Deceased
Thomas David Martin
Demographics
33y, male
Date of death
2021-04-01
Finding date
2024-10-03
Cause of death
ketoacidosis, likely alcoholic ketoacidosis
AI-generated summary
Thomas David Martin, aged 33, died of ketoacidosis between 1-2 April 2021 at Common Ground, a supported accommodation facility in Hobart. He had a long history of schizophrenia, involuntary mental health admissions, and substance misuse. In the weeks before death, he exhibited concerning behaviours including drug manufacturing, disordered communications, weight loss, and apparent neurological symptoms. Mental health services conducted welfare checks and provided depot injection on 29 March. Common Ground staff performed wellness checks on 1-2 April after concerns raised by his mother, but Mr Martin declined medical assistance when drowsy on 1 April. The coroner found care and supervision met appropriate standards. No systemic failures were identified. The cause was likely alcoholic ketoacidosis, possibly complicated by non-prescribed medications and internet-sourced insulin. While Mr Martin was a complex patient with comorbid mental illness and substance use disorder, no clinical errors or preventable omissions were established.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
Procedures
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