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VICcommunity2020

Finding into death of Samuel Alexander Chilton

15y · Male·Multiple injuries in the setting of a truck incident (cyclist)

Samuel Chilton, aged 15, died when struck by a cement truck while cycling across Princes Highway near Allansford. He was attempting to cross the highway illegally to enter Ziegler Parade while heading to cricket training…

forensic medicine
VIChospital2020

Finding into death of Jayden Kyle Morgan

21y · Male·Traumatic brain injury sustained in a motor vehicle incident (pedestrian)

Jayden Kyle Morgan, 21, died from traumatic brain injury after being struck by a car on Pearcedale Road, Cranbourne South, Victoria. He was walking along the road at 10.57pm after leaving a birthday party, having consume…

emergency medicinetrauma surgeryalcohol
VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

A 27-year-old male with treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental health facility. The deceased had multiple admissions for medication non-compliance a…

psychiatrycorrectional healthsystemdelayclozapine
VIChome2019-12-13

Finding into death of Kyle Horne

19y · Male·Hanging

Kyle Horne, a 19-year-old with high-functioning autism, died by hanging on 15 March 2018 following relationship breakdown. He presented to his GP on 8 March 2018 requesting a Mental Health Care Plan, citing relationship …

general practicepsychiatrydiagnostic
VIChome2019-12-11

Finding into death of Maddox Garry Wheeler

0y · Male·Unascertained

A 10-week-old boy born at 35 weeks gestation was found asleep on his mother's chest while she was asleep on a couch and died from an unascertained cause. Post-mortem toxicology detected methamphetamine and cannabis; the …

neonatologyobstetricscommunicationdelaymethamphetamine
VIC2019-12-09

Finding into death of Sarah Rose Crimmins

16y · Female·Head injuries sustained in a motor vehicle incident (passenger)

Sarah Rose Crimmins, 16, died from head injuries sustained as a passenger in a motor vehicle incident on a rural gravel road. The vehicle had a mechanical failure—the driver-side front brake calliper bolts had failed, ne…

system
VIChome2019-12-06

Finding into death of Beverley Daw Coppin

75y · Female·Cardiac arrest due to Lewy body dementia

Beverley Dawn Coppin, aged 75, died of cardiac arrest in the context of Lewy body dementia. The coroner found no public interest in investigating the circumstances further and made no adverse findings. The death was attr…

VIC2019-12-05

Finding into death of Serafina Pirrottina

57y · Female·Complications of muscular dystrophy

A 57-year-old woman with longstanding muscular dystrophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility wit…

respiratory medicineemergency medicinerosuvastatin
VIChome2019-11-28

Finding into death of Sonya Szala

49y · Female·Anorexia

Sonya Szala, 49, died from anorexia nervosa after suffering severe metabolic derangement and extreme emaciation. She became a recluse following her mother's death in 2016 and progressively deteriorated both physically an…

emergency medicinepsychiatrydelaybisacodyl
VIChospital2019-11-12

Finding into death of Reece Arthur Hyde

61y · Male·Complications of metastatic colorectal carcinoma in a man with multiple medical …

Reece Arthur Hyde, a 61-year-old man with severe intellectual disability, non-verbal communication, severe epilepsy, and osteoporosis, died from complications of metastatic colorectal carcinoma. He was admitted to Colac …

palliative caregeneral medicinemorphine
VIChospital2019-11-11

Finding into death of Finn Moser

1y · Male·Head injury in the setting of labour

Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 weeks due to pre…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
VIChospital2019-11-11

Finding into death of Hilda Joan Berg

89y · Female·Aspiration pneumonia complicating electroconvulsive therapy for treatment of psy…

Hilda Berg, 89-year-old woman with depression, psychosis, atrial fibrillation, chronic kidney disease and type 2 diabetes, deteriorated in hospital with refusal to eat or drink due to psychotic beliefs. After initial con…

psychiatrygeriatric medicinecommunicationsystemolanzapine
VIChospital2019-11-07

Finding into death of Robert Szlamowicz

58y · Male·Aspiration pneumonia and end stage down syndrome

Robert Szlamowicz, a 58-year-old man with Down syndrome, died from aspiration pneumonia complicated by end-stage Down syndrome. He had recurrent hospital admissions for functional decline and aspiration risk due to loss …

intensive carerespiratory medicine
VIChospital2019-10-31

Finding into death of Armani El-Sayegh

0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…

Armani El-Sayegh was a seven-month-old infant who died from right ventricular failure secondary to complex congenital heart disease (pulmonary atresia with ventricular septal defect and major aortopulmonary collateral ar…

cardiologyneonatologyprostin
VICcommunity2019-10-30

Finding into death of Sanaya Sahib

1y · Female·Suffocation

Sanaya Sahib, age 14 months, died from suffocation on 9 April 2016. Her mother, Sofina Nikat, deliberately suffocated her and left her body in Darebin Creek. Ms Nikat was experiencing significant social isolation, family…

obstetricspsychiatrysystemdelaymethamphetamine
VICcommunity2019-10-29

Finding into death of Giuseppe Luci

51y · Male·Lobar pneumonia

Giuseppe Luci, a 51-year-old man with severe Fragile X syndrome, epilepsy and hearing impairment living in a DHHS group home, died from lobar pneumonia. On 29 October, he presented with vomiting and diarrhoea; a GP diagn…

general practiceemergency medicinediagnosticondansetron
VICmental health2019-10-29

Finding into death of Elizabeth Honor Ewart

55y · Female·Unascertained

Elizabeth Ewart, aged 55, died at The Melbourne Clinic on 27 February 2017. She had bipolar disorder, anxiety and schizoaffective disorder. After administering PRN Olanzapine 2.5mg at 4:35pm for agitation, Nurse Cook was…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2019-10-29

Finding into death of Ms C

49y · Female·hypoxic ischaemic encephalopathy complicating cardiac arrest due to pulmonary th…

A 49-year-old woman with morbid obesity, obstructive sleep apnoea, and psychiatric history was admitted following deliberate medication overdose. She was intubated, managed in ICU, then transferred to the ward where she …

emergency medicineintensive caresystemheparin
VIC2019-10-18

Finding into death of Mr A

24y · Male·Mixed drug toxicity

A 24-year-old man died from mixed drug toxicity after staying overnight at a backpackers hostel. He had a history of anxiety and shoulder pain following 2015 surgery, for which he received multiple medications including …

psychiatrygeneral practicecommunicationsystempregabalin
VIC2019-10-16

Finding into death of FDS

34y · Male·Mixed drug toxicity

FDS, a 34-year-old male recently released from prison, died from mixed drug toxicity after injecting heroin in a public toilet. He had a long-standing complex drug history and relapsed shortly after release despite parol…

general practiceforensic medicinecommunicationdelayheroin

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