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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
SAaged careNew2026-08-21

Coroner's Finding: Bubner, Richard Scott

75y · Male·combined effects of subdural haematoma and facial fractures following a fall com…

A 75-year-old man with advanced Alzheimer's dementia residing in aged care died in hospital following a fall at his residential facility. He was assessed as high falls risk at the aged care facility. After collapsing and…

occupational therapygeriatric medicine
VIChomeNew2026-08-07

Finding into death of TPK

6y · Unknown·Complications of Pelizaeus-Merzbacher disease

TPK was a 6-year-old with Pelizaeus-Merzbacher disease (PMD), a progressive neurodegenerative leukodystrophy diagnosed at birth causing profound disability and seizures. Placed with foster parents Mr and Mrs JEP via Depa…

paediatricspalliative caremethadone
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
VIChome2026-06-29

Finding into death of Heather Joy Harris

61y · Female·Unascertained (natural causes)

Ms Harris, aged 61, with intellectual disability, autism spectrum disorder, and multiple medical conditions (including aortic regurgitation, hypothyroidism, dyspnoea, hyperlipidaemia, and obesity), was living in supporte…

general practicecardiologysertraline
VIChome2026-06-19

Finding into death of Elizabeth Jean Hanlon

38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…

Elizabeth Jean Hanlon, aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder…

psychiatryintensive carepromethazine
SAaged care2026-06-19

Coroner's Finding: Fowle, Colleen Margaret

78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…

A 78-year-old woman with mixed dementia living in aged care suffered an unwitnessed fall on 22 March 2023, sustaining facial fractures and eye laceration. The fractures were not identified during her initial hospital ass…

general practicegeriatric medicinediagnostic
TASaged care2026-05-19

Coroner's Finding: de-identified BE

85y · Male·systemic sepsis due to infected right perineal ulcer and associated perianal abs…

An 85-year-old man with dementia and multiple comorbidities died of sepsis caused by an infected sacral pressure ulcer that developed and deteriorated while resident at an aged care facility. Initially assessed as stage …

geriatric medicinegeneral practicedelaymedication
VIChospital2026-04-24

Finding into death of Mr JNY

Male·Pulmonary thromboembolism and bronchopneumonia secondary to deep vein thrombosis

JNY, a man with metastatic small cell carcinoma, COPD, and ischaemic heart disease, died from pulmonary thromboembolism and bronchopneumonia. He received palliative care at home provided by his partner PJN, who had undis…

palliative caregeneral practicesystemdesvenlafaxine
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
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

Child MML was an Aboriginal boy born in April 2010 who suffered catastrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolle…

neurologypaediatricscommunicationsystem
VIChospital2026-02-12

Finding into death of Kristy Ann Mitchener

45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…

Kristy Ann Mitchener, a 45-year-old woman with severe intellectual disability, genetic developmental and epileptic encephalopathy, and oesophageal dysmotility, died from sepsis secondary to a sacral pressure ulcer despit…

general practiceemergency medicinesystemcommunicationantibiotics
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unabl…

general medicinecardiologydischargecommunication
SAcommunity2025-10-17

Coroner's Finding: Hall, Robert Lloyd

66y · Male·multiple injuries sustained in motor vehicle collision

A 66-year-old cyclist was struck and killed from behind by a driver with left absolute homonymous hemianopia (left-sided visual field loss) who was not scanning to compensate for his disability. The driver had suffered a…

neurosurgeryneurologysystemcommunication
VIChospital2025-10-17

Finding into death of Rachel Frances Piskun

42y · Female·Pneumonia, underlying severe cerebral palsy

Rachel Piskun, aged 42, died from pneumonia complicated by severe cerebral palsy. She had severe disabilities requiring 24-hour care in supported accommodation. During a September 2021 hospitalization, compression stocki…

emergency medicinegeneral medicinediagnosticmedicationmorphine
SAaged care2025-08-28

Coroner's Finding: Andrysik, Anne Carol

80y · Female·Fractured left neck of femur on a background of rectal carcinoma and dementia

An 80-year-old woman with dementia and undiagnosed rectal carcinoma died from complications of a fractured left neck of femur sustained during a fall in her aged care facility's memory support unit. She had sustained thr…

geriatric medicinegeneral practicenorspan patch
VIC2025-08-15

Finding into death of Donald Raymond Muir

59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)

Donald Raymond Muir, a 59-year-old man with Trisomy 21, non-verbal autism, dementia and epilepsy living in specialist disability accommodation, died of urosepsis and aspiration pneumonia. He had experienced progressive f…

general medicineoccupational therapydutasteride
QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

<1y · Male·prematurity-associated lung and bowel disease

Daniel Wright was a premature infant (born at 24 weeks) with multiple complex medical needs including chronic lung disease, developmental delay, and failure to thrive. He died aged eight months from prematurity-associate…

neonatologypaediatricsdiagnosticcommunication
VIC2025-07-07

Finding into death of Raymond John Blackney

83y · Male·end-stage Parkinson's disease (palliated)

Raymond John Blackney, an 83-year-old man with end-stage Parkinson's disease, died in custody at Port Phillip Prison from natural causes. He had complex medical needs including dementia, intellectual disability, and mult…

palliative caregeriatric medicinemorphine
VIChome2025-07-03

Finding into death of Stephanie Rebernik

69y · Female·Effects of fire

Stephanie Rebernik, aged 69, died in a house fire in 2023. She had an acquired brain injury from 1980 with cognitive decline, poor risk identification, and a documented five-year history of unsafe fire-lighting behaviour…

occupational therapypsychiatrysystemdelayoxazepam

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