3,425 results
55y · Male·Complications of pneumonia
David Musicka, a 55-year-old man with cerebral palsy living in residential care, died from complications of pneumonia. Post-mortem examination revealed acute bilateral bronchopneumonia with cavitating lesions and Strepto…
58y · Male·Aspiration pneumonia complicating small bowel obstruction in the setting of rece…
A 58-year-old man died from aspiration pneumonia complicating small bowel obstruction six days after elective laparoscopic subtotal colectomy for colorectal cancer. On post-operative day 6, he developed fever, tachycardi…
55y · Male·Injuries sustained in a motor vehicle incident (driver)
Steven Stewart, a 55-year-old truck driver, died from injuries sustained when his truck rolled downhill after he failed to apply the park brake while stopped to collect a skip bin. The vehicle rolled and compressed him b…
52y · Female·Neutropenic sepsis leading to multi-organ failure due to capecitabine toxicity
Mrs L, a 52-year-old woman with T2N0M0 rectal cancer, died from neutropenic sepsis and multi-organ failure secondary to severe capecitabine toxicity on 31 October 2018. She commenced neoadjuvant chemotherapy with capecit…
36y · Male·Multiple injuries (motor vehicle impact - driver)
A 36-year-old man died when his truck collided with a tree after losing control on a left-hand bend. He was transporting a 4250 kg excavator loader on the truck bed using inadequate restraint (ramps only, no straps or ti…
42y · Male·Multiple injuries sustained in a fall from a height
Mr LY, a 42-year-old compulsory inpatient with extensive mental health history, died by suicide when he jumped from the Belford Road overpass during approved unescorted leave. Key clinical events included a concerning ps…
20y · Male·Hanging
Mitchell Dowling, a 20-year-old university student, died by hanging on 18 July 2018 after a period of psychological treatment for depression with suicidal ideation. He had presented with major depressive disorder with at…
Female·suicide by firearm
A woman in rural Victoria died by suicide using a firearm. She had presented to her GP with depressive symptoms and was referred to mental health services, but there were delays in accessing psychiatric care. The coroner…
27y · Male·Immersion in the setting of a motor vehicle incident
Bradley Dobney, 27, died after his Mercedes vehicle veered off the Western Ring Road at Laverton North on 15 December 2018 and submerged in a dam. He drowned. Investigations excluded mechanical failure, alcohol/drugs, da…
71y · Male·cardiac arrest secondary to near drowning
A 71-year-old experienced boatman died from cardiac arrest following near drowning when a borrowed boat capsized in Port Phillip Bay. The vessel (MA827) had multiple design and maintenance issues: low freeboard unsuitabl…
27y · Male·Immersion in the setting of a motor vehicle incident
Jason Gilham, 27, died from immersion when the vehicle he was a passenger in left the Western Ring Road at a bend and became submerged in a dam. The driver (also deceased) had a history of vasovagal syncope investigated …
21y · Male·Injuries sustained in a fall from a height
A 21-year-old Vietnamese international student died by suicide, jumping from the 10th floor of a university building. He was not known to university health or counselling services and had no documented contact with Austr…
29y · Female·Mixed drug toxicity (gamma hydroxybutyrate, methylamphetamine, amphetamine, diaz…
A 29-year-old woman with a history of childhood and intimate partner violence died from mixed drug toxicity (GHB, methylamphetamine, amphetamine, diazepam). She had multiple mental health diagnoses including PTSD, depres…
65y · Female·Unascertained (Natural Causes)
Ms K, a 65-year-old woman with intellectual disabilities and schizophrenia, was found deceased in her bed at an NDIS-funded residential care facility. Post-mortem examination revealed unascertained natural causes with mi…
47y · Male·Hanging
A 47-year-old man with newly diagnosed schizophrenia died by hanging. He had presented with paranoid delusions and was engaged with mental health services in February 2017. Critical deficiencies were identified in the me…
36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)
A 36-year-old motor mechanic with chronic pain from a 2014 knee injury died from combined drug toxicity (pregabalin, morphine, amitriptyline). His general practitioner, Dr S., prescribed excessive amounts of multiple med…
17y · Female·Complications of acute asthma in the setting of an allergic response
Catherin D'Rozario, 17 years old, died from complications of acute asthma triggered by anaphylaxis after consuming food containing sesame at a restaurant on 25 August 2019. Despite known allergies to nuts, sesame, fish a…
35y · Male·Hanging
Brett McDonnell, a 36-year-old man, died by hanging in January 2018 while subject to a Community Corrections Order and facing pending criminal charges. He had a history of depression treated with Pristiq since 2015, but …
45y · Male·Combined drug toxicity (methadone, amitriptyline, gabapentin, paracetamol)
A 45-year-old male prisoner died in custody from combined drug toxicity after ingesting methadone, amitriptyline, gabapentin and paracetamol. He had a documented history of hoarding and misusing prescribed medications to…
46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia
Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…
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