106 results
38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…
A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
Justin Fraser, a 35-year-old male with first-episode psychosis, died in restraint at Frankston Hospital psychiatric ward on 26 October 2007. He was found attempting suicide by hanging, became agitated and threatening, le…
Female·Hanging
The deceased was a woman with a long history of heroin abuse, benzodiazepine misuse, and mental health issues including depression and psychotic behaviour. She received treatment for opiate dependence at North Yarra Comm…
Three deaths with different primary causes: James Unicomb - acute toxicity due t…
Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…
50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …
50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…
54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…
Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008…
41y · Male·Respiratory depression caused by alcohol and morphine poisoning
Anthony Mark Perry, aged 41, died in police custody at Rockhampton watch house on 23 March 2010 from respiratory depression due to morphine and alcohol. He was arrested for breaching a domestic violence order after drink…
37y · Male·combined ethanol and drug toxicity
Kenneth Agnew, a 37-year-old man resident in aged care, died from combined ethanol and drug toxicity involving methadone and benzodiazepines. He had hepatitis C and fatty liver disease. Critical clinical lessons include:…
37y · Male·mixed drug toxicity
A 37-year-old man with chronic pain from scoliosis and recurrent pancreatitis died from mixed drug toxicity. Over four months, he obtained prescriptions from 19 different doctors for multiple medications including opioid…
30y · Male·Carbon monoxide poisoning
Leigh Travaglia, a 30-year-old man with cerebral palsy, profound deafness, and significant disabilities requiring 24-hour care, died from carbon monoxide poisoning. His father deliberately connected a hose from the vehic…
27y · Male·carbon monoxide poisoning
David Travaglia, a 27-year-old man with cerebral palsy, profound deafness, and inability to walk or speak, died from carbon monoxide poisoning. He was killed by his father, Edo Travaglia, who deliberately connected a hos…
54y · Male·Carbon monoxide poisoning
Edo Travaglia, a 54-year-old carer for two adult sons with profound disabilities, died of carbon monoxide poisoning along with his sons in an apparent murder-suicide. Despite significant improvement in his sons' care fol…
34y · Female·Hanging with combined effects of ethanol and benzodiazepines
Lisa Sharp, 34-year-old woman on a Community Treatment Order for schizophrenia, depression, and anxiety, died by hanging on 16-17 December 2007. She was in severe distress over losing custody of her children, with a cour…
44y · Male·Cardiomegaly
Lionel Perry, a 44-year-old Aboriginal man with schizoaffective disorder and polysubstance abuse history, died from cardiomegaly (enlarged heart due to concentric ventricular hypertrophy) while an involuntary psychiatric…
42y · Male·Ischaemic heart disease - coronary atherosclerosis and thrombosis
Paul Stephens, a 42-year-old man with intellectual disability, died from ischaemic heart disease with coronary atherosclerosis and thrombosis. He presented with symptoms consistent with acute coronary syndrome (arm pain,…
28y · Male·hypoxic brain injury presumed to have occurred as a direct result from toxicity …
Christian Gonzalo Diaz, 28, died from hypoxic brain injury following presumed heroin toxicity on 9 January 2008. He was an involuntary psychiatric inpatient with schizophrenia and substance abuse history when he absconde…
62y · Female·pulmonary thromboembolism due to deep venous thrombosis of right calf
Ms Wendy Ryder, aged 62, died from pulmonary embolism secondary to deep venous thrombosis (DVT) six weeks after abdominal surgery (total abdominal hysterectomy and bilateral salpingo-oophorectomy) for treatment of severe…
14y · Male·gunshot wound to the head
Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…
26y · Female·multiple injuries sustained as a result of being struck by a motor vehicle on th…
A 26-year-old woman with schizo-affective disorder, detained under the Mental Health Act, absconded from a psychiatric hospital and was fatally struck by a vehicle on a freeway. Clinical concerns include: (1) inadequate …
29y · Male·Head Injury
Warren Bradley Jack, 29-year-old fisherman, died from severe head injury after falling from a fishing vessel during a refuelling operation. On 24 April 2000, after returning from a fishing trip, he consumed approximately…
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