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VIChome2026-04-14

Finding into death of Justin James Filardo

45y · Male·Gunshot wounds to the head and left shoulder

Justin Filardo, aged 45, with a 28-year history of schizophrenia, was fatally shot by police after assaulting his sister Bianca in her bedroom. In the weeks prior, Justin had ceased his clozapine medication without clini…

psychiatrygeneral practicesystemdelayclozapine
VIChospital2026-04-14

Finding into death of Giovanni John Miceli

53y · Male·Sepsis secondary to aspiration pneumonia

Giovanni John Miceli, a 53-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from sepsis secondary to aspiration pneumonia. He had a known history of recurre…

infectious diseasesemergency medicineantibiotics
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

James Reilly, 86, fell at home on 8 September 2024 sustaining rib fractures that caused a fatal left haemothorax. Paramedics attended but he declined transfer. When facial droop developed, he was admitted with presumed t…

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
VICcommunity2026-04-13

Finding into death of Nikki Maree Francis

40y · Female·Complications of influenza A infection in a woman with Moebius syndrome (palliat…

A 40-year-old woman with Moebius syndrome, cerebral palsy and intellectual disability died from complications of influenza A infection. She resided in specialist disability accommodation with 24/7 support. On 3 July, she…

emergency medicineinfectious diseases
VICcommunity2026-04-13

Finding into death of David Evan Wild

61y · Male·Natural causes unascertained

David Evan Wild, 61 years old, died of natural causes of unascertained origin while residing in specialist disability accommodation. He had frontal temporal dementia diagnosed in 2020 and required 24/7 care. He experienc…

geriatric medicineneurologyfluoxetine
VICcommunity2026-04-09

Finding into death of Bikram Dangol

30y · Male·Head and neck injury in a motorcycle incident

A 30-year-old male motorcyclist died from head and neck injuries sustained in a motorcycle incident on the Western Ring Road on-ramp on 26 July 2018. The coroner found that a water leak from a fire hydrant on VicRoads-ow…

forensic medicinesystemcommunication
VIChospital2026-04-07

Finding into death of Ronald Nieuwenhuis

65y · Male·Metastatic disease with gastrointestinal primary (adenocarcinoma)

Ronald Nieuwenhuis, a 65-year-old man with intellectual disability residing in supported accommodation, presented to hospital in January 2025 with abdominal pain and was found to have metastatic adenocarcinoma of gastroi…

emergency medicineradiology
VICcommunity2026-04-01

Finding into death of Jimmy Delcus

56y · Male·Aspiration of food bolus

Jimmy Delcus, a 56-year-old man with autism, intellectual disability and schizoaffective disorder, died from aspiration of a food bolus while eating lunch in a park. He was receiving supported living services through Aru…

VIC2026-03-30

Finding into death of Hari Prasad Dhakal

57y · Male·Neck compression and hanging

A 57-year-old man with schizophrenia and schizoaffective disorder died by hanging in prison on 4 August 2024. He had been receiving antipsychotic treatment via injection (paliperidone) but ceased antipsychotic medication…

psychiatrygeneral practicesystemcommunicationpaliperidone
VICcommunity2026-03-27

Finding into death of Sacha Timothee Louis Lefebvre

52y · Male·Complications of chronic cardiac failure in the setting of ischaemic heart disea…

Sacha Timothee Louis Lefebvre, aged 52, died from complications of chronic cardiac failure with ischaemic heart disease and chronic anaemia whilst sleeping rough at Hawthorn Library. He had multiple chronic conditions in…

cardiologyemergency medicinesystemdelaymethamphetamine
VIChospital2026-03-25

Finding into death of Neville Stanley Andrews

69y · Male·Pericarditis

A 69-year-old man with a history of atrial fibrillation, chronic kidney disease, congestive cardiac failure, and Fragile X Syndrome presented to the Emergency Department with dyspnea following an unwitnessed fall. He was…

emergency medicinecardiology
VIChospital2026-03-25

Finding into death of JNL (Jeremy)

14y · Male·Retroperitoneal haemorrhage secondary to abdominal injuries sustained in a motor…

A 14-year-old boy riding an illegally high-powered e-scooter (capable of 40-50 km/h) collided with a utility vehicle at a residential intersection. The e-scooter exceeded legal speed limits and age restrictions under Vic…

emergency medicinetrauma surgery
VIChome2026-03-25

Finding into death of Ian Robert Cameron

73y · Male·Complications of pyelonephritis and hepatocellular carcinoma in a man with epile…

Ian Robert Cameron, a 73-year-old man with multiple disabilities including motor neuron disease, epilepsy, and intellectual disability, died at home in specialist disability accommodation from complications of pyelonephr…

phenytoin
VICcommunity2026-03-25

Finding into death of Daina Louise Clark

48y · Female·Complications of early onset dementia

Daina Louise Clark, aged 48, died from complications of early onset dementia at a specialist disability accommodation facility in June 2025. She had been diagnosed with early onset dementia in 2019 with an expected lifes…

neurologypalliative careclonazepam
VIC2026-03-24

Finding into death of Gino Frederick Galea

38y · Male·Chest injuries and traumatic compression asphyxia of the chest

A 38-year-old plumber died from chest injuries and traumatic asphyxia after losing control of his Mercedes tipper truck on Bacchus Marsh Road. The vehicle veered left after driving over rough road surface, colliding with…

diazepam
VIC2026-03-24

Finding into death of Robert Walter Burnett

85y · Male·Aspiration pneumonia in the setting of ischaemic heart disease, type 2 diabetes …

An 85-year-old man died of aspiration pneumonia in a prison healthcare setting while receiving palliative care. He had experienced a stroke two years prior resulting in cognitive decline and required assistance with all …

palliative caregeriatric medicinemetoclopramide
VICcommunity2026-03-23

Finding into death of PCH

14y · Female·Drowning in a person with epilepsy

PCH, a 14-year-old girl in out-of-home care with a history of epilepsy, drowned in a river while washing her hair during a family camping trip. She had experienced increased seizure frequency in October-November 2024, pr…

paediatricsneurologylamotrigine
VIChome2026-03-20

Finding into death of HD S

41y · Female·Multiple injuries from assault

A 41-year-old woman with physical disability and stable mental health was killed by her adult son through severe blunt force trauma including extensive rib fractures causing flail chest, pneumohaemothorax, liver lacerati…

communicationsystemcannabis
VIC2026-03-19

Finding into death of Judith Gail Longhurst

74y · Female·Chronic obstructive pulmonary disease

Judith Gail Longhurst, a 74-year-old woman with cerebral palsy, dysphagia, and multiple comorbidities, died of chronic obstructive pulmonary disease (COPD) on 23 October 2024 at her Specialist Disability Accommodation re…

respiratory medicinegeneral practicesertraline
VIChospital2026-03-19

Finding into death of George Scott Boyens

66y · Male·Complications of multiple sclerosis and left tongue squamous cell carcinoma

George Scott Boyens, a 66-year-old with multiple sclerosis and newly diagnosed left tongue squamous cell carcinoma, died from complications of these conditions following a brief palliative care admission. He was admitted…

oncologypalliative care

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