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VIC2020-12-17

Finding into death of A J

30y · Male·Traumatic haemothorax sustained in a motorbike collision

A 30-year-old male died from traumatic haemothorax following a high-speed motorcycle collision. He was riding an unregistered, illegally modified motorcycle without a valid motorcycle licence. The ABS braking system had …

methamphetamine
VIChome2020-12-17

Finding into death of Maddison Murphy-West

20y · Female·Neck compression

Maddison Murphy-West, a 20-year-old woman, died from neck compression on 23 October 2013 in circumstances highly suggestive of homicide by her de facto partner, Troy Boothey, despite an initial presentation as suicide. T…

forensic medicinesystemdelaymethamphetamine
VIC2020-12-15

Finding into death of Matthew Glenister Blake Clark

51y · Male·Complications of Recurrent Small Bowel Obstruction (palliated)

Matthew Clark, 51, with Down syndrome and chronic liver disease secondary to Hepatitis B, died from complications of recurrent small bowel obstruction. He had undergone emergency surgery in June 2018 for a perforated bow…

surgerygastroenterology
VICcommunity2020-12-14

Finding into death of Christiaan Anthony Dubois

46y · Male·Mixed drug toxicity (heroin, alcohol, diazepam)

A 46-year-old man died from mixed drug toxicity after intentionally using heroin with an acquaintance on 15 October 2017. The coroner found that the deceased willingly used heroin (combined with alcohol and diazepam alre…

heroin
VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…

emergency medicinedentistrydiagnosticcommunicationantibiotics
VICcommunity2020-12-09

Finding into death of Maggie Rose Bant

20y · Female·Plastic bag asphyxia with inhalation of helium

A 20-year-old woman with a history of depression, anxiety, and self-harm died by helium inhalation asphyxia. She had been treated by her GP with antidepressants and mental health referral to a psychologist but never disc…

general practicepsychiatrydiagnosticcommunicationsertraline
VICcommunity2020-12-04

Finding into death of Barry Scott Collins

49y · Male·Probable suicide by drowning; medical cause of death unable to be determined in …

Barry Scott Collins, a 49-year-old Deputy City Engineer in Warrnambool, Victoria, disappeared on 8 December 1988 after leaving home for a walk at 12:15am. The coroner found he is deceased, likely by suicide, though his r…

VIChospital2020-12-03

Finding into death of INFANT A

4y · Female·Hypoxic ischaemic encephalopathy in the setting strangulation by a roller blind …

A 4-year-old girl died from hypoxic-ischaemic encephalopathy following accidental strangulation by a roller blind cord. She climbed onto bedside drawers near a window blind and became entangled in the control cord, slipp…

emergency medicineintensive care
VIChome2020-12-01

Finding into death of Mitchell Boyd Branson

20y · Male·Hanging

Mitchell Boyd Branson, aged 20, died by hanging in Mildura in June 2019. He had a documented history of mental illness including PTSD stemming from exposure to traumatic internet imagery at age 10, a prior suicide attemp…

psychiatrygeneral practicecommunicationdelayalcohol
VIC2020-11-27

Finding into death of AC

19y · Male·Injuries sustained in a motor vehicle collision (driver)

AC, a 19-year-old probationary driver, died in a motor vehicle collision on an unsealed rural road after consuming approximately 8 standard drinks over several hours. His blood alcohol concentration was 0.10–0.11 g/100mL…

forensic medicinealcohol
VICcommunity2020-11-27

Finding into death of Nicholas Daniel Ficarra

26y · Male·unascertained; suspected suicide by firearm

Nicholas Daniel Ficarra, aged 26, disappeared on 14 January 2012 from his family farm in regional Victoria. He had a history of substance abuse (heroin, OxyContin, cannabis) from age 21 and severe mental illness from 200…

psychiatrygeneral practicesystemdelayheroin
VIChospital2020-11-25

Finding into death of Eoghan Jerome Arnold

42y · Male·Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pul…

A 42-year-old man died from hypoxic ischaemic brain injury following cardiac arrest due to a massive pulmonary embolism. He sustained a tibial fracture in a motor vehicle accident and underwent external fixation. He deve…

orthopaedic surgeryanaesthesiasystemenoxaparin
VICmental health2020-11-25

Finding into death of Thi Qui Tran

53y · Female·Heatstroke

Thi Qui Tran, a 53-year-old woman with schizophrenia on antipsychotic medications (zuclopenthixol and olanzapine), died of heatstroke on 9 February 2018 after collapsing on a street during extended unescorted leave from …

psychiatryintensive caresystemdelayzuclopenthixol
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

Baby S, a 12-month-old boy, died from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and…

paediatricsgeneral practicediagnosticcommunicationheroin
VICcommunity2020-11-19

Finding into death of Zachary Matthew Bryant

Unsurvivable traumatic injuries from blunt force impact with motor vehicle; pred…

On 20 January 2017, James Gargasoulas drove a stolen vehicle through Bourke Street Mall in Melbourne's CBD, striking 33 pedestrians and fatally injuring 6: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25),…

emergency medicinetrauma surgery
VICcommunity2020-11-19

Finding into death of 2017 Bourke Street Incident

Blunt force traumatic injuries from vehicle strike: Matthew Poh Chuan Si, Thalia…

On 20 January 2017, a vehicle was deliberately driven through crowds on Bourke Street in Melbourne's Central Business District, killing six people: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25), Jessica…

VICcommunity2020-11-19

Finding into death of Yosuke Kanno

Unknown·traumatic injuries (head injuries and multiple trauma) sustained when struck by …

Six people were killed on 20 January 2017 when James Gargasoulas drove a stolen vehicle into crowds on Bourke Street Mall in Melbourne's CBD, striking 33 pedestrians. The deceased were Matthew Poh Chuan Si (33), Thalia H…

systemmethamphetamine
VICcommunity2020-11-19

Finding into death of Thalia Hakin

Traumatic injuries from motor vehicle strike

On 20 January 2017, James Gargasoulas deliberately drove a stolen vehicle into crowds on Bourke Street in Melbourne's CBD, killing six people: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25), Jess Mudie (…

VICcommunity2020-11-19

Finding into death of Jess Mudie

Traumatic injuries sustained when struck by stolen motor vehicle (principally he…

Finding into six deaths resulting from the Bourke Street mass casualty incident on 20 January 2017 in Melbourne, Victoria. James Gargasoulas drove a stolen vehicle into crowds in Bourke Street Mall, killing Matthew Poh C…

systemcommunication
VICcommunity2020-11-19

Finding into death of Bhavita Patel

Blunt force trauma from impact with motor vehicle

Six people were fatally struck by a stolen vehicle deliberately driven through Bourke Street Mall in Melbourne CBD on 20 January 2017: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25), Jess Mudie (22), Zac…

systemcommunication

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