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VIChomeNew2026-06-10

Finding into death of Patricia Elizabeth Davidson

53y · Female·Pneumonia

Patricia Elizabeth Davidson, aged 53, died of pneumonia on 1 October 2024 at Sunshine Hospital. She was a resident in Specialist Disability Accommodation with Parkinson's disease, intellectual disability, autism, epileps…

emergency medicinegeneral medicine
VIChomeNew2026-06-10

Finding into death of Laura Claire Brady

41y · Female·Aspiration pneumonia complicating an ischaemic stroke in a woman with epilepsy, …

Laura Claire Brady, aged 41, was a Specialist Disability Accommodation (SDA) resident with cerebral palsy, severe epilepsy, and intellectual disability. In December 2024, she deteriorated while in SDA care, presenting wi…

neurologyemergency medicine
VIChome2026-05-25

Finding into death of Robyn Julia Richards

69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…

A 69-year-old woman with cerebral palsy, intellectual disability, and B cell acute lymphoblastic leukaemia, residing in Specialist Disability Accommodation funded through the National Disability Insurance Scheme, sustain…

general practiceparamedicine
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

Stratos Ioannidis, age 45, died at Maroondah Hospital on 28 March 2025 from focal coronary artery disease and cardiomegaly during an involuntary psychiatric admission. He presented with acute psychosis from bipolar disor…

psychiatryemergency medicinecommunicationsystemolanzapine
VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…

Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of presumed drug toxicity. She was fo…

psychiatryintensive carediagnosticcommunicationheroin
VICaged care2026-05-06

Finding into death of Cornelia Groot

87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…

An 87-year-old woman with Parkinson's disease sustained an unwitnessed fall at a residential aged care facility, resulting in head injuries and a hip fracture. Critical clinical lessons emerged: (1) neurological observat…

geriatric medicineemergency medicinediagnosticcommunicationoxycodone
VICaged care2026-04-30

Finding into death of Sandra Susan Black

54y · Female·Aspiration pneumonia secondary to Alzheimer's dementia complicating Down's Syndr…

Sandra Black, aged 54, died from aspiration pneumonia secondary to Alzheimer's dementia complicating Down Syndrome. She lived in specialist disability accommodation and had a long history of recurrent aspiration pneumoni…

general practiceemergency medicineantibiotics
VIChome2026-04-30

Finding into death of Nick Panagiotopoulos

47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…

Nick Panagiotopoulos, a 47-year-old man, suffered a fatal acute myocardial infarction (heart attack) on 16 October 2021 at home in Preston, Victoria. His family made five calls to Triple Zero (000) requesting emergency a…

cardiologyemergency medicinesystemdelay
VICmental health2026-04-27

Finding into death of GM

Female·Fulminant hepatic failure due to paracetamol toxicity

A 19-year-old female with anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but eng…

psychiatryintensive careparacetamol
VIC2026-04-22

Finding into death of Natasha Stojkoski

38y · Female·Multiple injuries sustained when struck by a train

Natasha Stojkoski, a 38-year-old sales assistant at The Good Guys, sustained a workplace injury in October 2018 involving a Work Assisted Vehicle incident affecting her back, shoulders and neck. Subsequently, she reporte…

psychiatryoccupational and environmental healthsystemcommunicationescitalopram
VIChospital2026-04-17

Finding into death of White-Wolf Patricia Mclellan

44y · Female·Pulmonary thromboembolism complicating a fractured left ankle (not operated), su…

A 44-year-old woman died from pulmonary thromboembolism 27 days after sustaining a Weber B ankle fracture from a fall. She was managed conservatively with a CAM boot then below-knee cast, with progressive immobilisation …

emergency medicineorthopaedic surgerysystemcommunicationtenecteplase
VIChome2026-04-17

Finding into death of Simon Christopher Gaskill

50y · Male·unascertained

Simon Gaskill, aged 50, was found deceased in sand dunes at Ocean Grove Beach in April 2022 after sleeping rough for months. He had been discharged from hospital in December 2021 following treatment for severe alcohol wi…

emergency medicinegeneral medicinecommunicationsystemalcohol
VIChospital2026-04-16

Finding into death of Damien Mark Stone

53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures

Damien Mark Stone, a 53-year-old man with Down syndrome and early-onset Alzheimer's disease, died from aspiration pneumonia following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (…

emergency medicineneurologydiagnosticcommunicationoxycodone
VIChome2026-04-14

Finding into death of Justin James Filardo

45y · Male·Gunshot wounds to the head and left shoulder

Justin Filardo, aged 45, with a 28-year history of schizophrenia, was fatally shot by police after assaulting his sister Bianca in her bedroom. In the weeks prior, Justin had ceased his clozapine medication without clini…

psychiatrygeneral practicesystemdelayclozapine
VIChospital2026-04-14

Finding into death of Giovanni John Miceli

53y · Male·Sepsis secondary to aspiration pneumonia

Giovanni John Miceli, a 53-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from sepsis secondary to aspiration pneumonia. He had a known history of recurre…

infectious diseasesemergency medicineantibiotics
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

James Reilly, 86, fell at home on 8 September 2024 sustaining rib fractures that caused a fatal left haemothorax. Paramedics attended but he declined transfer. When facial droop developed, he was admitted with presumed t…

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
VICcommunity2026-04-13

Finding into death of Nikki Maree Francis

40y · Female·Complications of influenza A infection in a woman with Moebius syndrome (palliat…

A 40-year-old woman with Moebius syndrome, cerebral palsy and intellectual disability died from complications of influenza A infection. She resided in specialist disability accommodation with 24/7 support. On 3 July, she…

emergency medicineinfectious diseases
VIChospital2026-04-07

Finding into death of Ronald Nieuwenhuis

65y · Male·Metastatic disease with gastrointestinal primary (adenocarcinoma)

Ronald Nieuwenhuis, a 65-year-old man with intellectual disability residing in supported accommodation, presented to hospital in January 2025 with abdominal pain and was found to have metastatic adenocarcinoma of gastroi…

emergency medicineradiology
VICcommunity2026-03-27

Finding into death of Sacha Timothee Louis Lefebvre

52y · Male·Complications of chronic cardiac failure in the setting of ischaemic heart disea…

Sacha Timothee Louis Lefebvre, aged 52, died from complications of chronic cardiac failure with ischaemic heart disease and chronic anaemia whilst sleeping rough at Hawthorn Library. He had multiple chronic conditions in…

cardiologyemergency medicinesystemdelaymethamphetamine
VIChospital2026-03-25

Finding into death of Neville Stanley Andrews

69y · Male·Pericarditis

A 69-year-old man with a history of atrial fibrillation, chronic kidney disease, congestive cardiac failure, and Fragile X Syndrome presented to the Emergency Department with dyspnea following an unwitnessed fall. He was…

emergency medicinecardiology
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