Coronial
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Coroner's Finding: Johnston, Trent Ian

Deceased

Trent Ian Johnston

Demographics

40y, male

Date of death

2021-11-09

Finding date

2025-06-10

Cause of death

aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug toxicity (codeine, morphine, diazepam and paracetamol) and emphysema

AI-generated summary

Trent Ian Johnston, a 40-year-old man with a history of chronic paranoid schizophrenia, alcohol and substance abuse, died from aspiration pneumonitis complicated by mixed drug toxicity (codeine, morphine, diazepam, paracetamol), acute alcoholic hepatitis, pancreatitis and emphysema. He collapsed in a vehicle at a supermarket and was found with coffee-ground vomitus. Despite resuscitation and ICU support at North West Regional Hospital, he died with Glasgow Coma Scale 3 and severe metabolic acidosis. The coroner found no preventable factors or recommendations for improvement in clinical care. His death resulted from the combined effects of CNS-depressant drug levels in the fatal range and aspiration of gastric contents in the context of severe underlying organ disease from chronic substance abuse.

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

Contributing factors

  • mixed drug toxicity with codeine and morphine in fatal range
  • aspiration of gastric contents
  • advanced emphysema from smoking
  • acute alcoholic hepatitis
  • necrotising pancreatitis
  • chronic substance abuse
  • refusal to seek medical attention for abdominal pain prior to collapse
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