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VIChospital2024-06-04

Finding into death of Stephen John Lunson

68y · Male·Pneumonia on a background of interstitial lung disease

Stephen Lunson, a 68-year-old man with intellectual disability, epilepsy, and interstitial lung disease, died from pneumonia. He had been under medical review for progressive respiratory symptoms since 2019. In early Dec…

respiratory medicinegeneral practicedelayprednisolone
VIChospital2024-05-28

Finding into death of Trevor Lindsay Jones

75y · Male·ruptured abdominal aortic aneurysm

A 75-year-old man with hypertension, diabetes, and smoking history presented to a regional emergency department with right lower quadrant abdominal pain, back pain, groin pain, nausea, and vomiting. He was diagnosed with…

emergency medicinevascular surgerydiagnostic
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
VIChome2024-05-24

Finding into death of L I

16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…

LI, a 16-year-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) after obtaining prescrip…

general practicepsychiatrymedicationdiagnosticcodeine
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
VIChospital2024-05-21

Finding into death of Murray Noel Haggar

65y · Male·Complications following a malignant bowel obstruction in a man with multiple com…

Murray Noel Haggar, a 65-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from complications of malignant bowel obstruction. He presented with chronic const…

colorectal surgerypalliative care
VIChome2024-05-20

Finding into death of Gwyn Pugh

63y · Male·Incised injuries to the neck and upper limbs

Gwyn Pugh, a 63-year-old man with longstanding bipolar affective disorder, died by suicide on 26 October 2022. He had been hospitalized for depression in April-May 2022 and received electroconvulsive therapy. Post-discha…

psychiatrygeneral practicecommunicationsystemmirtazapine
VIChospital2024-05-16

Finding into death of Roderick James Milner

53y · Male·Refractory seizures secondary to Lennox-Gastaut syndrome (palliated); pneumonia

A 53-year-old man with Lennox-Gastaut syndrome and refractory seizures presented to hospital on 30 March 2024 with increased seizure activity. During admission, he could not receive oral anti-epileptics due to poor swall…

neurologypalliative care
VIC2024-05-15

Finding into death of Robert Leonard Morris

76y · Male·Terminal pancreatic cancer

76-year-old Robert Leonard Morris died from terminal pancreatic cancer while serving a custodial sentence at Port Phillip Prison. He had been diagnosed with inoperable pancreatic adenocarcinoma in December 2020 and comme…

oncologypalliative caremorphine
VICcommunity2024-05-15

Finding into death of Denise Lucina Roberts

63y · Female·Combined features of bronchopneumonia, emphysema and ischaemic heart disease on …

A 63-year-old woman with depression, anxiety, liver cirrhosis, and chronic drug use died from bronchopneumonia, emphysema, and ischaemic heart disease following a prolonged lie on the ground with hypothermia. She missed …

general practiceaddiction medicinecommunicationsystemdiazepam
VIC2024-05-14

Finding into death of Brian Richard Pope

40y · Male·compression of the neck due to hanging

Brian Pope, a 40-year-old man with longstanding mental health issues including major depressive disorder, anxiety, learning disability (dyslexia), and substance abuse history, died by suicide in prison 20 days after rema…

psychiatrycorrectional healthcommunicationsystemmirtazapine
VIChome2024-05-14

Finding into death of PJQ PJQ

18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)

PJQ was an 18-year-old in state care who died from multidrug toxicity (GHB, amphetamines, benzodiazepines) after being discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and…

paediatricspsychiatrysystemdelayGHB
VIChome2024-05-13

Finding into death of Victor Dale Fenech

56y · Male·complications of metastatic colorectal carcinoma

Victor Dale Fenech, a 56-year-old experiencing homelessness, died from complications of metastatic colorectal carcinoma. He made three emergency calls over two days before his death, but ambulances did not attend the fir…

emergency medicineparamedicinecommunicationsystemcocaine
VIChospital2024-05-13

Finding into death of Gaye Marie Darby

58y · Female·Aspiration pneumonia

Gaye Marie Darby, a 58-year-old woman with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia following a three-week history of worsening dysphagia and anorexia. She presented to hospital with suspect…

geriatric medicinerespiratory medicineceftriaxone
VIChospital2024-05-10

Finding into death of Peter Fiorakis

72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…

Peter Fiorakis, a 72-year-old man with intellectual disability, schizophrenia, recurrent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with nausea, vomiting and decrease…

general medicinesurgery
VIChospital2024-05-09

Finding into death of Philip Sopikiotis

53y · Male·Aspiration pneumonia complicating seizures in a man with trisomy 21 and suspecte…

Philip Sopikiotis, a 53-year-old man with Trisomy 21 and suspected Alzheimer's dementia, died from aspiration pneumonia complicating seizures. He suffered an unwitnessed fall with suspected seizure at his residential car…

emergency medicineneurologysodium valproate
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
VICcommunity2024-05-03

Finding into death of KLH KLH

66y · Female·Multiple injuries sustained in a tram incident (pedestrian)

A 66-year-old woman was struck by a tram after stepping into its path at a pedestrian crossing adjacent to tram stop 117 in South Melbourne. The tram driver was travelling at approximately 30 km/h and applied full brakes…

system
VICcommunity2024-05-02

Finding into death of Rodney Norman Galvin

21y · Male·Unascertained causes

Rodney Norman Galvin, age 21, disappeared from his home in Ballarat East, Victoria on 6 April 1987 and is presumed deceased. Despite extensive police investigation and multiple proof-of-life checks over decades, his body…

delaymethamphetamine
VICaged care2024-04-30

Finding into death of Jean Meyer

96y · Female·complications following a fractured distal right femur

A 96-year-old woman died from complications of a hip fracture sustained when pushed by a fellow resident with severe dementia at an aged care facility. The resident pressed the call bell for help, but the system was non-…

geriatric medicineorthopaedic surgerysystem

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