular lymphoma (treated with chemotherapy), was admitted to St Vincent's Hospital o…

general surgeryoncology
VIChospital2010-03-05

Finding into death of Glenn Raymond Johns

41y · Male·Aspiration pneumonitis in a setting of Lennox-Gastaut syndrome

Glenn Raymond Johns, a 41-year-old man with Lennox-Gastaut syndrome, intellectual disability, and severe gastro-oesophageal reflux, died from aspiration pneumonitis following recurrent aspiration episodes. He had experie…

general medicinegastroenterology
VIC2010-03-05

Finding into death of Marcus William Peillon

Male·Drowning

Marcus William Peillon drowned on 13 September 1992 after a boating accident at Skenes Creek Beach near Apollo Bay, Victoria. He and a companion were fishing from an 18-foot boat when a large wave (estimated 20-25 feet) …

VIChome2010-03-05

Finding into death of Andrew Campbell

51y · Male·Cardiac arrest due to ischaemic heart disease

Andrew Campbell, a 51-year-old disability pensioner with multiple serious medical conditions (Type 1 diabetes, ischaemic heart disease, hypertension), died of cardiac arrest on 16 July 2008, six days after moving into pu…

general practiceemergency medicinecommunicationsystem
VICcommunity2010-03-04

Finding into death of Stuart Fraser Ronaldson

46y · Male·Unascertained - possible drowning secondary to seizure, syncope, or accident

Stuart Ronaldson, 46 years old, died by drowning in Darebin Creek in January 2007, approximately 16 days after being granted unescorted leave from the Alfred Hospital's psychiatric unit. He had been admitted involuntaril…

psychiatryforensic medicinecommunication

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