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VIChome2019-03-28

Finding into death of Vicki Jane Bennett

56y · Female·Pneumonia

A 56-year-old woman with intellectual disability died of pneumonia at her DHHS group home. She presented with vomiting and diarrhoea on 23 June, and a doctor recommended hospital admission, which the patient refused. She…

general practiceforensic medicine
VIC2019-03-27

Finding into death of KJE

28y · Male·Injuries sustained in motorcycle collision (rider)

A 28-year-old male motorcyclist died from injuries sustained in a head-on motorcycle-car collision in Mount Pleasant, Victoria. The rider was travelling on the incorrect side of a divided road (east in the westbound lane…

forensic medicine
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
VICcommunity2019-03-22

Finding into death of Nathan John Shanahan

40y · Male·Toxic effects of a gas

Nathan Shanahan, a 40-year-old former ADF member, died from toxic gas inhalation in his vehicle. He had struggled with depression, anxiety, and PTSD following service in the Solomon Islands where he witnessed a sexual as…

psychiatrypsychologycommunicationsystemescitalopram
VIC2019-03-21

Finding into death of Christopher John Stewart

48y · Male·injuries sustained in a motor vehicle collision

Christopher Stewart, a 48-year-old experienced drag racing driver, died from injuries sustained when his vehicle collided with a concrete safety barrier at South Coast Raceway, Victoria at 259.97 km/h. The initial impact…

systemdelaytramadol
VIChospital2019-03-20

Finding into death of Erika Maria Gerlach

79y · Female·Complications of injuries sustained in a motor vehicle collision (passenger)

Erika Maria Gerlach, aged 79, died from complications of injuries sustained in a rear-end motor vehicle collision on 27 November 2017. She was a passenger when her husband's vehicle collided with a stationary car on the …

trauma surgeryneurosurgerysystemlevetiracetam
VIChospital2019-03-19

Finding into death of John Edwin Wilks

76y · Male·Bronchopneumonia complicating fractured ribs sustained in a fall on a bus

John Wilks, a 76-year-old wheelchair user, fell when his wheelchair tilted during a left-turn on a bus on 13 August 2017. He sustained fractured ribs and a small haemothorax. Although initially treated with painkillers, …

intensive carerespiratory medicinesystemdelay
VICaged care2019-03-19

Finding into death of Anthony Charles Debono

97y · Male·Complications of a fractured left neck of femur (operated), sustained in a fall

A 97-year-old man with vascular dementia, visual impairment, gait instability and multiple falls risk factors fell during a supervised outing from his aged care facility and sustained a fractured neck of femur. Despite b…

geriatric medicineorthopaedic surgerysystemcommunication
VIChome2019-03-07

Finding into death of Ryan Myers

28y · Male·Aspiration pneumonia in a man with cerebral palsy

Ryan Myers, a 28-year-old man with cerebral palsy, treatment-resistant epilepsy, cortical vision impairment and global developmental delay, died from aspiration pneumonia. He developed a cough on 24 August 2017 and was s…

general practiceemergency medicinemidazolam
VIC2019-03-04

Finding into death of David Robert Ancel Green

36y · Male·Multiple injuries sustained in a motor vehicle incident

David Robert Ancel Green, 36, died from multiple injuries sustained in a motor vehicle collision at a rural intersection in Victoria. He failed to stop at a stop sign while driving on an unfamiliar road as a recently lic…

forensic medicinecannabis
VIChospital2019-03-01

Finding into death of Madeleine Therese Sobb

25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…

Ms Sobb, a 25-year-old woman with spondylo-epi-metaphyseal dysplasia causing severe airway abnormalities and subglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU with as…

intensive careemergency medicinecommunicationsystemadrenaline
VICcommunity2019-02-28

Finding into death of David Keith Molloy

64y · Male·Head and neck injuries sustained in a bicycle incident

A 64-year-old experienced cyclist died from head and neck injuries when the carbon fibre front forks of his road bicycle catastrophically failed during a leisurely group ride. The bicycle was approximately 22 years old w…

VICcommunity2019-02-25

Finding into death of DH

40y · Female·Clozapine toxicity in a woman with cardiomegaly

A 40-year-old woman with depression, anxiety, alcoholism and undiagnosed cardiomegaly died from clozapine toxicity after obtaining the drug from a co-resident at a Peer Recovery Community. She was not prescribed clozapin…

psychiatrygeneral practicesystemcommunicationclozapine
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
VICaged care2019-02-21

Finding into death of Kathleen Schleibs

88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…

An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: in…

orthopaedic surgerygeriatric medicinediagnosticcommunicationfentanyl
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
VIChome2019-02-15

Finding into death of Seker Yildiz

59y · Female·Sharp force injuries to the neck

Seker Yildiz, aged 59, died from sharp force injuries to the neck inflicted by her husband, Mr Dursun Yildiz, using a small axe at their home in Dallas, Victoria. The perpetrator had undiagnosed mental illness characteri…

general practicepsychiatrydiagnosticparacetamol
VIC2019-02-13

Finding into death of Gordon Harvey

62y · Male·Blunt force trauma to the head

Gordon Harvey, a 62-year-old man, was fatally assaulted with a hammer and the premises subsequently set on fire by his intimate partner, Suleyman Kepenci, on 17-19 January 2016. This case reveals critical systemic failur…

forensic medicinetoxicologycommunicationsystemmirtazapine
VIChospital2019-02-11

Finding into death of Stephen John Caruana

48y · Male·Hypoxic ischaemic encephalopathy complicating upper cervical spine and cord inju…

A 48-year-old construction worker died from hypoxic ischaemic encephalopathy following a traumatic cervical spine injury sustained while cutting down a gum tree from a cherry picker. Tree branches struck him, causing los…

emergency medicineintensive caremidazolam
VIChospital2019-02-08

Finding into death of Phyllis Franke

74y · Female·complications of metastatic intra abdominal malignancy (unknown primary)

A 74-year-old woman in residential disability care presented with non-specific illness in late August 2017. Following GP consultation, she was admitted to Beechworth Health Service then transferred to Wangaratta Hospital…

general practiceoncologydiagnosticdelay

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