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VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not detected prenatally…

obstetricsanaesthesiadiagnosticdelay
VIC2015-03-27

Finding into death of Colin David Johnson

53y · Male·Complications arising from blunt force trauma to the head

Colin David Johnson, aged 53, died from complications of severe blunt force head trauma sustained during an assault in a prison day room on 23 April 2011. The attack occurred in full view of a prison office with a clear …

neurosurgerytrauma surgerysystemdelay
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression history and multip…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
VIChospital2015-03-03

Finding into death of Matthew Jack Whyte

3y · Male·Brainstem ischaemia in association with Arnold Chiari malformation

Matthew Whyte, a 3-year-old with Arnold Chiari malformation and hydrocephalus, died from brainstem ischaemia following multiple shunt complications and emergency decompression surgery. The coroner found that after Matthe…

neurosurgeryplastic and reconstructive surgerydiagnosticcommunication
VICcommunity2014-10-17

Finding into death of Sharga Amos Taite

17y · Male·Subarachnoid haemorrhage caused by penetrating left orbital injury with a long k…

A 17-year-old meat trimmer sustained an unintentional self-inflicted penetrating left orbital injury with a knife while at work, resulting in a subarachnoid haemorrhage (SAH) and death. Despite initial clinical uncertain…

neurosurgeryemergency medicinecannabis
VIChospital2014-09-11

Finding into death of Daniel Raymond Cowan

15y · Male·global hypoxic cerebral injury following medical intervention for high velocity …

Daniel Cowan, aged 15, sustained a penetrating head injury from a homemade air gun while with friends. Despite appropriate emergency response and comprehensive multidisciplinary medical management at Royal Children's Hos…

neurosurgeryintensive caremidazolam
VIChospital2014-08-25

Finding into death of Sean Brindle

35y · Male·Head injury sustained in a bicycle accident

Sean Brindle, aged 35, died from head injury sustained in a bicycle accident on Boxing Day 2008 at The Alfred Hospital, Melbourne. He and his brother were struck from behind by a car driven by Luke Shields, who was sever…

emergency medicinetrauma surgerysystemalcohol
VICaged care2014-07-14

Finding into death of Vishna Mary Damke

54y · Female·Pneumonia and radiation induced brain injury

Vishna Damke, a 54-year-old woman with a long history of brainstem tumour treated with radiotherapy in 1994-1995, died of pneumonia complicated by radiation-induced brain injury. She had experienced progressive neurologi…

palliative careneurosurgerymorphine
VICmental health2014-07-07

Finding into death of Shamaoon Abdahad

62y · Male·Head injury (acute subdural haemorrhage and fractured skull)

A 62-year-old man with schizophrenia, lung cancer, and seizure history was an involuntary patient at Broadmeadows Psychiatric Unit. While supervised in the courtyard, he suddenly stopped walking then fell backwards, stri…

psychiatryneurosurgerysystem
VICcommunity2014-03-19

Finding into death of Darren Brett Kingma

29y · Male·Bronchopneumonia complicating neck injuries sustained in a fall, with Coffin-Low…

A 29-year-old man with Coffin-Lowry Syndrome suffered a severe cervical spinal cord injury from a fall at a respite facility. Disability workers found him on the floor but initially interpreted his presentation as non-co…

emergency medicineradiologydiagnosticcommunicationclonazepam
VIChospital2014-03-17

Finding into death of Mervyn Barry Maslin

67y · Male·Complications arising from multiple injuries — fall from a height

A 67-year-old man died from complications of multiple injuries sustained in a fall from a 3-metre ladder while conducting home roof repairs in Tasmania. He fell forward through polycarbonate roofing onto a paved veranda …

neurosurgerytrauma surgerysystem
VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

Kerry Anne Golley, a 35-year-old woman with intellectual disability, autism, and epilepsy, presented with recurrent vomiting between December 2011 and February 2012, requiring multiple ED visits and hospital admissions. …

general practiceemergency medicinediagnosticdelay
VIChome2014-03-06

Finding into death of Shane Gregory Hunt

48y · Male·Head injury from blunt force trauma

Shane Gregory Hunt died from blunt force trauma to the head sustained during a physical altercation on 26 November 2008 in Werribee. Medical examination revealed multiple head injuries from a wrench used in self-defence …

forensic medicineneurosurgery
VICcommunity2014-03-03

Finding into death of Shannon McCormack

22y · Male·Cranial fracture, epidural haemorrhage, marked cerebral oedema and diffuse axona…

Shannon McCormack, aged 22, died from severe head injuries sustained during an unprovoked assault outside a Melbourne nightclub on 27 May 2007. He was struck from behind by an unknown assailant while attempting to protec…

emergency medicineneurosurgerydelay
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver function and lower limb oedema. She was admitted under…

emergency medicinegeneral medicinediagnosticdelayparacetamol
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreadi…

neurosurgeryneurologymedicationsystemheparin
VIC2013-06-28

Finding into death of Rex Sylvester Sizeland

66y · Male·Head injury sustained in a motor vehicle collision while cycling

Rex Sizeland, a 66-year-old experienced cyclist wearing high-visibility clothing and helmet, was struck from behind by a motor vehicle on a clear day with excellent visibility while riding on a quiet country road with tw…

trauma surgeryneurosurgery
VIC2013-06-26

Finding into death of Russell John Robert McLarty

38y · Male·head injury sustained when he fell heavily and hit his head on a parked car and …

A 38-year-old man died from head injury sustained during an assault at a hotel car park on 5 November 2006. Following a verbal altercation in the bar with another patron about cannabis, he was invited outside where he wa…

emergency medicineneurosurgerydelaycannabis
VICmental health2013-06-12

Finding into death of Naomi Eva-May Hall

37y · Female·head injury sustained in motor vehicle collision (pedestrian)

A 37-year-old involuntary psychiatric patient with paranoid psychosis absconded from the low-dependency psychiatric unit at Maroondah Hospital and deliberately stepped in front of a truck, suffering fatal head injuries. …

psychiatryemergency medicinesystem
VIChospital2013-01-29

Finding into death of Abdi Hassan

29y · Male·Acute subdural haematoma

A 29-year-old man died from acute subdural haematoma following blunt head trauma. He was arrested for public drunkenness after a fight with a friend and lodged in police cells where he fell and struck his head on a concr…

neurosurgeryemergency medicinediagnostic

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