Deceased
Yamini Bhadrayu Patel
Demographics
48y, female
Coroner
Coroner Audrey Jamieson
Date of death
2009-10-20
Finding date
2016-02-29
Cause of death
Ischaemic brain injury secondary to toxicity to tramadol and temazepam
AI-generated summary
A 48-year-old woman died from ischaemic brain injury caused by overdose of tramadol and temazepam. She was found unresponsive at home on 10 October 2009 after consuming these medications. Her family and GP Dr Dixit failed to recognise this as a medical emergency; the patient was not transported to hospital for approximately 21 hours. Dr Dixit provided only telephone advice and a home visit, recommending observation at home rather than hospitalisation despite the patient being unrousable and unconscious. The coroner found this care fell well short of acceptable standards. Dr Dixit's close personal relationship with the family compromised his clinical judgement. The patient was eventually admitted to ICU with severe brain damage and died ten days later. Earlier hospital admission might have changed the outcome, though irreversible damage may have already occurred in the first hours.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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