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VIChome2020-03-20

Finding into death of Janet Foster

55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …

Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient a…

emergency medicinegeneral practicecommunicationsystemmorphine
VIChospital2020-03-18

Finding into death of Sommer Bethany Warren

18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…

An 18-year-old pregnant woman presented in labour at 41 weeks and 2 days gestation. From 23 September onwards, she experienced intermittent headaches, epigastric pain, proteinuria and peripheral oedema. At 1755 hours on …

obstetricsanaesthesiamedicationdiagnosticropivacaine
VIChospital2020-03-17

Finding into death of Michael Davies

42y · Male·Aspiration pneumonia complicating small bowel ileus in a man with cerebral palsy

Michael Davies, a 42-year-old man with cerebral palsy and epilepsy living in supported accommodation, presented to hospital with vomiting, abdominal distension and pain on 21 October 2019. Investigations revealed small b…

general medicineemergency medicine
VICmental health2020-03-17

Finding into death of Paul Peterson

54y · Male·Neck compression (hanging)

Paul Peterson, 54, died by hanging after leaving a private psychiatric hospital on unapproved leave while on close observations. He was admitted with major depression, suicidal ideation, and opioid dependence. On 1 July …

psychiatrysystemcommunicationcitalopram
VIChospital2020-03-16

Finding into death of Matteo Geminian

34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm

A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both times, before a c…

emergency medicinecardiologysystemdelayparacetamol
VICmental health2020-03-13

Finding into death of PATIENT A

35y · Female·mixed drug toxicity (fentanyl, morphine, clozapine and aripiprazole)

A 35-year-old woman with schizoaffective disorder, opiate use disorder, and amphetamine use disorder died from mixed drug toxicity (fentanyl, morphine, clozapine, and aripiprazole) after absconding from an inpatient ment…

psychiatryfentanyl
VIChospital2020-03-06

Finding into death of James Daniel Bankin

41y · Male·Aspiration pneumonia in the setting of tuberous sclerosis

James Daniel Bankin, a 41-year-old man with tuberous sclerosis and epilepsy, died from aspiration pneumonia. He was admitted to hospital following a prolonged seizure in July 2019 and subsequently placed on palliative ca…

neurologyemergency medicine
VICaged care2020-03-02

Finding into death of Robert Louis Gerrard

56y · Male·Unascertained (likely natural causes)

Robert Louis Gerrard, a 56-year-old man with longstanding muscular dystrophy, osteoporosis, scoliosis and respiratory issues, died in supported residential care. He reported feeling unwell on 6 September 2019; a locum do…

VICcommunity2020-02-29

Finding into death of Yik Sua Hong

78y · Male·Unascertained

Yik Sua Hong, a 78-year-old Cambodian-Australian, died on or after 29 October 2017 after being swept out to sea while rock fishing at Rye Back Beach, Victoria. His cause of death remains unascertained, likely drowning. T…

VICcommunity2020-02-28

Finding into death of Robb Thomas Lawson

48y · Male·unascertained

Robb Thomas Lawson, a 48-year-old man with a long history of mental illness including depression, anxiety, paranoia and multiple suicide attempts, disappeared in July 2007 after declining psychiatric care. He had been ma…

psychiatrycommunicationolanzapine
VIChospital2020-02-28

Finding into death of Keith Walter Sharp

63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…

Keith Walter Sharp, 63, sustained a motor vehicle collision causing vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical s…

emergency medicineradiologydelaydiagnosticaspirin
VIChospital2020-02-26

Finding into death of James John Wilson

47y · Male·Metastatic mesothelioma

James John Wilson, a 47-year-old man imprisoned at Port Phillip Prison, died from metastatic mesothelioma on 5 May 2019 at St Vincent's Hospital. He was diagnosed with epithelioid mesothelioma in January 2019 following C…

oncologypalliative caresalbutamol
VIChome2020-02-25

Finding into death of Laurie Henry Cartledge

44y · Male·Heroin toxicity in the setting of ischaemic heart disease

Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had b…

forensic medicineaddiction medicinesystemcommunicationheroin
VICcommunity2020-02-12

Finding into death of Stephen James Johnston

57y · Male·Complications of multiple blunt force injuries in a man with ischaemic heart dis…

Stephen Johnston, a 57-year-old man with ischaemic heart disease, obesity, depression and alcohol dependence, was assaulted on 7 December 2016 by Kevin Knowles and Amanda Bourke after an evening of drinking. Johnston suf…

emergency medicineintensive caredelayoxycodone
VIChome2020-02-11

Finding into death of Trevor John Tascas

27y · Male·unascertained causes

Trevor Tascas, 27, disappeared between 7-10 October 2005 from a property in Whittington, Victoria where he lived with Lawrence Butler and Jodi Harris. No body was located. Evidence suggested Tascas died during this perio…

cannabis
VIC2020-02-11

Finding into death of Donald Ernest Hateley

68y · Male·Multiple injuries sustained in a light plane incident

Four occupants of a Piper PA-28 light aircraft died when it impacted water in Bass Strait on 29 January 2016. The aircraft was operated under Visual Flight Rules (VFR) by experienced private pilots who were aware of dete…

aviation medicinesystemdelay
VIC2020-02-11

Finding into death of Ian Chamberlain

65y · Male·Multiple injuries sustained in a light plane incident

A Piper PA-28 aircraft crashed into the Bass Strait in January 2016, killing four occupants including pilot Ian Chamberlain. The aircraft departed Moorabbin Airport in deteriorating weather conditions unsuitable for visu…

aviation medicinecardiologydiagnosticsystem
VIC2020-02-11

Finding into death of Dianne Bradley

63y · Female·Multiple injuries sustained in a light plane incident

Four occupants of a light aircraft (VH-PXD) died when it impacted water in Bass Strait on 29 January 2016 while attempting to fly from Melbourne to King Island in poor weather. All three licensed pilots aboard were aware…

delaysystem
VIC2020-02-11

Finding into death of Daniel Flinn

55y · Male·Multiple injuries sustained in a light plane incident

On 29 January 2016, four occupants of a Piper PA-28 aircraft (VH-PXD) departed Moorabbin Airport in Victoria for King Island in poor weather conditions. All three licensed pilots knew conditions were unsuitable for VFR f…

proceduraldecision
VIChome2020-02-04

Finding into death of Bruce John Camp

70y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

Bruce Camp, a 70-year-old man with intellectual disability living in residential care, died from pulmonary thromboembolus secondary to deep vein thrombosis. He presented to a general practitioner on 29 March 2019 with ab…

general practiceemergency medicinerisperidone

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