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VIChome2018-11-09

Finding into death of Le Hue Huynh

46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…

Mrs Le Hue Huynh, 46, died from hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest during the November 21, 2016 Thunderstorm Asthma event in Melbourne. She had known asthma with poor medication compli…

emergency medicineintensive caresystemdelaysalbutamol
VICcommunity2018-11-09

Finding into death of Apollo George Papadopoulos

35y · Male·Acute asthma

Apollo George Papadopoulos, age 35, died from acute asthma during the Melbourne thunderstorm asthma event on 21 November 2016. He had known asthma and hay fever triggered by seasonal environmental factors, was highly sen…

respiratory medicineallergy and immunologysystemdelaysalbutamol
VIChospital2018-10-11

Finding into death of John Richard Connelly

78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…

A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely he…

emergency medicinetrauma surgerydelaysystemwarfarin
VIChospital2018-10-05

Finding into death of Mrs Z

70y · Female·Tiger snake envenomation

Mrs Z, a 70-year-old woman, died from tiger snake envenomation after being bitten on the left foot while sleeping. She received two vials of antivenom within 2.5–4 hours of the bite at Royal Melbourne Hospital, consisten…

toxicologyemergency medicinepossibly diagnostic or management; guideline application unclear in severe envenomingcsl tiger snake antivenom
VIChospital2018-09-27

Finding into death of Elizabeth Mary Gorman

35y · Female·Pulmonary thromboembolus and pulmonary infarction

A 35-year-old woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident working alone overnight, assess…

emergency medicineobstetricsdiagnosticcommunicationoxycodone
VIChome2018-07-10

Finding into death of Pelelini Sooula

50y · Female·haemorrhagic shock and stab wounds to the back, chest and abdomen

A 50-year-old woman of Samoan descent was fatally stabbed by her ex-partner after leaving a violent relationship. She had sustained prior injuries including stab wounds on 26 December 2016 but did not report to police. D…

forensic medicineemergency medicinesystemdelay
VIChospital2018-06-22

Finding into death of Liaqat Ali Hamid Kayani

44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity

A 44-year-old male died from hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financial difficulties, and prior heroin use. After collapsing at a friend's …

emergency medicineintensive careheroin
VICcommunity2018-02-23

Finding into death of Kenneth James Stephens

51y · Male·unascertained; presumed sudden cardiac arrhythmia

Kenneth Stephens, a 51-year-old man with schizoaffective disorder, died from an unascertained cause while under involuntary psychiatric care. He presented with acute behavioural changes including excessive drinking, unus…

psychiatryemergency medicinepaliperidone
VICaged care2017-11-21

Finding into death of Judith Faye Myors

61y · Female·Intracerebral haemorrhage

Judith Myors, a 61-year-old woman with intellectual disability, epilepsy, visual impairment, Parkinson's disease, and recent myocardial infarction, died from intracerebral haemorrhage while residing in DHHS managed aged …

general practiceforensic medicine
VIC2017-05-25

Finding into death of ED

42y · Male·Hypoxic/ischaemic encephalopathy; cardiac arrest; cardiomegaly

A 42-year-old man with schizophrenia died from hypoxic-ischaemic encephalopathy following an out-of-hospital cardiac arrest at a mental health community care unit. He had been admitted voluntarily for alcohol rehabilitat…

psychiatryemergency medicinerisperidone
VIC2017-04-20

Finding into death of Helen Julia Mok

49y · Female·Multi-drug toxicity from intentional self-administration of intravenous fentanyl…

A 49-year-old paramedic with Ambulance Victoria died from multi-drug toxicity after deliberately self-administering intravenous fentanyl and midazolam accessed from her employer's medication safe. The coroner examined wh…

paramedicinepsychiatrysystemfentanyl
VICcommunity2017-03-23

Finding into death of Stacey Louise Yean

23y · Female·Unascertained

Stacey Yean, 23, died of an unascertained cause after presenting with violent vomiting on 5 January 2016. Her family believed that if paramedics had transported her to hospital, she would have survived. The coroner exami…

emergency medicineparamedicineamoxicillin
VICcommunity2016-11-17

Finding into death of Maria Elizabeth Valler

56y · Female·asthma

Maria Valler, a 56-year-old woman with intellectual disability and autism who was living in Department of Health and Human Services (DHHS) supported accommodation, died from acute asthma while returning from a walking ex…

general practicepsychiatrycommunicationsystemseretide 250/25 mcg
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

Stephen Lim, aged 56, died from benzalkonium chloride toxicity after deliberately ingesting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to asp…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
VIChome2016-07-05

Finding into death of Medzit Jakupi

66y · Male·Unascertained (natural causes)

Mr Jakupi, a 67-year-old man with hypertension, hypercholesterolaemia, type 2 diabetes and smoking history, called emergency services at 5:12am reporting shortness of breath. Ambulance paramedics were dispatched but coul…

emergency medicineparamedicinesystemcommunicationcodeine
VICcommunity2016-06-07

Finding into death of Simon Mark Everill

55y · Male·Complications of right middle cerebral artery infarction

Simon Mark Everill, a 55-year-old man with intellectual disability and epilepsy, suffered a right middle cerebral artery infarction on 3 September 2014 after experiencing two falls during a day service activity. His symp…

general practiceemergency medicinediagnosticcommunicationsimvastatin
VIChospital2016-06-03

Finding into death of Ronak Satyajit Warty

10y · Male·complications of anaphylaxis

Ronak Satyajit Warty, a 10-year-old boy with known milk and nut allergies, died from anaphylaxis after ingesting a coconut drink that was mislabelled and contained undeclared dairy products. Despite his parents' diligenc…

emergency medicinepaediatricsdelaysystemadrenaline
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
VIC2016-02-24

Finding into death of Andrew Hepple Pattison

39y · Male·Positional asphyxia in a setting of intoxication and minor head injury

Mr Andrew Hepple Pattison, a 39-year-old regular patron of the Footscray Club, died from positional asphyxia after falling down stairs while heavily intoxicated. He had consumed approximately 10-12 pots of beer and was a…

emergency medicineforensic medicinecommunicationdelayalcohol
VIChome2016-02-17

Finding into death of Lorraine Mary Bartolome

73y · Female·Exsanguination from ruptured varicose vein right lower leg

A 73-year-old woman died from exsanguination following rupture of a varicose vein on her right lower leg while on anticoagulation therapy (dabigatran) for atrial fibrillation. She called emergency services at 1:22 am on …

emergency medicinecardiologycommunicationsystemdabigatran

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