Coronial
VIChospital

Finding into death of Trang Thi Thu Le

Deceased

Trang Thi Thu Le

Demographics

28y, female

Coroner

Coroner Ingrid Giles

Date of death

2023-09-17

Finding date

2026-01-23

Cause of death

3,4-methylenedioxy-N-methylamphetamine (MDMA) and ketamine toxicity

AI-generated summary

Trang Thi Thu Le, 28, died on her birthday from MDMA and ketamine toxicity after attending an electronic dance music event at John Cain Arena. She collapsed after consuming drugs purchased from an unknown source within the venue and suffered cardiac arrest. Despite intensive resuscitation efforts by St John Ambulance and Ambulance Victoria paramedics at the scene and continued treatment at Alfred Hospital, she could not be revived. The coroner found medical treatment was appropriate and timely. Key prevention opportunities identified were: (1) availability of drug checking services at music events to enable informed decision-making about drug potency and composition; and (2) improved guidance for music event organisers on implementing evidence-based harm reduction principles. The coroner emphasised that harm reduction approaches—recognising some people will use drugs regardless of legal prohibition—offer better outcomes than prohibition-focused security measures.

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

Specialties

emergency medicineintensive careparamedicineforensic medicinetoxicologyanaesthesia

Error types

system

Drugs involved

MDMAketaminemidazolam

Clinical conditions

drug-induced hyperthermiaserotonin toxicitycardiac arrestseizuressevere metabolic and respiratory acidosishyperkalaemiahypoglycaemiaaspiration pneumonia

Procedures

cardiopulmonary resuscitationmechanical CPRendotracheal intubationlaryngeal mask airway insertionintravenous adrenaline administrationintravenous sodium bicarbonate administrationintravenous cold fluid administrationchest X-raybedside ultrasoundarterial blood gas sampling

Contributing factors

  • consumption of MDMA and ketamine from unknown source at music event
  • lack of drug checking services at venue
  • no prior knowledge of drug potency or composition
  • drug-induced hyperthermia
  • serotonin toxicity
  • cardiac arrhythmia
  • seizures

Coroner's recommendations

  1. That the Victorian Department of Health consult with relevant drug harm reduction and clinical experts to review and refresh the contents of the 'Code of practice for running safer music festivals and events', to ensure its guidance on drug harm reduction at music festivals and electronic dance music events reflects current evidence and best practice.
Full text

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