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VIChospital2024-12-09

Finding into death of Donald Charleson

68y · Male·pneumonia in the setting of metastatic malignancy of unknown primary, likely bow…

Donald Charleson, a 68-year-old NDIS participant with epilepsy residing in specialist disability accommodation, was admitted to Monash Medical Centre on 19 January 2023 with pneumonia, vomiting, and chest pain. He had re…

respiratory medicineoncology
VIChospital2024-12-09

Finding into death of Robert Djurovich

58y · Male·Aspiration pneumonia

Robert Djurovich, a 58-year-old man with Down syndrome, dementia, epilepsy, and gastro-oesophageal reflux disease, died from aspiration pneumonia on 1 January 2023 after admission to Maroondah Hospital on 1 November 2022…

respiratory medicineinfectious diseases
VIChome2024-12-09

Finding into death of Luana Janiece Ross

61y · Female·Alzheimer's Dementia and epilepsy in the setting of Down syndrome, hypothyroidis…

Luana Janiece Ross, a 61-year-old woman with Down syndrome, Alzheimer's dementia, and epilepsy, collapsed at home while being assisted with her morning routine and died shortly after. Paramedics responded promptly and in…

general practiceneurology
VIC2024-12-06

Finding into death of Zoran Alic

58y · Male·Hanging

Zoran Alic, a 58-year-old Serbian-born man detained at Marngoneet Correctional Centre on family violence charges, died by hanging on 29 April 2019. He was referred for psychiatric assessment on 28 March 2019 after report…

psychiatrycorrectional healthdelaysystem
VICcommunity2024-12-05

Finding into death of Alison Debra Johns

5y · Female·Drowning

Alison Johns, aged 5 years, drowned in Lake Nagambie on 27 December 2022 while swimming with a borrowed inflatable ring in shallow water. A brief lapse in supervision occurred when her mother went swimming to a buoy; des…

forensic medicineemergency medicinesystem
VICaged care2024-12-05

Finding into death of Mukesh Jayantilal Sanghavi

69y · Male·complications post trauma related acquired brain injury

A 69-year-old man died from complications of acquired brain injury sustained in a violent assault in December 2021. He had suffered a significant intracranial haemorrhage, facial fractures, and left hemiplegia, requiring…

neurosurgeryintensive careantiviral medications
VIChospital2024-12-05

Finding into death of Kim Elizabeth Taylor

54y · Female·Pneumonia - chest sepsis

Kim Elizabeth Taylor, a 54-year-old NDIS participant with quadriplegia and tracheostomy, died from pneumonia and chest sepsis at Austin Hospital. She had experienced recurrent ventilator-associated pneumonia, bronchiecta…

respiratory medicinepalliative care
VIChospital2024-12-05

Finding into death of Robert Lisle Nelson

66y · Male·Aspiration pneumonia in the setting of multiple sclerosis

Robert Lisle Nelson, aged 66, died from aspiration pneumonia in the setting of end-stage multiple sclerosis at a palliative care unit. He had lived in specialist disability accommodation as an NDIS participant for many y…

palliative careneurology
VIChospital2024-12-05

Finding into death of Jannene Wilson

59y · Female·Urosepsis in the setting of multiple sclerosis

Jannene Wilson, a 59-year-old NDIS participant with multiple sclerosis residing in specialist disability accommodation, died from urosepsis following hospital admission for abdominal pain and nausea. The coroner found no…

general medicineinfectious diseases
VIChospital2024-12-05

Finding into death of Rolf Liebenow

68y · Male·Chronic lymphocytic leukaemia

Rolf Liebenow, a 68-year-old NDIS participant in Specialist Disability Accommodation, died from chronic lymphocytic leukaemia at a palliative care unit. He had suffered from this progressive terminal condition for four y…

palliative carehaematology
VIC2024-12-04

Finding into death of Joseph Hatzaw

2y · Male·Injuries sustained in motor vehicle collision (pedestrian)

A 2-year-11-month-old boy died from injuries sustained in a low-speed motor vehicle runover in a community centre carpark. He exited a building with his brother and was struck by a reversing vehicle within 65 seconds of …

VIChome2024-12-04

Finding into death of Chloe Amy Abigail Moore

1y · Female·Head injuries sustained in a motor vehicle incident

Chloe Moore, aged 16 months, died from head injuries sustained when struck by her father's utility vehicle reversing in the driveway of their rural property. While reversing, the father did not see the child due to poor …

emergency medicinetrauma surgery
VIChospital2024-12-03

Finding into death of David Waples

61y · Male·Aspiration pneumonia in the setting of multiple sclerosis

David Waples, a 61-year-old man with multiple sclerosis living in specialist disability accommodation, presented with fever and cough on 26 November 2022 and was admitted to Austin Hospital. He was transferred to palliat…

general practicegeneral medicine
VIChospital2024-12-02

Finding into death of S K

25y · Male·Gunshot injury to the head

SK, a 25-year-old man with ADHD, borderline personality disorder, PTSD, depression and anxiety, died from a self-inflicted gunshot wound while handling an unregistered revolver under the influence of amphetamines, cannab…

emergency medicinepsychiatrysystemdelaymethamphetamine
VIChospital2024-12-02

Finding into death of Baby Patel

0y · Unknown·unascertained

A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was…

neonatologypaediatricsdiagnosticcommunicationcefotaxime
VIChospital2024-12-02

Finding into death of Giulia Nesci

30y · Female·Aspiration pneumonia in the setting of small bowel obstruction and Rett Syndrome

Ms Giulia Nesci, aged 30 with Rett Syndrome, died from aspiration pneumonia complicated by small bowel obstruction after admission to Monash Medical Centre on 7 July 2023. She had recently transitioned from living with h…

general medicinerespiratory medicine
VIChospital2024-11-29

Finding into death of Michael King

59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…

Michael King, 59, died from aspiration pneumonia secondary to recurrent anal squamous cell carcinoma following total pelvic exenteration surgery in December 2021. He was admitted to Dandenong Hospital with vomiting, leth…

oncologyintensive care
VIChome2024-11-28

Finding into death of Child 1, Child 2, Child 3, Child 4

Multiple causes: Child 1 - blunt force trauma to chest and abdomen; Child 2 - he…

This cluster inquest examined four Victorian child deaths (2015-2017) involving parents' partners as perpetrators. Children 1-4 died from blunt force trauma, head injury, fire, and neck laceration respectively. Key syste…

paediatricspsychiatrydiagnosticcommunicationmethamphetamine
VIChospital2024-11-27

Finding into death of C E

50y · Male·Advanced Parkinson's disease

A 50-year-old man with advanced Parkinson's disease died of natural causes at Austin Hospital after admission for palliative care management of progressive fatigue, reduced oral intake, pain from dystonias/rigidity, and …

palliative careneurology
VIChospital2024-11-27

Finding into death of Narelle Gay Sanders

48y · Female·Pneumonia with anaphylaxis (treated), cerebral palsy, and epilepsy as contributi…

Narelle Sanders, a 48-year-old woman with cerebral palsy and epilepsy living in disability accommodation, died of pneumonia complicated by anaphylaxis. She was admitted with shortness of breath and cough following recent…

intensive careinfectious diseasesazithromycin

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