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VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
VIChospital2026-01-23

Finding into death of MD

82y · Male·Complications of large bowel obstruction in a man with diverticular disease and …

An 82-year-old man died from complications of large bowel obstruction secondary to a sigmoid mass while incarcerated at Port Phillip Prison. He presented with abdominal pain and vomiting following a fall, and imaging con…

general surgerycolorectal surgerywarfarin
VIChospital2025-12-08

Finding into death of Jamie Lee Argent

38y · Male·Diabetic ketoacidosis secondary to pyelonephritis in a man with insulin dependen…

A 38-year-old man with insulin-dependent diabetes, partial blindness, gastroparesis, seizures, chronic kidney disease and peripheral vascular disease died from diabetic ketoacidosis precipitated by pyelonephritis. He had…

emergency medicineendocrinologylamotrigine
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

A 51-year-old woman with WHO Class III obesity, chronic alcohol consumption, and anaemia died of multiorgan failure following admission with community-acquired pneumonia and respiratory failure. She presented with abdomi…

general medicineemergency medicinehydromorphone
VIChospital2025-07-08

Finding into death of KD

48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…

KD, a 48-year-old woman with chronic schizo-affective disorder, end-stage renal failure, COPD, cardiac hypertrophy and obesity, died from combined natural causes while under assessment order in psychiatric care. She pres…

psychiatryintensive careolanzapine
VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

Michael Young, 67, died from pressure ulcer complications following a spinal injury sustained during a CT scan on 3 January 2023. He had fallen from his wheelchair at home and presented to ED with hypotension and back pa…

emergency medicineintensive carediagnosticproceduralhydromorphone
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
VIChospital2024-12-09

Finding into death of Debra Louise Goold

61y · Female·Decompensated liver failure - Child's Pugh B cirrhosis secondary to renal failur…

Debra Louise Goold, a 61-year-old NDIS participant living in Specialist Disability Accommodation, died from decompensated liver failure (Child's Pugh B cirrhosis) and renal failure. She was admitted to Ballarat Base Hosp…

hepatologygeneral medicine
VIChospital2024-12-09

Finding into death of Elizabeth Shine

64y · Female·End stage renal failure in the setting of sepsis

Elizabeth Shine, a 64-year-old NDIS participant living in Specialist Disability Accommodation, died from end-stage renal failure complicated by sepsis. She presented with a blocked parotid gland treated with antibiotics.…

general medicinenephrologyantibiotics
VIC2024-02-12

Finding into death of Maahi Tukapua

73y · Male·Acute on chronic renal failure and multi-factorial encephalopathy in a man with …

A 73-year-old man with significant comorbidities (cirrhosis, dilated cardiomyopathy, chronic kidney disease) died in prison from acute-on-chronic renal failure, hepatic encephalopathy, and multiorgan failure. He was init…

cardiologynephrologymorphine
VIChospital2023-07-24

Finding into death of Rona Jean Mccully

83y · Female·Acute on chronic renal failure secondary to infectious exacerbation of chronic o…

An 83-year-old woman with chronic obstructive pulmonary disease and chronic renal failure died from acute-on-chronic renal failure complicated by infectious exacerbation of COPD. She presented to hospital on 13 October 2…

general practicerespiratory medicinemolnupiravir
VICaged care2022-10-19

Finding into death of Paul Henry Green

83y · Male·Unascertained (natural causes)

Paul Henry Green, 83-year-old man with intellectual disability and multiple chronic conditions including renal failure on dialysis, was found unresponsive in his bed at a residential care facility. He had been isolating …

geriatric medicinenephrologymetoprolol
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

A 74-year-old man with significant cardiac history (atrial fibrillation, dilated cardiomyopathy, pacemaker) underwent elective umbilical hernia repair. Intraoperatively, unexpected ascites was discovered and partially dr…

general surgeryanaesthesiadiagnosticcommunicationapixaban
VIChospital2021-09-16

Finding into death of Anthony Swaney

58y · Male·Acute renal failure in the setting of pneumonia and acute bronchitis

Anthony Swaney, 58, died from acute renal failure in the setting of pneumonia and acute bronchitis following multi-organ failure. He had complex medical needs including Trisomy 18, cerebral palsy, intellectual disability…

general medicinegeriatric medicine
VIChospital2021-09-02

Finding into death of Robena May Lloyd

58y · Female·Enterococcus faecalis sepsis and acute renal failure

Robena Lloyd, a 58-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urin…

emergency medicinenephrologydiagnosticcommunicationtrimethoprim
VIChospital2021-02-25

Finding into death of Laurence Joseph Kermond

65y · Male·Complications of end stage renal failure in a man with multiple co-morbidities

Mr Kermond, a 65-year-old man with intellectual disability, visual and hearing impairment living in a group home, was admitted to Lyndoch Living for respite care on 25 July 2019. He had end-stage renal failure and multip…

general practicenephrology
VIChome2020-06-15

Finding into death of Gordon Malcolm Wallace

71y · Male·Plastic bag asphyxia and argon gas inhalation

A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Over 12 years of progressive cancer treatment, multiple surg…

nephrologyoncologysystemargon gas
VIChospital2020-06-09

Finding into death of Douglas Norman Povey

73y · Male·Dilated cardiomyopathy and chronic renal disease

Douglas Povey was a 73-year-old prisoner with multiple comorbidities including Type 2 diabetes, ischaemic heart disease with cardiac stents, severe ischaemic cardiomyopathy, hypertension, and chronic renal disease. In mi…

cardiologynephrology
VIChospital2020-05-11

Finding into death of Penelope Thelma Jane Hill

53y · Female·Pneumonia

A 53-year-old woman with Down syndrome and chronic kidney disease presented with septic shock secondary to pneumonia. She received appropriate intravenous antibiotics and fluids, but her condition deteriorated despite tr…

infectious diseasesnephrologymidazolam
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam

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