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VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serio…

psychiatryemergency medicinecommunicationsystemolanzapine
VICcommunity2020-01-31

Finding into death of Francis John Stewart

38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…

A 38-year-old man with secondary adrenal insufficiency from childhood chemoradiation died from sepsis complicating a chest wall abscess and bronchopneumonia, precipitated by an adrenal crisis. He presented to his GP with…

general practiceendocrinologydiagnosticcommunicationprednisolone
VIChome2020-01-31

Finding into death of X Y

27y · Female·Combined drug toxicity

XY, a 27-year-old woman, died from combined drug toxicity on 21–22 December 2016 at a friend's house in Melbourne. She had a history of opioid use, depression, and anxiety following a violent crime. She was enrolled in r…

general practiceaddiction medicinesystemmethamphetamine
VIChospital2020-01-30

Finding into death of Ward Harker

93y · Male·Multisystem failure complicating sepsis secondary to perforated viscus

Ward Harker, 93 years old, died in the Alfred Hospital on 1 December 2015 from multisystem failure complicating sepsis following a perforated bowel. He was receiving palliative care. His grandson, Angus Tye, told nursing…

palliative careemergency medicinecommunicationsystemmorphine
VICaged care2020-01-30

Finding into death of Adele Di Quinzio

86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…

Mrs Di Quinzio, an 86-year-old woman with multiple comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was …

geriatric medicineorthopaedic surgerysystemcommunicationcefalexin
VIC2020-01-29

Finding into death of Prisoner A

55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type…

A 55-year-old man with ischaemic heart disease and multiple system atrophy (MSA) died suddenly in custody from natural causes. He presented with tremors and collapse in 2017, and was appropriately diagnosed with MSA Park…

cardiologyneurologylevetiracetam
VIChome2020-01-29

Finding into death of Caitlin-Lei Alaya

44y · Female·Combined drug toxicity (elevated pregabalin, temazepam, oxazepam, ibuprofen, mel…

Caitlin-Lei Alaya, a 44-year-old woman with fibromyalgia, PTSD, depression and suicidal ideation, died from combined drug toxicity (elevated pregabalin, temazepam, ibuprofen, meloxicam). She survived a suicide attempt on…

general practiceemergency medicinemedicationsystempregabalin
VIC2020-01-15

Finding into death of Travis Lee Fernandez

35y · Male·Hanging

Travis Lee Fernandez, aged 35, died by hanging in custody at Dhurringile Prison in November 2014. He had sustained bilateral mandibular fractures in January 2014 treated with open reduction and internal fixation (ORIF). …

oral and maxillofacial surgeryemergency medicinecommunicationsystemmethadone
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Between January …

paediatricsneurologydiagnosticdelaylevetiracetam
VIChome2020-01-14

Finding into death of A S

46y · Female·Combined drug toxicity in a woman found in a bath

A 46-year-old woman with borderline personality disorder and bipolar affective disorder type 2 died from combined drug toxicity. She had a long history of overdose attempts, often without clear suicidal intent, and was u…

psychiatrygeneral practicecommunicationsystemphentermine
VICaged care2020-01-13

Finding into death of Annie Chettle

74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…

Mrs Chettle, a 74-year-old aged care resident with multiple comorbidities including dementia, schizoaffective disorder, and a nine-fall history in twelve months, fell from a shower chair while a personal care assistant b…

geriatric medicineemergency medicinediagnosticcommunication
VIChospital2020-01-06

Finding into death of Patricia Faye Stone

71y · Female·Complications of metastatic intra-abdominal malignancy (unknown primary)

Patricia Faye Stone, a 71-year-old woman with mild intellectual disability living in disability services residential accommodation, presented to Austin Hospital in January 2018 with metastatic intra-abdominal malignancy …

palliative careoncology
VIC2020-01

Finding into death of Matthew Thomas Fitzpatrick

33y · Male·COMPLICATIONS OF HYPOTHERMIA

Matthew Fitzpatrick, 33 years old with bipolar disorder and inconsistent medication adherence, died of complications of hypothermia on Mount Stirling in November 2017. He failed to return from an organised horse trail ri…

VIChome2020

Finding into death of MN

17y · Female·Head injuries sustained in a motor vehicle incident (pedestrian)

A 17-month-old child was fatally struck by a motor vehicle in the family driveway. The child crawled through an open back gate while parents made incorrect assumptions about her whereabouts—the mother assumed the father …

forensic medicine
VICaged care2020

Finding into death of Sharon Brown

54y · Female·COMPLICATIONS OF DEMENTIA

Sharon Brown, a 54-year-old ward of the state with dementia, intellectual disability, and epilepsy, died from complications of dementia including aspiration pneumonia. She was admitted to Monash Hospital in September 202…

general practicegeneral medicine
VIC2020

Finding into death of Stephen Myall

59y · Male·Hanging

Stephen Myall, a 59-year-old magistrate, died by hanging in March 2018. He was a dedicated judicial officer with exceptional work ethic but experienced significant occupational stress from increasing court workloads (up …

VIC2020

Finding into death of Bernice Edna Northover

89y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

An 89-year-old woman died from multiple injuries sustained in a motor vehicle collision at a semi-rural intersection. She was driving a vehicle eastbound and turned right across the path of an oncoming vehicle travelling…

systematenolol
VIChome2020

Finding into death of Julian Victor Charles Bareuther

68y · Male·PLASTIC BAG AND NITROGEN GAS ASPHYXIA

68-year-old man with terminal, inoperable pancreatic cancer died by asphyxiation using a plastic bag and nitrogen gas. He sought access to Voluntary Assisted Dying (VAD) through his GP, Dr C., who assessed him as mentall…

general practicepalliative caresystem
VIC2020

Finding into death of D M

Male·Injuries sustained in a tractor incident

A child died from injuries sustained when a fertiliser spreader weighing approximately 675kg, supported only by stacked wooden pallets, collapsed while being disconnected from a tractor on a family farm. The pallets crac…

system

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