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VIChospital2016

Finding into death of Barry Foster

79y · Male·Acute myocardial infarction

Barry Foster, a 79-year-old man imprisoned at Hopkins Correctional Centre, died from acute myocardial infarction. On 29 April 2016, he presented with chest tightness; an ECG showed no abnormalities and he was prescribed …

cardiologyemergency medicine
VIC2015-12-18

Finding into death of Odisseas Vekiaris

29y · Male·Unascertained causes on a background of agitated delirium state

A 29-year-old man with a 12-year history of mental illness died in police custody during transport to a police station. He had stopped taking his antipsychotic medication (Risperidone 4mg daily) following GP advice to re…

general practicepsychiatrycommunicationsystemrisperidone
VIC2015-11-05

Finding into death of Robert Keith Knight

62y · Male·Head injuries sustained in a fall from height

Robert Keith Knight, aged 62, died from head injuries sustained after jumping from a 3.86-metre handrail at the Metropolitan Remand Centre on 23 April 2013. He had been on remand for six months. Although Knight had no pr…

psychiatryemergency medicine
VIChome2015-10-08

Finding into death of Bruce Desmond Andrews

60y · Male·medication overdose

Bruce Andrews, a 60-year-old man with major depression and anxiety, died from medication overdose following relationship breakdown and acute alcohol intoxication. He fell from his porch, called his granddaughter reportin…

psychiatryemergency medicinecommunicationdiagnosticclonazepam
VIC2015-09-04

Finding into death of Robert Leslie Davis

65y · Male·multiple injuries sustained in a fall from a height

A 65-year-old man with morbid obesity, cardiomyopathy, and irregular heart rhythm sustained a ankle injury while hunting in steep terrain. During helicopter rescue, he was placed in a single strop harness without an inte…

retrieval medicineemergency medicineproceduralsystemcodeine
VICmental health2015-07-08

Finding into death of David Allan D'Angelo

30y · Male·Heroin toxicity

David D'Angelo, a 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His symptoms improved rapidl…

psychiatryemergency medicinesystemdelayheroin
VICcommunity2015-07-01

Finding into death of Robert Peter Ferrier

47y · Male·Drug toxicity in the setting of restraint

Robert Ferrier, aged 47, died from drug toxicity in the setting of restraint after ingesting excessive quantities of prescription antidepressants and other medications during a mental health crisis. The expert panel conc…

emergency medicinetoxicologyamitriptyline
VIChospital2014-06-05

Finding into death of Constandia Petzierides

74y · Female·haemothorax secondary to dissecting thoracic aorta

Mrs Petzierides, a 74-year-old woman, presented to the emergency department with sudden-onset, severe left scapular pain radiating to the jaw, occurring shortly after midnight. She was assessed by an emergency medicine r…

emergency medicinecardiologydiagnosticcommunicationwarfarin
VIChospital2014-03-21

Finding into death of Michelle Johnson

31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…

Michelle Johnson, a 31-year-old pregnant woman at 32 weeks gestation, presented to the Royal Women's Hospital with sudden-onset severe left-sided abdominal pain and hypotension on 21 March 2010. She was assessed by regis…

obstetricsemergency medicinecommunicationsystempethidine
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
VIChome2014-03-17

Finding into death of Marcus Michael Christopher Charles

0y · Male·Complications of small bowel obstruction due to post operative adhesions

Marcus Charles, a 3-month-old neonate, died from small bowel obstruction due to postoperative adhesions following earlier surgical repair of oesophageal atresia and duodenal atresia. On 4 November 2006, paramedics attend…

emergency medicineparamedicinediagnosticcommunicationranitidine
VICcommunity2014-02-07

Finding into death of Bayden Joel Quilkey

30y · Male·unascertained

Bayden Quilkey, 30, died from unascertained causes on 13 March 2008 during an acute psychotic episode while being restrained by police. He had recently moved from Queensland showing signs of paranoid schizophrenia with s…

psychiatryemergency medicinesystemcommunication
VIC2013-10-21

Finding into death of Ercil Jean Webb

79y · Female·multiple injuries sustained in collision between semi-trailer and train

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at the Kerang level crossing, killing 11 train passengers. The driver had traversed this crossing many times in seven years without seeing a train, an…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Danielle Louise Meredith

8y · Female·Multiple injuries sustained in collision between semi-trailer and train at level…

On 5 June 2007, a semi-trailer driven by Christian Scholl collided with a V/Line passenger train at the Kerang level crossing in regional Victoria, killing 11 train passengers and causing severe injuries. This comprehens…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

50y · Male·Multiple injuries sustained in collision between semi-trailer and train

A comprehensive coronial investigation into 26 deaths from 12 level crossing collisions in Victoria (2002-2009), with particular focus on the Kerang incident (5 June 2007) in which 11 train passengers died when a semi-tr…

emergency medicinetrauma surgerysystemdiagnostic
VIC2013-10-21

Finding into death of Harold Claude Long

83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…

This coronial finding examines the deaths of 11 train passengers in the Kerang level crossing collision on 5 June 2007, where a semi-trailer struck a V/Line passenger train. The investigation found that 6 passengers died…

emergency medicineparamedicinesystemproceduralmorphine
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

17y · Female·Multiple injuries sustained in collision between semi-trailer and train

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at Kerang level crossing in Victoria, killing 11 passengers. The driver was familiar with the crossing but failed to see flashing red warning lights a…

emergency medicinetrauma surgerysystemdelay
VIClevel crossing collision between vehicle and train2013-10-21

Finding into death of Nicholas William Parker

32y · Male·Multiple injuries sustained when struck by semi-trailer at level crossing

In 2007, a semi-trailer collided with a V/Line train at the Kerang level crossing in regional Victoria, killing 11 train passengers. The driver, Christian Scholl, did not see the flashing red-filtered incandescent lights…

emergency medicinetrauma surgerydiagnosticsystem
VIC2013-10-21

Finding into death of Chantal Rose Meredith

5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…

A semi-trailer collided with a V/Line passenger train at a level crossing near Kerang on 5 June 2007, killing 11 passengers instantly or within hours. The collision was caused by a heavy vehicle driver unfamiliar with th…

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Finding into death of Matthew John Stubbs

13y · Male·chest and abdominal injuries sustained in collision between semi-trailer and tra…

A 13-year-old boy, Matthew Stubbs, died when a semi-trailer collided with a V/Line passenger train at the Kerang level crossing on 5 June 2007, killing 11 train passengers total. The driver failed to see the train despit…

emergency medicinetrauma surgerysystemdelay

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