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VIChospital2023

Finding into death of Bailey James Blackwell

17y · Male·head injury in a fall from a height

Bailey Blackwell, a 17-year-old Aboriginal man, died from a head injury sustained in a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open cliff face, the ground…

trauma surgeryneurosurgery
VIChospital2022-11-18

Finding into death of G K

3y · Unknown·High grade pontine glioma

A three-year-old child in foster care died from high-grade pontine glioma, an aggressive brain tumour. The child had presented with severe developmental delay, behavioural problems, and global developmental concerns attr…

paediatricsneurosurgery
VIChospital2022-10-18

Finding into death of Warren Douglas Frazer

45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…

A 45-year-old man died from complications following VATS lobectomy for lung adenocarcinoma. During initial surgery, the tumour invaded the T6 vertebral body. The surgeon, faced with incomplete tumour resection or vertebr…

cardiothoracic surgeryneurosurgerydiagnosticdelay
VIChospital2022-10-07

Finding into death of Mr B

57y · Male·Subarachnoid Haemorrhage Secondary to Ruptured Pericallosal Aneurysm

A 57-year-old man on remand at Port Phillip Prison collapsed on 4 August 2021 with a subarachnoid haemorrhage from a ruptured pericallosal aneurysm. He was transferred to St Vincent's Hospital, underwent emergency neuros…

neurosurgeryintensive care
VICprison2022-03-30

Finding into death of Charles Bertram Squires

76y · Male·Intracranial haemorrhage

Charles Bertram Squires, a 76-year-old prisoner on anticoagulant therapy (apixaban and aspirin), fell and struck his head on 26 January 2017. Nursing staff at the correctional facility inadequately assessed his traumatic…

emergency medicineneurosurgerydiagnosticcommunicationapixaban
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…

emergency medicinetrauma surgerysystem
VIChospital2021-12-16

Finding into death of Fangzhou Shi

24y · Male·Complications of head injuries (operated), sustained in a tram impact (pedestria…

A 24-year-old international student died from catastrophic head injuries sustained when struck by a tram. He was not wearing his prescription glasses, was distracted by his mobile phone, and misjudged his proximity to th…

neurosurgeryintensive caremidazolam
VIChospital2021-11-30

Finding into death of Eileen Violet Smith

88y · Female·Head injury in a fall due to atrial fibrillation on anti-coagulants

An 88-year-old woman with atrial fibrillation on anticoagulation died from a subdural haemorrhage sustained in a fall at a rehabilitation hospital. She was assisted to the toilet by a single nursing student despite a doc…

rehabilitation medicineneurosurgeryproceduralcommunication
VIChospital2021-11-16

Finding into death of Ratko CRNIC

85y · Male·Traumatic head injury: severe blunt force head trauma with occipital load impact…

An 85-year-old man died from traumatic brain injury sustained during a neighbourhood dispute on 30 November 2020. After police declined to attend a property dispute, Mr Crnic attended the police station in an agitated st…

emergency medicineneurosurgery
VIChospital2021-09-27

Finding into death of Abigail Louise Cooke-Mitchell

42y · Female·Traumatic right subdural haematoma

A 42-year-old woman died from a traumatic right subdural haematoma sustained on 22 January 2015. She was found unresponsive at home with severe head and facial injuries after falls. Critical delays in medical assessment …

emergency medicineneurosurgerycommunicationdelaymorphine
VIC2021-06-29

Finding into death of ED

59y · Male·Head injuries sustained when struck by a falling tree

A 59-year-old man died from severe head injuries sustained when struck by a falling tree during tree felling operations on a rural property. He was working with his employer who used a tractor to push over dead trees whi…

emergency medicineneurosurgerysystemcommunicationcannabis
VIChospital2021-06-17

Finding into death of Mathew Duraid Jameel

0y · Male·Head injury

A 7-month-old boy died from severe head trauma following an unwitnessed incident on 6 June 2018. The child was found unconscious after reportedly being pushed from a highchair by his 4-year-old brother and died 4 days la…

neurosurgeryintensive care
VIChospital2021-05-18

Finding into death of David John Campbell

59y · Male·Intracerebral haemorrhage

A 59-year-old man imprisoned at Hopkins Correctional Centre collapsed on 16 July 2019 with a left thalamic intracerebral haemorrhage with intraventricular rupture. He was transferred to Royal Melbourne Hospital where an …

neurosurgeryintensive carelevetiracetam
VICaged care2021-04-23

Finding into death of Josephine Helen Clarke

69y · Female·Complications of a subdural haemorrhage (palliated) sustained in a fall

Josephine Helen Clarke, age 69, died from complications of a subdural haemorrhage sustained in a fall at Kingston Centre rehabilitation facility on 11 September 2018. Mrs Clarke had been recovering from a subarachnoid ha…

geriatric medicineneurosurgerysystemcommunication
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…

neurologyophthalmologysystemrivaroxaban
VIChospital2021-02-05

Finding into death of Carl David Waldon

64y · Male·Left-sided intracerebral haemorrhage associated with deep brain stimulator wire …

A 64-year-old man died from intracerebral haemorrhage along a deep brain stimulator wire tract four days after elective neurosurgery for essential tremor. He was readmitted on day 4 with suspected stroke and started on t…

neurosurgeryneurologymedicationsystemenoxaparin
VICcommunity2020-10-30

Finding into death of Norman MacKenzie

85y · Male·Multiple injuries sustained when struck by a bicycle

An 85-year-old pedestrian was struck by a cyclist travelling at 40 km/h through a busy pedestrian crossing. The victim crossed during a red pedestrian light when vehicle traffic was stationary, creating a false sense of …

trauma surgeryneurosurgerysystem
VIChospital2020-10-21

Finding into death of Baby ABA

0y · Female·Head injury

Baby ABA, born in Lebanon and arrived in Australia at 2 months old, died from head injury at 6.5 months of age on 10 June 2008. She had fallen from a couch on 7 June 2008 with no apparent serious injury. The following mo…

paediatricsintensive caredelay
VIChospital2020-07-07

Finding into death of Marek Koziol

61y · Male·Injuries sustained in motor vehicle collision (pedestrian)

A 61-year-old legally blind man was struck by a motor vehicle while crossing a busy highway with his guide dog. He sustained severe head injuries including subarachnoid and subdural haemorrhage, and diffuse axonal injury…

trauma surgeryintensive care
VIChospital2020-07-02

Finding into death of Craig Vincent Douthie

52y · Male·C2, C3, C4 spinal injury sustained from a fall secondary to seizures

A 52-year-old man with cerebral palsy, epilepsy, and intellectual disability living in disability accommodation fell in the bathroom after a seizure and sustained cervical spine fractures (C2-C3-C4). He was admitted to h…

emergency medicineneurosurgerydelaycommunicationlevetiracetam

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