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VICNew2026-08-27

Finding into death of Allan James Anton

64y · Male·Complications of Alzheimer's dementia

Allan Anton, aged 64, died on 24 September 2025 from complications of Alzheimer's dementia at his specialist disability accommodation in Tarneit. He was diagnosed with younger onset dementia in November 2021 following a …

general practiceoccupational therapy
VIChomeNew2026-08-25

Finding into death of BP

33y · Female·Combined drug toxicity (heroin, benzodiazepines, methylamphetamine, mirtazapine,…

BP, a 33-year-old female with longstanding opioid and polysubstance use disorder, died from accidental heroin overdose at home with concomitant CNS depressants (benzodiazepines, mirtazapine, promethazine) and stimulant (…

emergency medicineaddiction medicineheroin
VIChospitalNew2026-08-21

Finding into death of Susanne Keating

64y · Female·Presumed massive pulmonary embolus

Mrs Keating, aged 64, presented to University Hospital Geelong ED with a two-day history of shortness of breath and cough, with known history of pulmonary embolism. Attending physicians appropriately considered PE as dif…

emergency medicinegeneral practicedelaysystem
VIChomeNew2026-08-20

Finding into death of Dorothy Boag

91y · Female·Aspiration pneumonia in a woman with multiple co-morbidities

91-year-old woman with disability living in specialist disability accommodation who died from aspiration pneumonia. She had documented moderate oropharyngeal dysphagia from prior stroke, managed with pureed diet and thic…

general practicegeriatric medicine
VIChomeNew2026-08-06

Finding into death of Margaret Mary Broderick

62y · Female·Complications of WHO Class III obesity in a woman with epilepsy

Margaret Mary Broderick, 62, with intellectual disability, autism, schizophrenia (managed on clozapine), epilepsy, and severe obesity (BMI 48.2), lived in specialist disability accommodation provided by Scope Australia i…

general practicepsychiatry
VICcommunityNew2026-08-04

Finding into death of Wayne Thomas Pistrucci

56y · Male·End stage renal failure in a man with cerebral palsy

Wayne Thomas Pistrucci, a 56-year-old man with cerebral palsy, intellectual disability, end-stage renal failure, and liver disease, died from end-stage renal failure on 9 December 2024. He was living in Specialist Disabi…

general practicepalliative care
VICaged care2026-07-29

Finding into death of Mrs LV

78y · Female·medication error resulting in combined drug toxicity

Mrs LV, age 78, died at The Bays Aged Care facility on 2 January 2025 following a medication error four days earlier. An endorsed enrolled nurse (EEN), distracted by a phone call during her first shift, inadvertently adm…

general practicemedicationsystempregabalin
VICaged care2026-07-29

Finding into death of Lynette Patricia McHarry

69y · Female·Exacerbation of chronic obstructive pulmonary disease and ischaemic heart diseas…

Lynette McHarry, aged 69, died on 15 August 2024 at Casey Hospital following complications from a preventable medication error at Mooraleigh Hostel residential aged care facility. On 4 August, she was mistakenly administ…

geriatric medicinegeneral practicemedicationsystemclozapine
VICaged care2026-07-29

Finding into death of Rosemary Elsie Harriet Jacoby

94y · Female·Drug toxicity (baclofen, gabapentin, oxycodone, pregabalin, zolpidem)

A 94-year-old residential aged-care resident died from drug toxicity after receiving another resident's medications. An agency nurse, unfamiliar with the patient and interrupted during medication preparation, failed to p…

general practiceemergency medicinemedicationcommunicationbaclofen
VIChome2026-07-24

Finding into death of Wayne Douglas Scott

51y · Male·High blood alcohol and positional asphyxia in a man with cerebral palsy and acqu…

Wayne Douglas Scott, 51, died from high blood alcohol and positional asphyxia at his home in Lalor, Victoria. He had cerebral palsy, low vision, dysarthria, depression, and acquired brain injury from a drug overdose more…

general practicepsychiatryalcohol
VIChome2026-07-23

Finding into death of Adam Donald Baker

50y · Male·Cerebral haemorrhage (cause unknown)

Adam Donald Baker, a 50-year-old man with Christianson Syndrome (a genetic disorder causing intellectual disability and seizures), died from cerebral haemorrhage of unknown cause while residing in supported disability ac…

general practiceneurologylevetiracetam
VICcommunity2026-07-23

Finding into death of Danielle Meredith Noonan

51y · Female·Chest sepsis in the setting of recurrent aspiration pneumonia, cerebral palsy, L…

Danielle Noonan, aged 51, died from chest sepsis secondary to recurrent aspiration pneumonia. She had severe disability including cerebral palsy, Lennox-Gastaut syndrome, spastic quadriplegia, and intellectual disability…

general medicineneurologymedicationcarbamazepine
VIChome2026-07-22

Finding into death of Susan Gayle McFarlane

64y · Female·Hepatocellular carcinoma

Susan McFarlane, 64, died on 29 July 2025 from hepatocellular carcinoma with cirrhosis as a contributing factor. She was an NDIS participant living in specialist disability accommodation with daily support. In June 2025,…

general practicegastroenterology
VIChome2026-07-22

Finding into death of Marian Gibson

64y · Female·Alzheimer's dementia and epilepsy in the setting of trisomy 21

This is a case of natural death of a 64-year-old woman with Down syndrome (trisomy 21) who had Alzheimer's dementia and epilepsy. She lived in Specialist Disability Accommodation and received support services through the…

general practiceneurologyanticonvulsants
VIChome2026-07-17

Finding into death of J H

41y · Male·Combined effects of mixed drug toxicity (amphetamine, alprazolam, bromazolam, co…

JH, a 41-year-old male with ADHD, cirrhosis, and opioid addiction, died from combined drug toxicity involving amphetamine, alprazolam, bromazolam, cocaine, and metonitazene, compounded by bronchopneumonia. Following tatt…

general practiceemergency medicineamphetamine
VICcommunity2026-07-15

Finding into death of Guy Edwin Gellibrand

64y · Male·Complications of Severe Cerebral Palsy (Palliated)

Guy Edwin Gellibrand, 64, lived in supported NDIS accommodation with severe cerebral palsy, quadriplegia and non-verbal communication. In late September 2025, he presented to Monash Medical Centre with acute illness pres…

general practicegeneral medicine
VICcommunity2026-07-08

Finding into death of Linda Joy Bridle

72y · Female·Combined drug toxicity (tapentadol, fluoxetine)

Linda Joy Bridle, 72, died from combined drug toxicity (tapentadol and fluoxetine) with a contributing subdural haemorrhage. She had multiple chronic conditions including heart failure and chronic pain, managed through c…

general practicepharmacymedicationcommunicationtapentadol
VIChome2026-07-06

Finding into death of Mark Wesley Tyson

61y · Male·Complications of cerebral palsy

Mark Wesley Tyson, aged 61, had severe cerebral palsy from birth with associated intellectual disability, epilepsy, and recurrent pneumonia. He was non-verbal, non-ambulant, and wheelchair-dependent, entirely reliant on …

emergency medicinegeneral medicine
VIChome2026-07-02

Finding into death of AQV

32y · Male·Multiple injuries sustained in a fall from a height

AQV, 32, had escalating depression, alcohol use disorder, and suicidal ideation while perpetrating family violence against his partner. In June 2024, following an overdose with suicidal intent in NSW, he underwent a comp…

psychiatrygeneral practicealcohol
VIChospital2026-07-01

Finding into death of Baby H

<1y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant

Baby H died on 24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical l…

obstetricsgeneral practicecommunicationprocedural
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