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VICcommunity2019-05-15

Finding into death of Desmond John Watson

65y · Male·Neck trauma and severe ischaemic heart disease in the setting of immersion

A 65-year-old experienced kneeboarder died from neck trauma and severe ischaemic heart disease following immersion at a surf competition. He fell from his board during the B Grade Final in challenging conditions at Gunna…

forensic medicineemergency medicinesystem
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam
VIChospital2019-04-05

Finding into death of Richard Alan Jones

68y · Male·exacerbation of congestive cardiac failure and aspiration pneumonia on a backgro…

Richard Alan Jones, a 68-year-old man with cerebral palsy, intellectual disability, epilepsy, and cardiac disease, presented to Austin Hospital in respiratory failure from congestive cardiac failure exacerbation and aspi…

cardiologyemergency medicinemorphine
VICcommunity2019-04-03

Finding into death of Frank Hulland

77y · Male·Chest and pelvic injuries sustained in a farming incident

A 77-year-old farmer died from chest and pelvic injuries sustained in a farm machinery incident. Mr Hulland was operating a Ford utility with an attached hydraulic trailer in low gear without a driver, a common practice …

forensic medicinegeneral practicesystem
VICmental health2019-03-27

Finding into death of Robert Conkie Gray

75y · Male·Ischaemic Heart Disease and Cardiomegaly

Robert Conkie Gray, a 75-year-old man with significant cardiac disease (ischaemic heart disease, cardiomegaly, triple vessel coronary atherosclerosis with right coronary artery thrombosis), died suddenly on a psychiatric…

psychiatrycardiologyolanzapine
VIC2019-02-25

Finding into death of Thomas Murphy

36y · Male·Acute myocardial infarction due to ischaemic heart disease with severe coronary …

Thomas Murphy, aged 36, died of acute myocardial infarction due to severe coronary atherosclerosis while in custody at Fulham Correctional Centre in June 2018. He had significant cardiovascular risk factors including a h…

forensic medicineemergency medicinecitalopram
VIC2019-02-20

Finding into death of Harry Barkas

54y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis and aneurys…

Harry Barkas, a 54-year-old prisoner with longstanding type 2 diabetes, hypertension, and high cholesterol, collapsed in a prison bathroom. Autopsy revealed severe coronary artery atherosclerosis with dissecting aneurysm…

general medicinecardiologyibuprofen
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…

emergency medicineintensive carediagnosticsystemcolchicine
VICcommunity2019

Finding into death of Gregory Mark Hulands

53y · Male·Mechanical asphyxia in the setting of a motor vehicle incident (driver)

A 53-year-old truck driver died from mechanical asphyxia when his vehicle left a rural highway near a right-hand bend with poor road design. Toxicological testing revealed cannabis at 59 ng/mL (elevated concentrations). …

forensic medicineemergency medicinecannabis
VICcommunity2018-12-18

Finding into death of LF M

52y · Male·Multiple injuries sustained in a motor vehicle incident (driver) in a man with a…

A 52-year-old man with epilepsy died in a motor vehicle collision when his car struck a parked truck at high speed with no evidence of braking. Witness accounts and collision reconstruction suggested he experienced a sei…

neurologycardiologycommunicationsystemtopiramate
VIC2018-12

Finding into death of Bede Levi Davies

29y · Male·Acute bronchopneumonia in a man with cardiomegaly

Bede Davies, a 29-year-old Aboriginal man, died in custody at Port Phillip Prison from acute bronchopneumonia complicated by cardiomegaly and class III obesity. He was found unresponsive in his cell and could not be revi…

forensic medicinecardiology
VIC2018-11-23

Finding into death of Michael Phu Tran

30y · Male·Ischaemic heart disease and coronary artery atherosclerosis

A 30-year-old male prisoner died of ischaemic heart disease with coronary artery atherosclerosis. He had a history of cannabis and methamphetamine use, anxiety, and asthma. While in custody, he was prescribed methadone, …

forensic medicinecorrectional healthcommunicationsystemmethadone
VIChome2018-11-23

Finding into death of Brian David Everingham

51y · Male·Cardiac arrhythmia in the setting of methylamphetamine use

A 51-year-old man died from cardiac arrhythmia triggered by acute methamphetamine use. He injected ice with a friend, then was found unresponsive and deceased approximately 6-8 hours later, lying face down on a floor. Po…

forensic medicinecardiologymethamphetamine
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

An 88-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, cardiomyopathy) was struck by a reversing vehicle at low speed, sustaining subarachnoid haemorrhage, subdural haemorrhage, and fracture…

emergency medicineneurosurgerysystem
VIChospital2018-06-18

Finding into death of Giuseppe Costa

75y · Male·Right haemothorax complicating intercostal catheter insertion for the treatment …

Giuseppe Costa, 75, died from right haemothorax following intercostal catheter insertion for pleural effusion drainage. Critical failures in clinical management included: inadequate documentation of pleural fluid drainag…

respiratory medicinegeneral medicineproceduralcommunicationnebivolol
VIChospital2018-05-28

Finding into death of Kevin Patrick O'Keeffe

82y · Male·Cardiomegaly, myocardial fibrosis and ischaemic coronary artery disease in the c…

An 82-year-old man with extensive comorbidities underwent colonoscopy with argon plasma coagulation (APC) for bleeding angiodysplasia. Prolonged activation intervals during the final third of the procedure caused full-th…

gastroenterologysurgeryproceduralcommunicationnoradrenaline
VIC2018-04-16

Finding into death of Jason Joseph Mirko Ljepojevic

30y · Male·Haemopericardium due to dissecting aortic aneurysm secondary to bicuspid aortic …

A 30-year-old man in prison presented with severe central chest pain radiating to neck and back after gym exercise. A GP conducted physical examination, ECG, and diagnosed musculoskeletal pain. Pain improved within hours…

general practiceemergency medicineparacetamol
VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

A 64-year-old physician with significant cardiac history (prior CABG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sternal re-entry, the…

cardiothoracic surgerycardiology
VICmental health2018-03-22

Finding into death of Gultekin Yuksel

78y · Male·Ruptured abdominal aortic aneurysm

A 78-year-old man with coronary artery disease and hypertension died from a ruptured abdominal aortic aneurysm while an involuntary psychiatric inpatient. He had presented with late-onset psychosis and benzodiazepine dep…

psychiatrycardiologydiagnosticolanzapine
VIChospital2017-12-21

Finding into death of Sally Elizabeth Hopwood

57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…

Sally Hopwood, 57, with Turner syndrome, coarctation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute back and chest pain (8/10). A chest X-ray revealed widened mediastinum. She…

cardiologyemergency medicinediagnosticcommunicationglyceryl trinitrate
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