Inquest into the death of T V
Deceased
TV
Demographics
23y, female
Date of death
2016-11-01
Finding date
2019-10-25
Cause of death
Arrhythmia of unknown aetiology
AI-generated summary
TV died on 1 November 2016 from arrhythmia of unknown aetiology whilst in MHICU at Prince of Wales Hospital. She was a 23-year-old with severe bipolar disorder, mild intellectual disability and borderline personality traits with extensive psychiatric history since age 12. At death she was on multiple antipsychotic medications including Haloperidol, Lithium and Clonazepam. The coroner found her psychiatric treatment was appropriate and medications did not contribute to death. Post-mortem excluded hypoglycaemia, pulmonary emboli and aspiration as causes. Expert toxicology review found no toxic drug levels and appropriate dosing. The coroner found no preventable failures in care. However, the family expressed concerns about polypharmacy from age 12 and PRN sedation effects, which fell outside the inquest scope. Nursing observations were appropriately documented and resuscitation attempts met standard protocols.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
Contributing factors
- Schizoaffective disorder with manic features
- Underlying cardiac vulnerability possibly related to severe mental illness
- History of complex psychiatric illness from age 12
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