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VIChospital2025-02-27

Finding into death of Steven John Parlby

73y · Male·Complications of multiple injuries sustained in a motor vehicle incident (car vs…

A 73-year-old man with extensive medical comorbidities including severe biventricular heart failure, COPD, sleep apnoea, and hypertension experienced a medical episode while driving, causing him to cross into oncoming tr…

general practicecardiologysystemcommunicationvalsartan
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…

Jonathan Uphill, an 84-year-old man with extensive comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. He underwent…

oral and maxillofacial surgeryanaesthesiadelaycodeine
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
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
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
VIC2024-12-13

Finding into death of Michael Garry Suckling

41y · Male·Cardiomegaly in a man with WHO Class III obesity

Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …

general practicepsychiatrysystemcommunicationmethadone
VIChospital2024-11-27

Finding into death of Michael Ruawai Robin

59y · Male·Respiratory failure with paraplegia as a significant contributing factor

Michael Ruawai Robin, a 59-year-old man with paraplegia and incomplete quadriplegia (C4-C6), died from respiratory failure at Werribee Mercy Hospital on 22 June 2023. He presented with a rash and urinary tract infection …

emergency medicinecardiology
VIChospital2024-11-13

Finding into death of James Robert Burns

62y · Male·Pulmonary oedema and aspiration in the setting of Down Syndrome and chronic obst…

James Robert Burns, a 62-year-old man with Down syndrome and COPD, died from pulmonary oedema and aspiration at Sunshine Hospital. He was an NDIS participant residing in specialist disability accommodation with support w…

emergency medicinegeneral medicine
VIChospital2024-11-11

Finding into death of Catherine Barker

60y · Female·Tachyarrhythmia and hyperkalaemia leading to sudden cardiac death in the setting…

Catherine Barker, a 60-year-old woman with intellectual disability living in supported accommodation, died from tachyarrhythmia and hyperkalaemia leading to sudden cardiac death in atrial fibrillation. She had been diagn…

cardiologyemergency medicine
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
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

Craig John Reynolds, 62, died from hypertensive and ischaemic heart disease with diabetes mellitus. He was residing in NDIS-funded short-term accommodation at Carroll House when he suffered a fall on 22 June 2023. He sub…

cardiologygastroenterologyoxycodone
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VIChospital2024-06-14

Finding into death of Joshua Paul Coates

49y · Male·Acute myocardial infarction complicating prosthetic valve thrombosis in a man wi…

Joshua Paul Coates, aged 49, died from acute myocardial infarction complicating prosthetic valve thrombosis following mechanical aortic valve replacement. Post-mortem examination revealed a large blood clot obstructing h…

cardiothoracic surgerycardiologycommunicationsystemwarfarin
VICaged care2024-05-27

Finding into death of Jon Lewis

57y · Male·Ischaemic heart disease in a man with chronic schizophrenia

Jon Lewis, a 57-year-old man with chronic schizophrenia, ischaemic heart disease, diabetes, hypertension, and cardiomyopathy, died from acute myocardial infarction or fatal cardiac arrhythmia at a specialist disability a…

cardiologypsychiatryvenlafaxine
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…

psychiatryaddiction medicinemedicationproceduralmethadone
VIChospital2024-05-06

Finding into death of Errol Leslie Solly

67y · Male·Ischaemic heart disease; coronary artery atherosclerosis (stented)

A 67-year-old man with extensive cardiac history presented to the ED with recurrent ischaemic-sounding chest pain. Despite multiple episodes of chest pain during admission, initial ECGs and troponins were normal. Followi…

emergency medicinecardiologydiagnosticcommunicationmorphine
VIChome2024-04-23

Finding into death of Robert Norman Spencer

59y · Male·ischaemic heart disease in the setting of chronic ethanol use

Robert Spencer, 59, called 000 at 4:27 am reporting weakness and inability to mobilise following a fall. He was triaged as Code 3 (non-urgent) and underwent secondary triage call-back attempts without success. An ambulan…

emergency medicineparamedicinesystemdelay
VIChospital2024-04-19

Finding into death of Andrew Peter De Julia

61y · Male·Ischaemic heart disease in the setting of aspiration pneumonia in a man with Pra…

Andrew Peter De Julia, a 61-year-old man with Prader-Willi syndrome, complex medical history including severe ischaemic heart disease, and multiple comorbidities, died of ischaemic heart disease complicated by aspiration…

general medicineintensive carenoradrenaline
VICmental health2024-04-19

Finding into death of Allison Naomi Eagle

44y · Female·Unascertained, presumed sudden cardiac death

44-year-old woman with schizophrenia and bipolar affective disorder died unexpectedly in a psychiatric inpatient unit. She had obstructive sleep apnoea and was on multiple antipsychotic medications. On the night before h…

psychiatryrespiratory medicinezuclopenthixol deconoate
VIChospital2024-04-08

Finding into death of Adelaide Wilson

86y · Female·Cardiogenic shock

Adelaide Wilson, 86 years old, presented to an urgent care centre with two days of chest pain and vomiting. A point-of-care troponin test (i-STAT) returned 0.4 ng/L, interpreted as normal, and she was discharged with gas…

cardiologyemergency medicinediagnosticcommunication

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