Coronial
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SAcommunity2011-06-22

Coroner's Finding: TATCHELL Melissa Jay

28y · Female·bronchopneumonia complicating oxycodone toxicity

Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…

general practiceemergency medicinemedicationdiagnosticoxycodone
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
QLD2010-08-27

Clumpoint, Thomas Andrew

40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …

Thomas Andrew Clumpoint, 40-year-old Aboriginal man, died from laryngeal stenosis caused by squamous cell carcinoma of the head and neck while imprisoned. He had undergone surgery and chemo-radiation for tonsillar cancer…

ENT surgeryradiation oncologycommunicationsystemmorphine
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
VIChome2010-05-06

Finding into death of Simon Mark Gray

31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …

Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…

psychiatrypain medicinesystemmorphine
VICaged care2010-04-19

Finding into death of Jamie Alan White

44y · Male·pneumonia and possible large left cerebrovascular accident (stroke) in a man wit…

Jamie Alan White, a 44-year-old man with neurofibromatosis, paraplegia, sleep apnoea, and chronic respiratory issues, was found unresponsive in his residential care unit bed on 15 June 2008 and could not be revived. The …

general practicerespiratory medicineoxycodone
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
QLDhospital2010-03-05

Hockey, Barry John

58y · Male·adenocarcinoma of the right lung

Barry John Hockey, a 58-year-old prisoner, died of advanced lung adenocarcinoma with metastatic disease and acute bronchopneumonia while in the Princess Alexandra Hospital Secure Unit. He presented in November 2007 with …

respiratory medicineoncologyoxycodone
VICcommunity2010-01-14

Finding into death of Joeanne Maree Brady

39y · Female·Mixed drug toxicity (methadone, oxycodone, hydromorphone, mirtazapine, diazepam,…

A 39-year-old woman with chronic pain from a previous work injury died from mixed drug toxicity involving methadone, oxycodone, hydromorphone, diazepam, mirtazapine, and promethazine. Her pain specialist prescribed metha…

pain medicineneurologycommunicationmedicationmethadone
NThospital2009-11-27

Inquest into the death of Alma June Green

82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation

An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturing her hip. Af…

general surgeryradiologydiagnosticcommunicationoxycodone
QLDhospital2009-08-13

Duggan, David John

60y · Male·Hypertensive heart disease with chronic fatty liver as other significant conditi…

David Duggan, a 60-year-old man with hypertensive heart disease and cardiomegaly, was admitted to Caloundra Hospital on 10 January 2007 for management of severe acute back pain caused by a suspected L3/4 disc herniation …

emergency medicinegeneral medicinesystemcommunicationoxycodone
SAcommunity2008-12-18

Coroner's Finding: EDWARDS Adrian Lee

31y · Male·haemorrhage due to incised wound to left arm with amphetamine toxicity as a poss…

A 31-year-old man with personality disorder, possible epilepsy, possible schizophrenia, and polysubstance abuse made a triple zero call suggesting self-harm. Police and ambulance crews found him with a deep laceration to…

emergency medicineforensic medicinedextroamphetamine
SAmental health2008-07-17

Coroner's Finding: TARNOWSKI Marek Tomasz

33y · Male·Respiratory failure due to mixed drug toxicity (amitriptyline, oxycodone, morphi…

A 33-year-old man with chronic back pain, depression, morbid obesity and sleep apnoea died in psychiatric custody from respiratory failure due to mixed drug toxicity and probable aspiration. He was heavily medicated with…

psychiatryemergency medicinesystemamitriptyline
NSWcommunity2008-01-24

Coroner's Finding: Vanessa Ann Anderson

16y · Female·Respiratory arrest due to the depressant effect of opiate medication

Vanessa Anderson, 16, suffered a depressed skull fracture from a golf ball strike and was admitted to Royal North Shore Hospital. She died from respiratory arrest due to opioid-induced respiratory depression, which was e…

neurosurgeryanaesthesiamedicationcommunicationoxycodone
QLDhome2007-02-06

Marshall, Maxwell John

48y · Male·Undetermined

Maxwell Marshall, aged 48, died in December 2003 from undetermined causes after receiving escalating doses of oxycodone (Oxycontin) for post-Guillain-Barré neuropathic pain reaching 680mg daily—among the highest 1% of pr…

general practicepain medicinediagnosticcommunicationoxycodone
VICaged care

Finding into death of Ellen Plymin

85y · Female·Sepsis relating to an infected right shoulder wound (including MRSA)

Ellen Plymin, aged 85, sustained a fractured humerus in a fall and underwent surgical fixation at Western Hospital on 10 May 2007. She returned to Westgate Aged Care Facility post-operatively on 14 May. By 28 May, wound …

general practiceorthopaedic surgerydiagnosticdelayoxycodone

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