Coronial
TAShospital

Coroner's Finding: Hay, Katrina Maree

Deceased

Katrina Maree Hay

Demographics

35y, female

Date of death

2013-10-04

Finding date

2015-10-09

Cause of death

Acute right heart failure (cor pulmonale) following intravenous injection of crushed tablet medication

AI-generated summary

A 35-year-old woman with chronic hepatitis C and long-standing intravenous drug use died from acute right heart failure (cor pulmonale) following injection of crushed Xanax tablets. She presented to hospital with cardiogenic shock, hypertension, and respiratory distress while pregnant. Her unborn child suffered foetal distress and died in utero. Autopsy revealed microcrystalline cellulose (tablet binder) deposited in pulmonary vessels causing granulomatous inflammation, pulmonary hypertension, and acute right heart failure. The coroner emphasised that tablet medications are unsuitable for intravenous injection and that healthcare workers and agencies should counsel high-risk patients about this lethal practice. This was the second such death involving the deceased's partner.

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

Specialties

emergency medicineintensive careobstetricspathology

Drugs involved

alprazolammethadone

Clinical conditions

cor pulmonaleacute right heart failurepulmonary hypertensioncardiogenic shockchronic hepatitis cfoetal distressasystolic cardiac arrest

Contributing factors

  • Intravenous injection of crushed Xanax tablets containing microcrystalline cellulose
  • Chronic hepatitis C
  • Long-standing history of intravenous drug use
  • Pregnancy with associated physiological stress
  • Pulmonary hypertension from previous injections of tablet material

Coroner's recommendations

  1. Tasmania Police and the Alcohol and Drug Service maintain ongoing oversight of Christopher Ronald Welsh's drug taking activities due to his involvement in a second death related to intravenous injection of crushed tablets
  2. All persons and agencies having contact with people with a history of drug abuse who are at risk of misusing tablet medication must highlight the very real risk of death associated with intravenous injection of tablet form medications
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