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VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
VICcommunity2010-09-20

Finding into death of Jesse Lee McGann

19y · Male·Hypoxic brain injury due to aspiration of food bolus

Jesse Lee McGann, a 19-year-old with severe autism, Asperger's syndrome, and documented swallowing difficulties, died from hypoxic brain injury caused by aspiration of a food bolus while in disability respite care. Criti…

emergency medicineintensive caresystemcommunication
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

Louise Litis, 37, died from hypoxic brain injury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two w…

psychiatryintensive carediagnosticcommunicationsertraline
VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

Brian O'Connor, a 73-year-old man with vascular dementia, was admitted to a mental health inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level 3 falls risk. Over several wee…

psychiatryneurosurgerydiagnosticsystemfluphenazine
VIChospital2010-08-30

Finding into death of Anthony Rimanich

59y · Male·Complications arising from blunt force trauma to the head consistent with a fall

Anthony Rimanich, a 59-year-old storeman, sustained a fatal head injury at work on 3 June 2008 when he fell while counting stock at a warehouse. He was found unconscious on the concrete floor after apparently losing his …

neurosurgerytrauma surgery
VIChospital2010-06-23

Finding into death of Faye Gwynneth Lancashire

68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…

A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …

general surgeryanaesthesiagelofusin
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…

intensive careneurologymorphine
VIChospital2010-05-20

Finding into death of Eileen May Howell

68y · Female·intracerebral haemorrhage

Eileen May Howell, a 68-year-old woman with intellectual disability and history of cerebral haemorrhage in 2004, suffered a fatal intracerebral haemorrhage on 25 December 2008 while at her brother's home. She had been pr…

neurosurgeryintensive care
VIChospital2010-05-03

Finding into death of Christian Gonzalo Diaz

28y · Male·hypoxic brain injury presumed to have occurred as a direct result from toxicity …

Christian Gonzalo Diaz, 28, died from hypoxic brain injury following presumed heroin toxicity on 9 January 2008. He was an involuntary psychiatric inpatient with schizophrenia and substance abuse history when he absconde…

psychiatryintensive careheroin
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
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
VIChospital2010-03-22

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
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
VIC2010-02-08

Finding into death of Craig Walter Stevens

34y · Male·Hypoxic-ischaemic brain injury caused by hanging

Craig Stevens, aged 34, died from hypoxic-ischaemic brain injury following a suicide by hanging on 17 June 2008. Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resus…

psychiatrygeneral practicesystemdelaysertraline
VIChospital2009-12-22

Finding into death of Jodi Joy McPaul

33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia

Jodi McPaul, a 33-year-old woman with long-standing schizophrenia and chronic suicide risk, was admitted involuntarily to Frankston Hospital on 29 March 2007. Despite psychiatric team awareness of her vulnerability and p…

psychiatryintensive careolanzapine
VIChospital2009-12-08

Finding into death of Timothy Jack Wood

1y · Male·Cerebral anoxia caused by cardiac arrest caused by bronchiolitis and bronchopneu…

Timothy Wood, a 19-month-old boy, died from cerebral anoxia following cardiac arrest caused by bronchiolitis and bronchopneumonia secondary to influenza A infection. He initially presented with croup symptoms on 15 July …

emergency medicineintensive carecommunicationsystemprednisolone
VIC2009-11-25

Finding into death of Phillip Anthony Cullen

49y · Male·effects of fire (70% body surface area full and partial thickness burns)

A 49-year-old man died from severe burns sustained at a hotel beer garden fireplace. He had consumed approximately 20 pots of beer over two days and had a blood alcohol level of 0.3g/100ml at autopsy. The fireplace guard…

emergency medicineintensive caresystemalcohol
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
VIChospital

Finding into death of Mr C

55y · Male·Ascending cholangitis due to choledocholithiasis

A 55-year-old man with Down syndrome died from ascending cholangitis due to choledocholithiasis following recurrent biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dys…

intensive caregeneral medicineantibiotics

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