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VIChospital2025-02-24

Finding into death of Anne-Maree Tammy Carr

44y · Female·COVID-19

Ms Anne-Maree Tammy Carr, a 44-year-old woman with intellectual disability, cerebral palsy, diabetes, and high cholesterol living in Specialist Disability Accommodation, died from COVID-19 pneumonia on 6 October 2024, fo…

general practiceinfectious diseases
VIChospital2025-02-21

Finding into death of Douglas George Coyle

62y · Male·Complications of likely sepsis in the setting of a pseudo bowel obstruction in a…

Douglas Coyle, a 62-year-old man with Hirschsprung's disease, intellectual disability, and epilepsy, died from sepsis complicating pseudo bowel obstruction. He presented to hospital on 15 June with shortness of breath, r…

general practiceemergency medicinedelay
VIC2025-02-20

Finding into death of Frank Cecil Baker

77y · Male·Injuries sustained in a motor vehicle collision (driver)

Frank Cecil Baker, 77 years old, died in a motor vehicle collision on wet roads with poor surface conditions. While not a clinical case, this coronial finding highlights the importance of recognising environmental hazard…

system
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

Mia Rose Iskander died at 8 hours of age from ascending uterine infection (Klebsiella pneumoniae) with chorioamnionitis following maternal premature pre-labour rupture of membranes (PPROM) at 32 weeks. Maternal managemen…

obstetricsneonatologydiagnosticdelayamoxicillin
VIC2025-02-19

Finding into death of Mark Fava

46y · Male·Coronary artery disease

Mark Fava, 46, died of coronary artery disease while in custody at Port Phillip Prison. He was found unresponsive in his cell and CPR was commenced immediately, continuing until paramedic arrival. The death was from natu…

emergency medicinecorrectional healthamitriptyline
VIC2025-02-19

Finding into death of Grant Jason Dimitrijevic

39y · Male·Complications of a right upper arm penetrating injury in the setting of a motor …

Grant Dimitrijevic, a 39-year-old truck driver, died from exsanguination due to transection of the right axillary artery after striking a black cow on Hendy Main Road, Moriac, in dark, foggy conditions. His vehicle veere…

system
VIC2025-02-18

Finding into death of Cornelia Styner-Bolliger

57y · Female·Multiple injuries sustained in a motor vehicle incident

A 57-year-old Swiss tourist died in a head-on motor vehicle collision on a rural Victorian road. She was a passenger in a Winnebago camper van driven by her husband, who failed to safely navigate an oncoming truck at a b…

VIChospital2025-02-18

Finding into death of Tasman Murray Tribe

0y · Male·Complications of birth-related traumatic head injury

Tasman Murray Tribe, a neonate born at 36 weeks gestation, died at 7 days of age from complications of birth-related traumatic head injury. Labour was prolonged in the second stage; instrumental delivery was attempted bu…

obstetricsneonatologyoxytocin
VICcommunity2025-02-18

Finding into death of Jurg-Peter Styner

57y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 57-year-old Swiss tourist died in a head-on motor vehicle collision while driving a camper van on a rural Victoria road. The coroner concluded the collision resulted from driver error—the deceased failed to safely acco…

VIChome2025-02-14

Finding into death of Martin Barlow

67y · Male·Head injuries sustained in falls

Martin Barlow, 67, died from head injuries sustained in two falls on 5 August 2022 while intoxicated (BAC 0.17 g/100mL). He suffered subarachnoid haemorrhage and subdural haemorrhage. After Ms Burrell called emergency se…

emergency medicineparamedicinedelaysystemalcohol
VICcommunity2025-02-14

Finding into death of Mathew Martin Farrell

42y · Male·Multiple injuries sustained in a light plane incident (pilot)

Mathew Farrell, a 42-year-old pilot with limited powered aircraft experience (24.4 total hours), crashed in a light sports aircraft in remote mountainous terrain near Lucyvale, Victoria on 18 September 2022. The coroner …

aviation medicinetrainingcertification
VIChospital2025-02-13

Finding into death of Jack Brownlee

21y · Male·Complications of injuries sustained when a trench wall collapsed

Jack Brownlee, 21, died from crush injuries sustained in a workplace trench collapse at a construction site. Despite family concerns that excavator use during rescue exacerbated his injuries, expert geotechnical and resc…

emergency medicinetrauma surgerysystemmidazolam
VIC2025-02-13

Finding into death of Charles Clarence Howkins

34y · Male·Head injury

Charles Clarence Howkins, a 34-year-old labourer, died from head injuries sustained in a trench collapse at a construction site on 21 March 2018. The coroner found that Pipecon Pty Ltd failed to provide a safe workplace,…

system
VICaged care2025-02-12

Finding into death of Donald Walter Thoms

90y · Male·Complications following aspiration of food

Donald Walter Thoms, 90 years old with intellectual disability and high aspiration risk, died from complications following aspiration of food while in specialist disability residential care. He was on a pureed diet and t…

palliative careemergency medicine
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…

intensive caregeneral surgeryclozapine
VIChomePodcast2025-02-11

Finding into death of Kathleen Dawn Arnold

30y · Female·Acute ethanol toxicity on a background of chronic alcoholism

Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…

addiction medicinepsychiatrysystemalcohol
VIChome2025-02-07

Finding into death of T

15y · Male·Combined heroin and methamphetamine toxicity

T, a 15-year-old boy subject to a Care by Secretary Order, died from combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over 20 placements in two years), …

paediatricspsychiatrycommunicationsystemheroin
VICcommunity2025-02-06

Finding into death of Baran Yalcin

29y · Male·Injuries sustained in a motor vehicle collision (bicycle rider)

A 29-year-old Turkish international student and food delivery worker died when his electric bicycle was struck by a van at an intersection in Thornbury, Victoria. He entered the intersection against a red pedestrian ligh…

VIChospitalPodcast2025-02-05

Finding into death of Daniel Francis McNeill

39y · Male·Complications following extradural haemorrhage (operated) sustained in an electr…

A 39-year-old man died from complications of extradural haemorrhage sustained in an e-scooter fall. He was riding a high-powered e-scooter (capable of 84 km/h, exceeding legal limits) while under the influence of methyla…

emergency medicineneurosurgerymethamphetamine
VIChospital2025-02-04

Finding into death of Tan Van Tran

53y · Male·Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a …

Tan Van Tran, a 53-year-old man with prior stroke causing severe dysphagia, died from gastrointestinal haemorrhage complicating recent PEG insertion. He was admitted with aspiration pneumonia and underwent PEG placement …

gastroenterologyemergency medicinepiperacillin-tazobactam

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