Coroner's Finding: THALBOURNE-MAITREYA Michael Anthony
Deceased
Michael Anthony Thalbourne-Maitreya
Demographics
55y, male
Date of death
2010-05-04
Finding date
2013-09-04
Cause of death
toxic effects of quetiapine and clonazepam
AI-generated summary
A 55-year-old man with bipolar affective disorder died from toxic effects of quetiapine and clonazepam after intentional overdose. He was found unconscious at home and admitted to ICU at Royal Adelaide Hospital where he was intubated for airway protection, treated with inotropes for shock, and given activated charcoal. He developed aspiration pneumonia, septic shock, and multi-organ failure, dying 32 hours after admission. The coroner found medical treatment was competent and adequate, with no preventable factors identified. A psychiatrist evaluation required under Mental Health Act 1993 section 12(3) did not occur, though this was impracticable given the patient's unconscious state. Close ICU monitoring continued throughout his hospital course. No clinical or systemic failures were identified in his management.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
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