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VIChospital2020-06-29

Finding into death of Colleen Elizabeth Fermanian

45y · Female·Blunt force trauma to the head

Colleen Fermanian, 45, died from blunt force trauma to the head sustained on 24-25 March 2017. She had a history of heavy alcohol use and advanced liver disease. The circumstances of her injury remain unclear—it could ha…

emergency medicineintensive caremidazolam
VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
VIChospital2019-10-04

Finding into death of Joan Christine Harrison

69y · Female·Injuries sustained in a motor vehicle collision (pedestrian)

Joan Harrison, 69, died from head injuries sustained when struck by a car at a pedestrian crossing in Richmond. The zebra crossing was positioned less than one metre from a give way line, causing it to be obscured by veh…

neurosurgerytrauma surgerysystemaspirin
VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

A 76-year-old man with newly diagnosed chronic myeloid leukaemia in blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining …

haematologyinfectious diseasessystemdocumentationhydroxyurea
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIChospital2019-04-24

Finding into death of Dennis John Wright

72y · Male·head injuries sustained in a fall from a ladder

A 72-year-old man died from unsurvivable head injuries sustained in a fall from a domestic ladder. He was climbing down from his roof when he slipped and fell backwards onto concrete. Despite rapid helicopter transport t…

trauma surgeryneurosurgerymorphine
VIChospital2019-03-20

Finding into death of Erika Maria Gerlach

79y · Female·Complications of injuries sustained in a motor vehicle collision (passenger)

Erika Maria Gerlach, aged 79, died from complications of injuries sustained in a rear-end motor vehicle collision on 27 November 2017. She was a passenger when her husband's vehicle collided with a stationary car on the …

trauma surgeryneurosurgerysystemlevetiracetam
VIChospital2019-02-11

Finding into death of Stephen John Caruana

48y · Male·Hypoxic ischaemic encephalopathy complicating upper cervical spine and cord inju…

A 48-year-old construction worker died from hypoxic ischaemic encephalopathy following a traumatic cervical spine injury sustained while cutting down a gum tree from a cherry picker. Tree branches struck him, causing los…

emergency medicineintensive caremidazolam
VIChospital2018-12-03

Finding into death of Anna Agnieszka Bowditch

34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…

Anna Bowditch, aged 34, died from complications of deep venous thrombosis (DVT) with pulmonary embolism and paradoxical stroke following elective fracture repair surgery. She had multiple known DVT risk factors: immobili…

orthopaedic surgeryanaesthesiaproceduraldiagnosticclonazepam
VICaged care2018-11-29

Finding into death of Nikolaos Margelis

82y · Male·Traumatic head injury due to head striking the floor

An 82-year-old man with Alzheimer's dementia residing in a secure aged care facility died from traumatic head injury sustained when he was pushed by another resident during an interaction in a hallway. The deceased had a…

psychiatryemergency medicinequetiapine
VIChospital2018-11-28

Finding into death of Jason William Causon

46y · Male·COMPLICATIONS OF RUPTURED ANTERIOR COMMUNICATING CEREBRAL ARTERY ANEURYSM (OPERA…

Jason Causon, a 46-year-old man in custody, collapsed while exercising due to a ruptured anterior communicating cerebral artery aneurysm. He received prompt initial resuscitation by correctional and health staff, was rap…

neurosurgeryintensive care
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

An 88-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, cardiomyopathy) was struck by a reversing vehicle at low speed, sustaining subarachnoid haemorrhage, subdural haemorrhage, and fracture…

emergency medicineneurosurgerysystem
VIChospital2018-10-16

Finding into death of Leli Pulis

55y · Male·Multiple injuries sustained in a fall from a height

A 55-year-old man died from multiple injuries sustained in a fall from a height while clearing guttering from his home carport. He fell through corrugated iron and plastic roofing onto concrete from approximately 3-4 met…

neurosurgeryorthopaedic surgerysystemfentanyl
VIChospital2018-06-20

Finding into death of Amanda Dawson

57y · Female·Head injuries resulting in subdural haematoma and global cerebral ischaemic inju…

Amanda Dawson, a 57-year-old nurse, died from head injuries sustained during a fatal assault by her intimate partner, Lindsay Masatora, on 10 October 2016. She was struck twice to the head, causing subdural haematoma and…

trauma surgeryneurosurgeryrisperidone
VIChospital2018-06-04

Finding into death of Bridget Louise Jones

18y · Female·Head injury

Bridget Louise Jones, an 18-year-old university student, was struck by a falling brick wall on Swanston Street, Carlton on 28 March 2013 during high winds (80-100 km/hr). She sustained severe head and multiple other inju…

neurosurgeryemergency medicinesystemproceduralmorphine
VIChospital2018-01-11

Finding into death of Douglas John Angus

72y · Male·Subdural haematoma in a man receiving warfarin treatment

A 72-year-old man with intellectual disability receiving 24-hour support from DHHS died from acute subdural haematoma while on warfarin therapy post-cardiac surgery. He collapsed at work with vomiting and vagueness, was …

cardiothoracic surgeryneurosurgerywarfarin
VIC2017-12-01

Finding into death of Thuy Xuan Nguyen

52y · Male·Intracerebral haemorrhage

A 52-year-old man in remand custody at Port Phillip Prison was diagnosed with moderate hypertension in June 2015 and commenced on Ramipril. He experienced two periods of non-compliance with medication (July-August and Se…

neurosurgeryneurologycommunicationsystemramipril
VICaged care2017-11-15

Finding into death of Garry Serve

82y · Male·Trauma related intracerebral haemorrhage

An 82-year-old man with dementia, cerebellar ataxia, and mobility limitations fell from his wheelchair down three concrete steps (480cm drop) while attending a hearing aid appointment at an off-site clinic. He sustained …

geriatric medicineemergency medicineproceduralcommunicationfluoxetine
VIC2017-09-07

Finding into death of Pamela Louise Elsdon

85y · Female·Multiple injuries sustained as a passenger in a motor vehicle collision

Pamela Louise Elsdon, 85, died from multiple injuries sustained as a passenger in a motor vehicle collision caused by her husband's driving error. Her husband had documented progressive cognitive decline and dementia fro…

emergency medicinetrauma surgerysystemcommunication
VIChospital2017-06-29

Finding into death of Polina Portnyagina

78y · Female·Complications of a left tentorial meningioma

A 78-year-old woman with a meningioma detected incidentally on MRI in 2009 presented to hospital in 2015 with gait disturbance and falls. The tumour had grown significantly, causing hydrocephalus and mass effect. After a…

neurosurgeryradiologydiagnosticsystemdexamethasone
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