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VIChome2009-06-29

Finding into death of Leigh Sarah Sinclair

25y · Female·effects of fire / inhalation of fire fumes

Two young people died in a preventable building fire at an unregistered rooming house in Brunswick, Victoria. The fire started from faulty electrical wiring in the pizza restaurant ceiling below their bedroom. Multiple s…

systemcommunicationalcohol
VIChome2009-06-02

Finding into death of Mark Andrew Downie

32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam

Mark Downie, aged 32, died from an overdose of chlorpromazine, mirtazapine, and diazepam at home on 16 January 2007, eleven days after discharge from psychiatric hospital. He had a history of depression, polysubstance ab…

psychiatrysystemdelaychlorpromazine
VIChospital2009-05-20

Finding into death of Kara Lennah Compton

1y · Female·acute on chronic respiratory failure

Kara Compton, aged 22 months with Down's syndrome and chronic respiratory disease requiring home oxygen, died from acute on chronic respiratory failure following a dog bite attack. Injuries caused blood loss which, combi…

emergency medicinepaediatricsproceduralcommunicationadrenaline
VIC2009-05-13

Coroner's Finding: Paul Wayne Carter

33y · Male·Multiple injuries consequent upon being struck by a truck

Paul Wayne Carter, a 33-year-old Aboriginal man with intellectual disability and mental health history, died on 7 August 2006 after being struck by a truck on the Sturt Highway near Mildura. Victoria Police transported h…

alcohol
VIChospital2009-01-27

Finding into death of Zakaria Tartourssi

0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…

Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…

general practicepaediatricsdiagnosticcommunicationparacetamol
VICcommunity2009

Finding into death of Jennia Ieremia

4y · Female·drowning

Jennina Ieremia, a 4-year-old girl with no swimming lessons, drowned at Mordialloc Beach on 20 January 2009 after wandering into the water unnoticed while her parents were distracted. She was last seen playing in shallow…

system
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

William Keays was a neonate born at 37 weeks via emergency caesarean section for fetal distress during labour induction with Syntocinon. He was stillborn with Apgar scores of 0/0/1, requiring 12 minutes of resuscitation …

obstetricsneonatologycommunicationdelayoxytocin
VIChome2008-06-04

Finding into death of Kath Bergamin

37y · Female·unlawful killing

Kath Bergamin, a 37-year-old woman, disappeared from her home in Wangaratta, Victoria on 18 August 2002. She had recently left her husband John following years of psychological and physical abuse, obtaining intervention …

psychiatrygeneral practicesystemcommunicationcitalopram
VIChome2008-05-16

Finding into death of Brodie Panlock

19y · Female·Head injury

Brodie Panlock, a 19-year-old waitress, died from head injuries sustained when she jumped from a car park after experiencing systematic bullying and psychological abuse by management and coworkers at her workplace cafe. …

systemcommunicationalcohol
VIChome2008-05-10

Finding into death of David Mario Mulvaney

58y · Male·85% Burns and Explosion

David Mulvaney, aged 58, died on 28 July 2007 from 85% thermal burns sustained in a drum explosion while cutting an empty 44-gallon drum containing thinners in his home shed. The drum, obtained from his workplace, retain…

emergency medicineintensive care
VIChospital2008-03-20

Finding into death of Julie Stephens

54y · Female·sepsis

Ms Julie Stephens, aged 54, was admitted to Frankston Hospital on 5 December 2008 with a chest infection and multiple comorbidities including cardiac failure, respiratory failure, and obesity. She deteriorated with septi…

intensive carerespiratory medicinemedicationsystemmorphine
VIC2008-02-20

Finding into death of Georgie Lopiccolo

47y · Female·Neck compression (ligature strangulation)

A 47-year-old woman died by ligature strangulation using pantyhose while in police custody after arrest on outstanding warrants. She had documented mental health issues (depression) and substance abuse history, with a su…

communicationsystem
VIC2008-01-25

Finding into death of Lee Andrew Kennedy

40y · Male·Haemorrhage from gunshot wound to chest

Lee Andrew Kennedy, a 40-year-old man with a history of mood instability, migraines, and medical treatment through a GP and psychiatrist, died from a gunshot wound to the chest inflicted by Constable Erin Levay during a …

general practicepsychiatrysystemlithium
VIC2008

Finding into death of Edward Geldard

46y · Male·Injuries sustained in a helicopter accident

Edward Geldard, an experienced helicopter pilot with 776 flying hours, died in a Robinson R44 helicopter accident at Pier 35, Melbourne on 29 December 2007. During departure in southerly wind conditions (15-30 knots), th…

system
VICcommunity2006-07-24

Finding into death of Tyson Owen Van Dillen

25y · Male·head injury

Tyson Van Dillen, a 25-year-old male, died from head injuries sustained in a motor vehicle collision while driving under the influence. He had consumed significant quantities of alcohol (blood alcohol concentration 0.21%…

alcohol
VIC2006-07-21

Finding into death of Nicole Maree Knox-Smith

29y · Female·Multiple injuries (fracture dislocation cervical spine, fractured larynx, multip…

Nicole Knox-Smith, aged 29, died in a motorcycle collision with a stolen Ford station wagon on the Princes Freeway. The driver, Jeffrey Dobbin, was heavily intoxicated with drugs and driving erratically whilst evading po…

communicationsystemheroin
VICcommunity2006-04-21

Finding into death of Christopher Robert Cowton

21y · Male·Multiple blunt trauma, with the most significant injury being a base of skull fr…

A 21-year-old male died from multiple blunt trauma including base of skull fracture following a motorcycle collision. He was riding at night in foggy conditions with a blood alcohol level of 0.07 g/100ml. He failed to st…

alcohol
VIC2005-09-08

Finding into death of George Marcus

44y · Male·Gunshot injury to the head

George Marcus, aged 44, died from a gunshot wound to the head on 20 April 1997 in Box Hill, Victoria. He was shot multiple times in an execution-style killing by unknown assailants. Marcus had been involved in questionab…

VICcommunity2005-05-06

Finding into death of Gethin Roberts

Male·Drowning

Gethin Richard Roberts drowned in Port Phillip Bay on 5-6 June 2003 following a police pursuit. After evading police during a high-speed car chase, Roberts abandoned the vehicle and deliberately entered the bay. He was l…

VIChome2005-02-11

AYRE Gordon

Male·Drowning

Gordon Maxwell Ayre, a toddler, drowned in an unfenced farm dam while visiting a family property in rural Victoria. He was found floating by his father, who immediately commenced CPR. Paramedics continued resuscitation, …

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