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VIChospital2026-01-23

Finding into death of Trang Thi Thu Le

28y · Female·3,4-methylenedioxy-N-methylamphetamine (MDMA) and ketamine toxicity

Trang Thi Thu Le, 28, died on her birthday from MDMA and ketamine toxicity after attending an electronic dance music event at John Cain Arena. She collapsed after consuming drugs purchased from an unknown source within t…

emergency medicineintensive caresystemMDMA
VIC2026-01-22

Finding into death of Sanel Mujezinovic

40y · Male·Multiple injuries sustained in a workplace incident

A 40-year-old concrete pump operator died when a concrete placing boom collapsed, striking him fatally. The boom failed due to metal fatigue cracking in the king post (internal turret component), which had developed over…

systemprocedural
VIChome2026-01-22

Finding into death of Mr B

80y · Male·Consequences of mechanical restraint following ride on mower incident

An 80-year-old man died after a ride-on mower tipped over an embankment, trapping him underneath. He was found head-down in a position that compromised circulation and increased intracranial pressure, leading to death fr…

VICcommunity2026-01-20

Finding into death of Mr TMP

29y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 29-year-old Lebanese man died in a head-on motor vehicle collision on the Western Highway, Buangor, Victoria. He was driving on the wrong side of the road when he collided with a truck. Contributing factors likely incl…

delay
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…

psychiatryaddiction medicinecommunicationsystemheroin
VICaged care2026-01-16

Finding into death of F M

40y · Female·Sudden unexpected death in epilepsy (SUDEP) in a woman with schizophrenia

FM, a 40-year-old woman with epilepsy and schizoaffective disorder, died from sudden unexpected death in epilepsy (SUDEP) at her disability group home. She had been prescribed periciazine (Neulactil) five days before dea…

neurologypsychiatrysystempericiazine
VIC2026-01-15

Finding into death of Sharon Maree Harris

63y · Female·Aspiration pneumonia in a woman with seizure disorder, Down syndrome, dementia a…

Sharon Harris, 63, died from aspiration pneumonia complicated by seizure disorder, Down syndrome, dementia, and normal pressure hydrocephalus. She was in specialist disability accommodation in Colac. In the months before…

neurologydisability medicine
VIChospital2026-01-13

Finding into death of Sushant Padhye

56y · Male·Recurrent aspiration pneumonia in a man with congenital disability and cognitive…

A 56-year-old man with congenital microcephaly, intellectual disability, dysphagia and recurrent aspiration pneumonia died from aspiration pneumonia whilst receiving palliative care in hospital. He had multiple episodes …

emergency medicinepalliative carecarbamazepine
VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

A 52-year-old man with autism, intellectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth a…

general practiceemergency medicineamoxicillin
VIChospital2026-01-12

Finding into death of Lydia Christopherson

39y · Female·Undifferentiated large right pleural effusion

Lydia Christopherson, a 39-year-old woman with cerebral palsy, intellectual disability, and epilepsy living in supported accommodation, died from a large right pleural effusion complicated by chest infection. She present…

respiratory medicineemergency medicine
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
VIChome2026-01-08

Finding into death of L L

34y · Female·Combined drug toxicity (gabapentin, oxycodone, tramadol, diazepam, citalopram, d…

A 34-year-old woman with complex medical history including chronic pain, sleep disorder, anxiety and PTSD died from combined drug toxicity involving gabapentin, oxycodone, tramadol, diazepam, citalopram, desmethylvenlafa…

general practicerespiratory medicinesystemcommunicationgabapentin
VICcommunity2026-01-08

Finding into death of Dominic Joshua Clifford

23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…

Dominic Joshua Clifford, a 23-year-old with a complex history of mental illness including depression, anxiety, ADHD, and likely autism spectrum disorder, died by nitrogen gas inhalation in September 2024. He had multiple…

psychiatryfluoxetine
VIChospital2026-01-08

Finding into death of Linette Ann Hawkins

80y · Female·Injuries sustained in a motor vehicle collision (driver)

An 80-year-old woman died from injuries sustained in a motor vehicle collision after likely experiencing a seizure or similar medical episode while driving. She had a history of traumatic brain injury from 1972 and a doc…

neurologytrauma surgerycommunicationsystemlevothyroxine
VIC2026-01-06

Finding into death of Si Ro Vo

61y · Male·Metastatic lung cancer (palliated)

Si Ro Vo, a 61-year-old male imprisoned since April 2025, died from metastatic lung cancer with brain involvement while in palliative care at the prison inpatient unit. He had an Acute Resuscitation Plan documenting comf…

palliative careoncology
VIChome2026-01-06

Finding into death of Terrence Michael O'Sullivan

57y · Male·Lung abscess and bronchopneumonia

Terrence Michael O'Sullivan, a 57-year-old man with intellectual disability, blindness, deafness and epilepsy, died from lung abscess and bronchopneumonia caused by Klebsiella oxytoca. He presented with a pressure wound …

general medicineemergency medicinequetiapine
VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

Michelle Darragh, a 32-year-old social worker, was fatally stabbed by her former partner Benjamin Coman on 9 October 2021. She was pregnant with their third child. The relationship involved progressive coercive control, …

psychiatryemergency medicinediagnosticcommunicationsertraline
VIChome2025-12-19

Finding into death of Narisha Faye Cash

41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)

Narisha Faye Cash, 41-year-old Aboriginal woman, died on 26 March 2020 from combined drug toxicity (ethanol and benzodiazepines) following an inadequate emergency services response to her mental health crisis. She called…

emergency medicinepsychiatrysystemcommunicationalcohol
VIC2025-12-18

Finding into death of Chao Liang Mai

56y · Male·Hanging

Chao Liang Mai, a 56-year-old remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018. Critical systemic failures included: (1…

psychiatryemergency medicinesystemcommunication
VICcommunity2025-12-17

Finding into death of Dalibor Pantic

38y · Male·undetermined cause - homicide by unlawful and dangerous act

Dalibor Pantic, a 38-year-old man with a history of methamphetamine use, disappeared on 10 April 2019 after arranging to meet Sam Blake to settle a drug debt. Blake had previously stated his intention to take Pantic's ca…

methamphetamine
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