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VIChospital2021-07-05

Finding into death of Lorraine Simmons

81y · Female·Aspiration pneumonia in an elderly lady

An 81-year-old woman with intellectual disability, phenylketonuria, and severe dysphagia died from aspiration pneumonia following repeated admissions for the same condition. She had been assessed as 'very high risk of as…

respiratory medicinespeech pathologysystemcommunication
VIChome2021-06-29

Finding into death of JM

42y · Male·Mechanical asphyxia in setting of external compression of chest by ride on mower

JM, a 42-year-old experienced machine operator, died from mechanical asphyxia after his ride-on lawnmower rolled over a retaining wall on a slope exceeding recommended angles. Critical clinical lessons: the seatbelt with…

VIC2021-06-29

Finding into death of ED

59y · Male·Head injuries sustained when struck by a falling tree

A 59-year-old man died from severe head injuries sustained when struck by a falling tree during tree felling operations on a rural property. He was working with his employer who used a tractor to push over dead trees whi…

emergency medicineneurosurgerysystemcommunicationcannabis
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

HM, a 15-year-old boy with suspected autism spectrum disorder and depression, died from spontaneous gastric perforation with early peritonitis secondary to acute gastric distension. He had dysfunctional eating patterns, …

paediatricspsychiatrysystemdelaylovan
VICcommunity2021-06-28

Finding into death of Sestilio Malaspina

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…

On 9 November 2018, Hassan Khalif Shire Ali committed a premeditated ISIS-inspired terrorist attack in Bourke Street, Melbourne, using an improvised explosive device in his vehicle followed by a knife assault. He fatally…

psychiatryemergency medicinesystemcommunicationcannabis
VICcommunity2021-06-28

Finding into death of Maria Assunta Agius

56y · Female·Complications of motor neuron disease

Maria Assunta Agius, a 56-year-old woman with motor neuron disease diagnosed in 2014, died from complications of her disease while residing in supported disability accommodation. She had a PEG tube for feeding and requir…

neurologypalliative care
VICcommunity2021-06-28

Finding into death of Hassan Khalif Shire Ali

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest; Hassan Khalif Shire Ali: gunshot wo…

A 74-year-old Italian-Australian, Sisto Malaspina, was fatally stabbed during a terrorist attack in Melbourne's CBD on 9 November 2018. Hassan Khalif Shire Ali, aged 30, detonated an improvised explosive device in his ve…

psychiatryemergency medicinesystemcommunicationcannabis
VIChospital2021-06-24

Finding into death of PT

46y · Male·Haemopericardium complicating aortic dissection

A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiol…

cardiologyemergency medicinediagnosticcommunicationmorphine
VICaged care2021-06-23

Finding into death of Kathryn O'Rourke

48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…

Kathryn O'Rourke, aged 48, a resident with severe intellectual disability and dysphagia in a disability residential care facility, aspirated a piece of toast during breakfast on 10 May 2018 and died from hypoxic-ischaemi…

intensive careemergency medicinecommunicationsystemclonazepam
VIChospital2021-06-17

Finding into death of Mathew Duraid Jameel

0y · Male·Head injury

A 7-month-old boy died from severe head trauma following an unwitnessed incident on 6 June 2018. The child was found unconscious after reportedly being pushed from a highchair by his 4-year-old brother and died 4 days la…

neurosurgeryintensive care
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

An 80-year-old woman with treated squamous cell carcinoma of the pyriform fossa died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydra…

radiation oncologyoncologymedicationsystem
VIChospital2021-06-03

Finding into death of John Reed

63y · Male·Head injury

Mr John Reed, aged 63, died from head injury sustained during an assault by his domestic partner Ms Gayle Dunlop on 18 July 2015 at their Seaford home. He was admitted to Alfred Hospital and died two days later. The rela…

emergency medicinetrauma surgerycommunicationsystem
VIChospital2021-06-01

Finding into death of Beryl Maloney

76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…

76-year-old woman with cerebral palsy, dysphagia, and PEG feeding died from aspiration pneumonia and cholangitis secondary to an obstructive bile duct tumour. She was admitted with obstructive jaundice and sepsis, underw…

gastroenterologygeneral medicineantibiotics
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …

emergency medicineintensive caregamma hydroxybutyrate
VIChospital2021-05-31

Finding into death of Darin Lyndon Wheeldon

44y · Male·Acute myeloid leukemia

A 44-year-old man with acute myeloid leukemia died in St Augustine's secure ward at St Vincent's Hospital on 18 February 2020. He had been under treatment for refractory AML since June 2019, with disease progression desp…

haematologyoncology
VICmental health2021-05-28

Finding into death of Christopher John Peter Dewhurst

27y · Male·Multiple injuries sustained after being struck by a train

Christopher Dewhurst, 27, died by suicide after being struck by a train while on ground leave from a psychiatric unit. He was a compulsory patient subject to a Temporary Treatment Order, admitted with suicidal ideation a…

psychiatryemergency medicinecommunicationsystemdesvenlafaxine
VICcommunity2021-05-25

Finding into death of Kylie Jane Cay

44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …

Kylie Cay, a 44-year-old woman, was brutally assaulted by her partner Justin Turner on 18 June 2016, sustaining rib fractures and other injuries. She was discharged from hospital on 20 June after imaging did not reveal a…

paramedicineemergency medicinediagnosticcommunication
VICaged care2021-05-24

Finding into death of Julie-Anne Marie Kettle

56y · Female·Bronchopneumonia in the setting of supratherapeutic lithium levels

Julie-Anne Kettle, a 56-year-old woman with intellectual disabilities residing in a group home, died from bronchopneumonia in the setting of supratherapeutic lithium levels. She was on lithium 1250 mg/day for psychiatric…

general practicepsychiatrydiagnosticdelaylithium
VIC2021-05-24

Finding into death of Melanie Diane Doherty

29y · Female·Mixed Drug Toxicity

A 29-year-old woman died from mixed drug toxicity after being found unresponsive at a residential parenting program. She had complex medical conditions including coproporphyria, epilepsy, and opioid use disorder. Critica…

addiction medicinepsychiatrymedicationcommunicationmethadone
VIChospital2021-05-21

Finding into death of Robin Frank Henry Wisseling

59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

A 59-year-old man with Lennox-Gastaut syndrome, spastic quadriplegia, and severe intellectual disability died of pneumonia following aspiration risk. He had persistent respiratory symptoms from July 2019, including cough…

respiratory medicinegeneral medicineclobazam

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