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VIChospital2021-04-14

Finding into death of Mark James O'Brien

56y · Male·Complications of atraumatic bilateral femoral fractures (repaired) during a seiz…

Mark O'Brien, a 56-year-old man with Down syndrome and dementia, sustained multiple seizure-related bilateral femoral fractures. A subtle posterior cortical fracture to his left femur, sustained during a seizure on 15 Ju…

orthopaedic surgerygeriatric medicinediagnosticcommunicationsodium valproate
VIChome2021-04-13

Finding into death of Jason Leslie Smith

44y · Male·Gunshot wound to the head

Jason Smith, 44, was shot in the head by his uncle John Pozzebon in a family violence incident. The coroner found that while Pozzebon had a valid firearms license, his mental health had deteriorated significantly followi…

general practiceforensic medicinecommunicationsystem
VIChome2021-04-12

Finding into death of Michael James Woodhouse

31y · Male·Coronary artery disease in a man using synthetic cannabinoids

A 31-year-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He was found unresponsive ap…

cardiologypsychiatrycommunicationcumyl-pegaclone
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…

neurologyophthalmologysystemrivaroxaban
VICcommunity2021-04-07

Finding into death of Pamela Robson Pattison

75y · Female·Haemopericardium due to dissection of the ascending aorta

A 75-year-old woman died from haemopericardium due to ascending aortic dissection. She presented to her GP on 20 February 2020 with central chest pain radiating to the jaw, which the GP attributed to possible acute myoca…

general practiceforensic medicinediagnostic
VIChospital2021-04-07

Finding into death of Anson

17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)

A 17-year-old male died from mixed drug toxicity involving 25C-NBOMe and 4-fluoroamphetamine after consuming a substance he believed was MDMA or psilocybin, obtained from unregulated drug markets. He experienced severe s…

emergency medicineintensive caresystemdelay25c-nbome
VIChome2021-03-31

Finding into death of Jordan

22y · Male·Hypoxic/ischaemic encephalopathy secondary to restraint in the context of combin…

A 22-year-old male died from hypoxic-ischaemic encephalopathy following restraint during acute intoxication with novel psychoactive substances (NPS). He unknowingly ingested 25C-NBOMe and 4-fluoroamphetamine (sold as MDM…

toxicologyintensive caresystemdelay25c-nbome
VIChome2021-03-31

Finding into death of Jason

30y · Male·Mixed drug toxicity (4-Fluoroamphetamine, 25C-NBOMe, dimethylamphetamine, methyl…

Jason, aged 30, died from mixed drug toxicity after ingesting what he believed to be MDMA but which actually contained 25C-NBOMe and 4-fluoroamphetamine, combined with GHB. He experienced seizures and collapsed; CPR was …

toxicologyforensic medicinesystem25c-nbome
VICcommunity2021-03-31

Finding into death of Ilker

32y · Male·Mixed drug toxicity (25C-NBOMe, 4-fluoroamphetamine, doxylamine)

A 32-year-old man died from mixed drug toxicity after consuming tablets he believed were MDMA, which actually contained 25C-NBOMe and 4-fluoroamphetamine—novel psychoactive substances (NPS) of unknown potency obtained fr…

emergency medicinetoxicologysystem25c-nbome
VICcommunity2021-03-31

Finding into death of Bruce Vernon Taylor

53y · Male·Complications of old brain injury in prior motor vehicle incident

Bruce Vernon Taylor, 53, died from complications of a remote brain injury sustained in childhood motor vehicle accident. He lived in shared disability accommodation and received support through NDIS. In the 12 months bef…

general practiceneurologysodium valproate
VIChospital2021-03-31

Finding into death of Sarah Louise Rose

40y · Female·Cerebral oedema of unknown aetiology with probable contribution from Hashimoto's…

Sarah Louise Rose, aged 40, died from cerebral oedema of unknown aetiology with probable contribution from Hashimoto's encephalopathy. She had been diagnosed with Hashimoto's thyroiditis in late 2011 and prescribed thyro…

general practiceemergency medicinediagnosticcommunicationthyroxine
VIChospital2021-03-30

Finding into death of Mr BB

56y · Male·Hanging

A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December after expressing suicidal intent (plan to overdo…

psychiatryemergency medicinecommunicationsystemdiazepam
VIC2021-03-30

Finding into death of MRE

12y · Male·Traumatic head injuries

A 12-year-old boy died from traumatic head injuries while attempting to repair a spreader conveyor belt using a metal bar while the tractor and spreader were in motion on a farm. He fell under the spreader wheel and was …

system
VIC2021-03-29

Finding into death of Brian Troy

64y · Male·Complications of a cerebral tumour in the setting of multiple medical comorbidit…

Brian Troy, a 64-year-old man with profound intellectual and physical disabilities including autism, epilepsy, and cerebral palsy, died from complications of a malignant cerebral tumour. He was diagnosed in January 2020 …

palliative careneurologyphenobarbital
VICcommunity2021-03-29

Finding into death of Ehren Clement Hyde

24y · Male·Drowning

Ehren Hyde, a 24-year-old competent sailor, died by drowning on 2-4 June 2019 after falling from his Laser dinghy on Port Phillip Bay. Although he wore appropriate safety equipment (Type 2 PFD, wetsuit, helmet), he was s…

VIChospital2021-03-29

Finding into death of Walentyna Huczyk

95y · Female·Complications post scooter versus car incident

A 95-year-old woman died from complications of injuries sustained in a collision between her motorised mobility scooter and a car while crossing Raymond Street in Sale. She suffered flail chest, hemopneumothorax, and spi…

intensive caretrauma surgerymorphine
VIChospital2021-03-26

Finding into death of Resel Juerchott

59y · Female·Aspiration pneumonia in the setting of Down's syndrome

A 59-year-old woman with Down's syndrome, advanced Alzheimer's dementia, dysphagia, epilepsy and blindness died from aspiration pneumonia. She was a resident of a group home requiring 24-hour care. She presented to hospi…

geriatric medicineinfectious diseases
VIChome2021-03-19

Finding into death of Kim Melissa Hall

36y · Female·combined effects of baclofen toxicity and blunt head injury

Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treated with off-label baclofen prescribed by her GP. O…

general practiceaddiction medicinemedicationbaclofen
VIChome2021-03-19

Finding into death of Jessinda Kiroyan

41y · Female·Nitrate/nitrite toxicity

Jessinda Kiroyan, a 41-year-old woman with a longstanding history of bipolar affective disorder, died from nitrate/nitrite toxicity in May 2019 after intentionally ingesting sodium nitrite obtained from a food ingredient…

psychiatryforensic medicinesodium nitrite
VIChospital2021-03-19

Finding into death of BT

25y · Male·Multiple system failure and ingestion of sodium nitrite

BT, a 25-year-old man with bipolar affective disorder and long-standing depression, died from intentional sodium nitrite ingestion while an inpatient in the Behavioural Assessment Unit at Royal Melbourne Hospital. He pre…

emergency medicinepsychiatrydiagnosticsystemsodium nitrite

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