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VICaged care2019-10-15

Finding into death of Patricia O'Connor

84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …

Patricia O'Connor, 84-year-old woman with bipolar disorder, was admitted involuntarily to Sunshine Aged Persons Mental Health Unit on 15 August 2017 during a manic relapse. On 25 August, she fell and fractured her right …

psychiatrygeriatric medicinesystempaliperidone
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from cardiomegaly on 11 September 2017. Two days before hi…

cardiologygeneral practicesystemcommunicationhaloperidol
VIChome2019-10-10

Finding into death of Liana Pickup

32y · Female·Mixed drug toxicity (methadone, oxycodone, desmethylvenlafaxine, quetiapine, ola…

Liana Pickup, a 32-year-old woman with complex mental illness (bipolar disorder, borderline personality disorder, schizoaffective disorder), chronic back pain, and substance dependence, died from mixed drug toxicity afte…

general practicepsychiatrymedicationcommunicationmethadone
VICcommunity2019-10-09

Finding into death of Michael Travis Kidd

35y · Male·Clozapine toxicity

A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, r…

psychiatryforensic medicinecommunicationsystemclozapine
VIChome2019-10-07

Finding into death of Tre Leigh Lawson

21y · Male·Hanging

A 21-year-old Aboriginal man died by hanging following a tumultuous relationship involving family violence, substance abuse, and unmanaged mental health issues. He had attempted self-harm in May 2017 and was assessed as …

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIChome2019-10-07

Finding into death of Phillip James King

52y · Male·Mixed drug toxicity

A 52-year-old man with multiple sclerosis, chronic pain, depression and history of suicidality died from mixed drug toxicity following an intentional overdose. He was prescribed multiple opioids (fentanyl, tramadol, oxyc…

general practiceneurologymedicationcommunicationfentanyl
VIChospital2019-10-04

Finding into death of Joan Christine Harrison

69y · Female·Injuries sustained in a motor vehicle collision (pedestrian)

Joan Harrison, 69, died from head injuries sustained when struck by a car at a pedestrian crossing in Richmond. The zebra crossing was positioned less than one metre from a give way line, causing it to be obscured by veh…

neurosurgerytrauma surgerysystemaspirin
VIChome2019-10-04

Finding into death of Trevor John O'Brien

63y · Male·Chest injuries

Trevor O'Brien, aged 63, died from chest injuries sustained while performing DIY maintenance on his caravan. He improperly used the caravan's jockey-wheel as a vehicle jack to support the vehicle's weight while working u…

proceduralamitriptyline
VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

A 76-year-old man with newly diagnosed chronic myeloid leukaemia in blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining …

haematologyinfectious diseasessystemdocumentationhydroxyurea
VIChome2019-10-02

Finding into death of Antonios Vitou

92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …

A 92-year-old C4 quadriplegic man with ischaemic heart disease and cardiomegaly died following a fall at home. Two scheduled disability support shifts (1:00pm and 8:30pm) failed on 31 January 2019 due to staff rostering …

cardiologyemergency medicinesystemcommunicationbisoprolol
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…

obstetricsanaesthesiacommunicationsystemoxytocin
VIChome2019-09-26

Finding into death of Mark Richard Mennie

52y · Male·Effects of fire

A 52-year-old man with chronic substance abuse, anxiety, depression, benzodiazepine dependence and hepatitis C died in a deliberately lit house fire. He was asleep and alone in his front bedroom when the fire started on …

oxazepam
VIC2019-09-25

Finding into death of Ross Bennett

63y · Male·Complications of mesothelioma

Ross Bennett, a 63-year-old man with mesothelioma and intellectual disability living in a DHHS residential care service, was found deceased on the bedroom floor on 15 August 2019. He had been noted snoring in bed at 10pm…

oncologypalliative care
VIChospital2019-09-23

Finding into death of Leslie Roberts

76y · Male·Hypothermia and multiorgan failure complicating compound left tibia and fibula f…

Leslie Roberts, a 76-year-old man with intellectual disability under DHHS care, died from hypothermia and multiorgan failure following a compound fracture of the left tibia and fibula sustained in a fall at home. He was …

emergency medicineorthopaedic surgerysystemdelay
VIC2019-09-20

Finding into death of Ms L

19y · Female·Multiple Injuries sustained in an Aviation Incident

Ms L, a 19-year-old student pilot, died in an aircraft accident during her first navigational solo flight. The Cessna 172 descended rapidly and impacted rising terrain. Investigation revealed she had engaged the autopilo…

systemcommunication
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIChospital2019-09-18

Finding into death of Lucia Grace Sefton (Bowlen)

Female·Head injury in the setting of an obstructed labour

A term-destined baby (35 weeks gestation) died from head injuries sustained during delivery. She presented to hospital with suspected preterm labour, was managed conservatively initially, and progressed to spontaneous la…

obstetricspaediatricsproceduralsystemcelestone
VIChospital2019-09-17

Finding into death of Elizabeth Geiger

69y · Female·Aspiration pneumonia in a woman with intellectual disability

Elizabeth Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined…

general practiceintensive carecoloxyl
VIChospital2019-09-16

Finding into death of Marco Angelo Virgona

45y · Male·Aspiration pneumonia with acquired brain injury as a contributing factor

Marco Virgona, a 45-year-old man with acquired brain injury and epilepsy, died from aspiration pneumonia at Frankston Hospital on 23 May 2017. He initially presented to Ambulance Victoria in the morning with vomiting and…

emergency medicineintensive carewarfarin
VIChospital2019-09-06

Finding into death of David John Farlech

48y · Male·Dilated cardiomyopathy with contributing factor of acute renal impairment

David Farlech, a 48-year-old man with Down's Syndrome and intellectual disability living in a group home, died from dilated cardiomyopathy with acute renal impairment. He presented with chest, rib cage and abdominal pain…

general practicecardiologyhyoscine butylbromide

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