Coronial
NThospital

Inquest into the death of Matthew Winsloe Hinton

Deceased

Matthew Winsloe Hinton

Demographics

18y, male

Date of death

2008-11-24

Finding date

2009-12-02

Cause of death

acute multiple drug toxicity

AI-generated summary

Matthew Hinton, an 18-year-old male, died from acute multiple drug toxicity after consuming nine LSD tablets and methamphetamine. Police attended at approximately 5:30am when called to a disturbance, but a critical delay of 54 minutes occurred before an ambulance arrived at 6:19am. The dispatcher (Ms Joyner) cancelled the ambulance at 5:51am despite clear SJA policy requiring dispatch in all cases where location is determined. The ambulance was only re-dispatched after police directly contacted Darwin communications. By hospital arrival at 7:01am, the deceased was dying with multi-organ failure. The coroner found the dispatcher breached mandatory policy, though medical evidence indicated the 54-minute delay was not causative of death given the patient's critical state upon hospital admission.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

emergency medicineintensive careparamedicinepharmacology

Error types

communicationsystemdelay

Drugs involved

LSDmethamphetaminemidazolamnaloxone

Clinical conditions

acute drug toxicityamphetamine overdosemulti-organ failureacute intoxicationcardiac arrest

Contributing factors

  • failure to dispatch ambulance when called
  • cancellation of ambulance dispatch without clinical justification
  • delay of 54 minutes in ambulance arrival
  • dispatcher not following mandatory dispatch policy
  • heavy recreational drug use including methamphetamine and LSD
  • polydrug ingestion (9 LSD tablets plus methamphetamine)
  • acute intoxication and altered behaviour preventing safe transport by police
Full text

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