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VIChome2024-11-06

Finding into death of Samantha Joy Fraser

38y · Female·Hanging in the setting of multiple blunt force injuries

Samantha Joy Fraser, a 38-year-old psychologist, was murdered by her estranged husband Adrian Basham in July 2018 despite an active family violence intervention order. The coronial investigation identified systemic failu…

general practicepsychologydiagnosticcommunicationdiazepam
VIC2024-11-01

Finding into death of Sharanjeev Singh Johal

48y · Male·Pneumonia (Klebsiella and COVID-19) complicating motor neurone disease

A 48-year-old man with motor neurone disease died from pneumonia (Klebsiella and COVID-19) while in full-time supported accommodation. He contracted COVID-19 in the week before death, and his condition rapidly declined d…

infectious diseasespalliative care
VIChospital2024-10-30

Finding into death of Domenico Joseph Palma

58y · Male·Complications of diffuse large B-cell lymphoma

Domenico Joseph Palma, a 58-year-old man with intellectual disability residing in supported accommodation, died from complications of diffuse large B-cell lymphoma following hospital admission with dyspnoea, fatigue and …

oncologyrespiratory medicine
VIC2024-10-29

Finding into death of Munif Mohammed

64y · Male·consistent with drowning in a man with ischaemic heart disease

A 64-year-old man with ischaemic heart disease died by drowning after falling from an unseaworthy fishing vessel on Port Phillip Bay. He removed his life jacket before entering the water and struggled for 15 minutes to r…

systemcommunication
VIChome2024-10-29

Finding into death of Robin James Woller

76y · Male·Chest and pelvic injuries sustained in a ride-on lawn mower incident

A 76-year-old man died from chest and pelvic injuries sustained when a ride-on mower he was operating rolled over while towing a heavily laden trailer (>200 kg) across a sloped paddock. The mower's small wheelbase and na…

forensic medicine
VIChospital2024-10-29

Finding into death of Kelly Frith

48y · Female·Aspiration pneumonitis in the setting of central nervous system vasculitis

Kelly Frith, a 48-year-old NDIS participant with acquired brain injury and acute haemorrhagic leukoencephalitis, died from aspiration pneumonitis complicated by CNS vasculitis. She presented with nasal congestion and cou…

general practiceemergency medicine
VIChospital2024-10-29

Finding into death of Shane Hughes

40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…

A 40-year-old man with obesity, COPD, diabetes and hypertension died from acute hepatic and renal failure following postoperative haemorrhage after left radical nephrectomy for a 10cm renal cell carcinoma. The surgeon ap…

urologysurgeryproceduraldiagnosticmetaraminol
VIChospital2024-10-29

Finding into death of Jennifer Ann Grieves

70y · Female·Perforated diverticulitis

A 70-year-old woman with NDIS support living in a Specialist Disability Accommodation presented to hospital with constipation, nausea, vomiting and abdominal pain. After initial ED assessment and discharge with constipat…

emergency medicinegeneral medicinepantoprazole
VIChospital2024-10-28

Finding into death of Tutapakore Ngatokoa

56y · Female·Small bowel obstruction and aspiration pneumonitis in the setting of motor neuro…

Ms Ngatokoa, a 56-year-old NDIS participant with motor neurone disease, died from small bowel obstruction and aspiration pneumonitis at Dandenong Hospital. She had been receiving 24-hour care in specialist disability acc…

general medicineneurology
VIChospital2024-10-28

Finding into death of Julia Mary Case

54y · Female·Pneumonia in the setting of cyanotic congenital heart disease

Julia Mary Case, aged 54, died from pneumonia complicated by cyanotic congenital heart disease. She was admitted to hospital with reduced mobility and shortness of breath, treated with intravenous antibiotics which prove…

general medicinecardiologyantibiotics
VIChospital2024-10-28

Finding into death of Loreta Maria Del Rossi

98y · Female·Multi-organ failure following amanita poisoning

A 98-year-old woman died from multi-organ failure following amanita (death cap) mushroom poisoning. She had foraged wild mushrooms from her garden in April 2024 without incident, then consumed mushrooms from the same loc…

toxicologyemergency medicineactivated charcoal
VIC2024-10-24

Finding into death of Gaurav Malhotra

35y · Male·Injuries sustained in a train overrun

A 35-year-old male died after being struck by a train while heavily intoxicated and under the influence of cocaine. He left home after arriving from a social event, came to be on the railway tracks near Westgarth Station…

alcohol
VIChospital2024-10-24

Finding into death of Marina Norman

46y · Female·Aspiration pneumonia in a woman with multiple sclerosis

Marina Norman, a 46-year-old woman with progressive multiple sclerosis since 2010, died from aspiration pneumonia at Dandenong Hospital on 11 April 2023. She was bedbound and non-verbal at the time of admission with decr…

neurologyinfectious diseases
VIChospital2024-10-24

Finding into death of Tamara Kudeviita

59y · Female·Pneumonia

Tamara Kudeviita, a 59-year-old woman with Down's syndrome and advanced Alzheimer's disease, died of pneumonia in a palliative care unit. She had been declining throughout 2022, with loss of swallowing ability, mobility,…

palliative caregeneral practicemidazolam
VIChospital2024-10-24

Finding into death of Constantin Daoussianis

80y · Male·Complications post fall from ladder sustaining multiple injuries including to th…

An 80-year-old man died from complications of a fall from a ladder while pruning vegetation at his holiday property. He sustained multiple injuries including rib fractures, haemopneumothorax, subarachnoid haemorrhage and…

emergency medicineintensive care
VIC2024-10-24

Finding into death of Thanh Nguyen

40y · Male·Lost at sea, presumed drowned

Thanh An Nguyen, a 40-year-old man who could not swim, was swept out to sea while crabbing on rocks at Gunnamatta Beach on 4 November 2023. Despite wearing a headlamp and fishing gear, and being accompanied by friends wh…

VIChome2024-10-23

Finding into death of Judith Ann Johns

62y · Female·Effects of fire

A 62-year-old woman died in a house fire that originated from an unattended cooking pot on the stovetop left in the 'on' position. She had a history of bipolar disorder managed with medication and sertraline, and signifi…

sertraline
VIChome2024-10-21

Finding into death of Miss L

3y · Female·Head injuries post being struck by a motor vehicle

A three-year-old girl died from head injuries after being struck by a vehicle in her driveway. She exited a parked station wagon and walked to the front of the vehicle while other occupants proceeded to the house. The dr…

VIChome2024-10-17

Finding into death of Barry Robert Johnson

68y · Male·Metastatic colorectal carcinoma

Barry Johnson, a 68-year-old man with intellectual disability, autism, cerebral palsy and dysphagia, died from metastatic colorectal carcinoma at his specialist disability accommodation home. He had been diagnosed with a…

general practicepalliative careparacetamol
VIChome2024-10-16

Finding into death of Deborah Christine Barker

63y · Female·Unascertained (natural causes) - favoured mechanism sudden cardiac arrhythmia

Deborah Christine Barker, a 63-year-old woman with intellectual disability living in specialist disability accommodation, was found unresponsive in the toilet and declared deceased at 7:32pm on 13 May 2022. Autopsy revea…

forensic medicinepsychiatrycitalopram

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