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VIChospital2025-01-08

Finding into death of Frank Kastelic

61y · Male·Epilepsy

Frank Kastelic, a 61-year-old NDIS participant with epilepsy residing in Specialist Disability Accommodation, died from epilepsy following a two-week hospital admission at Monash Medical Centre. He suffered a prolonged a…

neurologygeneral medicine
VIChospital2025-01-08

Finding into death of Winfried Medenbach

65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities

Winfried Medenbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in …

general surgeryinfectious diseaseshyoscine butylbromide
VIChome2025-01-08

Finding into death of Ivy McGowan

28y · Female·Cerebral x-linked adrenoleukodystrophy

Ivy McGowan, a 28-year-old NDIS participant with cerebral x-linked adrenoleukodystrophy, died at home on 5 October 2023 from natural causes. She had experienced progressive deterioration from late 2022, with increasing n…

palliative caregeneral practicefentanyl
VICcommunity2025-01-06

Finding into death of F T

19y · Male·Injuries sustained in a motor vehicle collision (driver)

A 19-year-old male died from injuries sustained in a motor vehicle collision after consuming psilocybin-containing mushrooms. He left his apartment at 3:30am while impaired, drove erratically at excessive speed (approxim…

psilocybin
VIChospital2025-01-06

Finding into death of Leah Pollauszach

54y · Female·Aspiration pneumonia with antecedent causes of oropharyngeal dysphagia and a sig…

Ms Pollauszach, a 54-year-old woman with Down Syndrome (Trisomy 21) and oropharyngeal dysphagia, died from aspiration pneumonia following admission to Northern Hospital. The coroner found no clinical management failures …

general medicinerespiratory medicine
VICaged care2025-01-06

Finding into death of C M

55y · Male·Diabetic ketoacidosis

CM, a 55-year-old man with severe congenital disabilities and Type 2 Diabetes, died from diabetic ketoacidosis while residing in a disability support facility. In the week preceding death, he experienced reduced appetite…

general practiceemergency medicinediagnosticlevetiracetam
VIChospital2025-01-02

Finding into death of Sheila Marion Quairney

68y · Female·Acute myocardial infarction and coronary artery atherosclerosis

A 68-year-old woman presented to St Vincent's Hospital emergency department with upper abdominal and left-sided chest pain following a stationary bicycle fall. Clinicians attributed her symptoms to codeine adverse reacti…

emergency medicinecardiologydiagnosticsystemparacetamol
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

Ms NXA, a 54-year-old woman with complex mental health conditions including depression, CPTSD, and anxiety, presented to hospital after a suicide attempt by overdose on 9 August 2021. She was experiencing severe tinnitus…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
VIChome2025

Finding into death of Ms HRZ

48y · Female·Neck compression secondary to hanging

Ms HRZ, a 48-year-old Turkish-born woman, died by suicide on Christmas Day 2020 after experiencing years of family violence. She first endured abuse from her ex-husband, then sexual coercion, assault, stalking and threat…

general practicepsychologysystemcommunication
VIChome2025

Finding into death of G S

53y · Male·ischaemic heart disease in the setting of acute on chronic alcohol ingestion

A 53-year-old man with chronic heavy alcohol consumption and undiagnosed ischaemic heart disease died from acute alcohol intoxication superimposed on coronary artery atherosclerosis. Post-mortem blood alcohol was 0.36g/1…

cardiologytoxicologysystemalcohol
VIC2025

Finding into death of H S

50y · Male·acute alcohol toxicity

A 50-year-old man died from acute alcohol toxicity in a hotel room after consuming approximately 700mL of vodka over a 24-hour period. He had a 10-year history of escalating alcohol use, multiple presentations to hospita…

emergency medicineaddiction medicinesystemdelayalcohol
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
VIChomeNew2025

Finding into death of CWQ

74y · Male·Unascertained

A 74-year-old man with a long-standing history of delusional disorder and social phobia died at his Melbourne home between August and December 2022; the cause of death was unascertained. He lived with his sister, who als…

psychiatrysystem
VICcommunity2024-12-18

Finding into death of Kevin John Harris

38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis

Kevin Harris, a 38-year-old man with obesity, sustained a left tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflam…

general practiceorthopaedic surgerysystem
VIChospital2024-12-17

Finding into death of Yvonne Eddolls

68y · Female·Sepsis (palliated)

Ms Eddolls, a 68-year-old woman with intellectual disability and complex medical conditions, died from sepsis secondary to pressure ulcers while in specialist disability accommodation. She developed sacral and heel press…

general practiceemergency medicinedelaysystem
VIC2024-12-16

Finding into death of Peter Christofidis

27y · Male·undetermined

Peter Christofidis, a 27-year-old man with a significant history of mental illness including depression and early schizophrenia, disappeared on 14 March 1983 after driving from his home in Cheltenham to Hattah Kulkyne Na…

psychiatrysystem
VIChome2024-12-16

Finding into death of Geoffrey Paul McConachy

82y · Male·Incised injury to right leg

Geoffrey McConachy, 82, died by suicide on 18 September 2023 following a stroke in late 2022 that caused speech impairment and severe depression. He explicitly expressed suicidal ideation and requested information about …

psychiatrygeneral practicecitalopram
VICcommunity2024-12-16

Finding into death of C L

53y · Male·Cervical spine distraction and hanging

A 53-year-old man with chronic treatment-resistant depression and chronic suicidality was admitted to Northern Hospital following a serious suicide attempt. He was assessed as high-risk but discharged after 19 days with …

psychiatryemergency medicinesystemdelaymirtazapine
VIC2024-12-16

Finding into death of Caroline Monique Hall

52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…

Caroline Monique Hall, a 52-year-old woman with intellectual disability, epilepsy, schizophrenia, and multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She…

general practiceemergency medicinediagnosticdelaymorphine
VIChospital2024-12-13

Finding into death of Kerryn Swift

63y · Female·Community acquired pneumonia with urinary tract infection as a significant contr…

A 63-year-old NDIS participant with multiple sclerosis residing in specialist disability accommodation died from community-acquired pneumonia with urinary tract infection as a contributing factor. She presented with ches…

general practiceemergency medicineantibiotics

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