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VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

A 50-year-old Torres Strait Islander man died from mixed drug (oxycodone and methadone) and ethanol toxicity in the context of family violence and suicidality. He had a 7-year history of suicide attempts and mental healt…

general practiceforensic medicinecommunicationsystemoxycodone
VIChome2020-11-10

Finding into death of Mr BT

27y · Male·Hanging

A 27-year-old carpenter with a long history of depression, suicidality, and substance abuse died by hanging. He had experienced recent family violence incidents as both perpetrator and victim in relationships, leading to…

psychiatrygeneral practicecommunicationsystemvenlafaxine
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

VA, a 73-year-old woman with mental health conditions and cardiac disease, died from congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been …

psychiatryintensive caremetaraminol
VIChome2020-11-06

Finding into death of Robert Thomas Love

33y · Male·Undetermined

Robert Thomas Love, a 33-year-old man with a history of alcohol and drug abuse and mental health difficulties, was found dead in his home in February 2015. The cause of death remains undetermined. Key clinical concerns i…

addiction medicinegeneral practicebaclofen
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

45y · Female·Compression of the neck in circumstances of hanging

Jessica Morgana Wilby, aged 45, a highly accomplished Principal In House Solicitor at the Coroners Court of Victoria with extensive qualifications and excellent performance record, took her life by hanging on 7 September…

psychiatrypsychologysystemcommunicationantidepressants
VICaged care2020-11-05

Finding into death of Sylvia Valerie Woolford

88y · Female·Complications of fractured neck of femur

An 88-year-old woman with advanced dementia died from complications following a fractured neck of femur sustained in a fall caused by another resident with vascular dementia in a secured aged care unit. The fall occurred…

geriatric medicineorthopaedic surgerysystem
VICcommunity2020-10-30

Finding into death of Norman MacKenzie

85y · Male·Multiple injuries sustained when struck by a bicycle

An 85-year-old pedestrian was struck by a cyclist travelling at 40 km/h through a busy pedestrian crossing. The victim crossed during a red pedestrian light when vehicle traffic was stationary, creating a false sense of …

trauma surgeryneurosurgerysystem
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

Bo Zhao, a 31-year-old business owner, died from combined drug toxicity (amitriptyline and metoclopramide) in a hotel room on 28 February 2019. He was facing serious criminal charges for fraud involving millions of dolla…

psychiatrygeneral practicedelayamitriptyline
VICaged care2020-10-22

Finding into death of Phillip Harry Parker

61y · Male·Pneumonia

A 61-year-old man with significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opioid …

geriatric medicineemergency medicinemedicationsystemtapentadol sr
VIChospital2020-10-21

Finding into death of Anthony Lansell Churches

70y · Male·Cyanide Toxicity

Anthony Lansell Churches, a 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emergency Department. He had been placed on an i…

emergency medicinepsychiatrycommunicationsystemcyanide
VIChospital2020-10-21

Finding into death of Baby ABA

0y · Female·Head injury

Baby ABA, born in Lebanon and arrived in Australia at 2 months old, died from head injury at 6.5 months of age on 10 June 2008. She had fallen from a couch on 7 June 2008 with no apparent serious injury. The following mo…

paediatricsintensive caredelay
VIChospital2020-10-21

Finding into death of MRS M

91y · Female·Complications of pelvic fractures sustained in a fall

A 91-year-old woman with osteoporosis and multiple comorbidities sustained pelvic fractures in a mechanical fall at home. She presented to the ED where initial hip x-ray showed no fracture. She deteriorated with hypotens…

emergency medicinegeriatric medicinediagnosticdoxycycline
VIChospital2020-10-19

Finding into death of BABY FF

2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…

A term infant died on day 2 of life from hypoxic-ischaemic encephalopathy and intracranial haemorrhage following obstructed labour requiring emergency caesarean section. The mother presented in spontaneous labour at 39 w…

obstetricsneonatologymonitoringcommunicationoxytocin
VIChospital2020-10-13

Finding into death of BABY C

0y · Male·Myocarditis

Baby C, a 5-month-old infant, died from myocarditis (viral heart inflammation) after presenting to Sunshine Hospital Emergency Department with fever, breathing difficulty, and cyanosis. He waited 1 hour 52 minutes before…

emergency medicinepaediatricsdiagnosticdelayparacetamol
VIChome2020-10-08

Finding into death of Baby M

SIDS Category 2

A neonate died of Sudden Infant Death Syndrome (SIDS) Category 2 overnight on 26-27 May 2019. The coroner found that the infant's parents provided excellent care and met all physical, emotional and developmental needs. T…

VIChome2020-09-30

Finding into death of Jennifer Joyce Coomber

66y · Female·Ischaemic heart disease

A 66-year-old woman with moderate intellectual disability living in a group home died from ischaemic heart disease due to severe coronary artery occlusion. On the morning of death, she presented with confusion, difficult…

general practiceemergency medicinesodium valproate
VIChospital2020-09-29

Finding into death of Nicola Deleo

91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…

A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. …

anaesthesiageneral surgerycommunicationsystemrocuronium
VIChome2020-09-28

Finding into death of JC

17y · Male·Hanging

A 17-year-old male with a history of mental health concerns, prior suicide pact attempt, and escalating aggressive behaviour died by hanging shortly after being excluded from his home via a Family Violence Intervention O…

psychiatryemergency medicinesystemcommunicationdiazepam
VIChospital2020-09-28

Finding into death of Graham William Summerfield

82y · Male·Complications of multiple injuries (palliated), sustained in a quad bike inciden…

An 82-year-old man died from complications of multiple injuries sustained in a quad bike incident. He had failed a VicRoads eyesight test two years earlier, losing his driver's licence, yet continued riding an unregister…

trauma surgeryintensive care
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

Mary Veronica Payne, a 71-year-old woman with emphysema, died from combined drug toxicity after ingesting her daughter's methadone. The deceased had a long-standing history of chronic back pain from an old car accident a…

general practiceforensic medicinesystemmethadone

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