40 results
41y · Female·Mixed drug toxicity (alprazolam, clonazepam, diazepam, methadone, metoclopramide…
Catherine Lynch, a 41-year-old nurse, died from mixed drug toxicity in July 2022 in circumstances consistent with suicide. She was experiencing severe family violence, including coercive control, threats, stalking and em…
29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…
A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relationship with the patient while prescribing escalating doses of opio…
31y · Male·Mixed drug toxicity (heroin, bromazolam, metonitazine, protonitazene, methamphet…
Ryan Robinson, a 31-year-old man with longstanding opioid use disorder and complex mental health conditions, died from mixed drug toxicity involving heroin, novel psychoactive substances (nitazenes: metonitazene and prot…
62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…
John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…
51y · Female·Multiple (head, trunk and limb) injuries due to motor vehicle crash
Two deaths resulted from a motor vehicle collision on Brinktop Road, Tasmania on 10 May 2022. Teresa Anne Brown (51) and her son Jim Royden Brown (16) were killed when their vehicle was struck by a vehicle driven by Cass…
71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …
A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxon…
59y · Male·Gunshot wound of head
A 59-year-old police officer with 40 years service died by self-inflicted gunshot wound at his police station following severe financial stress related to property investment losses. He had received counselling and GP ma…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…
75y · Female·Renal failure and ketoacidosis in a woman with chronic alcoholism and type 2 dia…
A 75-year-old woman with type 2 diabetes and chronic alcoholism died from renal failure and ketoacidosis at home. She was isolated, dependent on her elderly husband for care, and living in squalor. Over 20 disclosures of…
47y · Male·Multidrug toxicity (ethanol, quetiapine, baclofen, benzodiazepines)
Stuart Noble, 47, died from multidrug toxicity involving baclofen, quetiapine, benzodiazepines, and ethanol in an intentional overdose. He was prescribed baclofen off-label by his GP for alcohol use disorder despite it l…
49y · Female·Unascertained; most likely cardiac abnormality
Jennifer Gebert, a 49-year-old with long-standing mental illness and substance use disorder, died unexpectedly in an acute psychiatric unit on 6 December 2019. She presented to the ED intoxicated (BAC 0.159%) following b…
27y · Male·hanging
A 27-year-old man with deteriorating mental health and acute psychotic symptoms died by hanging from a bathroom door in an acute mental health unit. He had expressed suicidal ideation, told his parents he needed to die t…
58y · Female·undetermined; possible mixed drug intoxication and/or adrenal insufficiency
Jennifer May Tilley, aged 58, died on 8 January 2018 with an undetermined cause, though mixed drug intoxication and adrenal insufficiency were potential contributors. She had complex medical conditions requiring chronic …
38y · Male·Multiple gunshot wounds
A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …
54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…
54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy (undetected cardiac condition); combined doxepin and venlafaxi…
54y · Female·mixed drug toxicity
A 54-year-old nurse with chronic pain from a 1990 back injury died from mixed drug toxicity involving morphine, codeine, doxylamine and nitrazepam. She was prescribed multiple CNS depressants for years despite being desi…
71y · Female·Combined drug toxicity in a woman with emphysema
Mary Veronica Payne, a 71-year-old woman with emphysema, died from combined drug toxicity after ingesting her daughter's methadone. The deceased had a long-standing history of chronic back pain from an old car accident a…
52y · Male·C2, C3, C4 spinal injury sustained from a fall secondary to seizures
A 52-year-old man with cerebral palsy, epilepsy, and intellectual disability living in disability accommodation fell in the bathroom after a seizure and sustained cervical spine fractures (C2-C3-C4). He was admitted to h…
72y · Male·Fire at residential premises; death by burning and/or inhalation of fumes
This is a coronial finding into the suspected death of Clarence Benningfield Bateman, a 72-year-old man who disappeared during a house fire in Lancelin, Western Australia on 25 September 1977. The coroner established dea…
58y · Male·Heroin toxicity
58-year-old man with chronic back pain, paranoid schizophrenia, and decades-long prescription opioid and benzodiazepine abuse died from heroin toxicity. He had been successfully withdrawn from opioids (MS Contin, Endone)…
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