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VICaged care2016-04-14

Finding into death of Attilio Crozzoli

94y · Male·Multi-system organ failure, peritonitis, acute gangrenous cholecystitis with cho…

Attilio Crozzoli, a 94-year-old nursing home resident with significant comorbidities (ischaemic heart disease, diabetes, dementia), died of multi-system organ failure secondary to sepsis from acute gangrenous cholecystit…

general practicegeriatric medicinecommunicationsystemcephalozolin
VIChome2016-04-12

Finding into death of Cody Taulongo

0y · Male·Kawasaki disease

A five-month-old infant presented with fever, rash, and systemic symptoms over several days. Initial assessment at the Royal Children's Hospital and by the GP concluded a bacterial or viral infection rather than Kawasaki…

general practicepaediatricsdiagnosticcommunicationbenzylpenicillin
VIChome2016-04-04

Finding into death of Frank Edward Frood

47y · Male·Bronchopneumonia on a background of methadone and benzodiazepine use

Frank Frood, a 47-year-old man with a 20-year history of heroin use and opioid replacement therapy (ORT) on methadone, died from bronchopneumonia with a background of methadone and benzodiazepine use. He suffered chronic…

general practiceaddiction medicinemedicationsystemmethadone
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…

psychiatrygeneral practicediagnosticsystematomoxetine
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

Twin infant died of head injuries inflicted by her mother, a previously well-functioning woman suffering unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weigh…

general practicepaediatricsdiagnosticcommunication
VIChome2016-03-11

Finding into death of AS

68y · Male·Gunshot injuries to the abdomen

A 68-year-old man with bipolar disorder and alcohol excess died by self-inflicted gunshot wound. He held a current firearms licence despite a documented history of psychiatric illness and problematic alcohol use. In his …

psychiatrygeneral practicecommunicationsystemlithium
VIChospital2016-03-02

Finding into death of Susan Ruth Lovell

60y · Female·Complications of metastatic melanoma in the setting of neck of femur fracture fo…

Susan Ruth Lovell, a 60-year-old woman, died from complications of metastatic melanoma in the setting of a neck of femur fracture sustained during a fall. A skin lesion on her left calf, noted in January 2010, was clinic…

general practicedermatologydiagnosticsystemsertraline
QLDworkplace2016-02-29

MJP - Non-inquest findings

27y · Female·Pentobarbitone toxicity

A 27-year-old veterinary nurse with a 5-year history of depression died from pentobarbitone toxicity self-administered at her workplace. She had two previous suicide attempts (2010, 2011) both involving alcohol. On the e…

general practicepsychiatrysystemcommunicationpentobarbitone
VIC2016-02-26

Finding into death of Jonas Jvirblis

23y · Male·combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in …

Jonas Jvirblis, a 23-year-old PhD student, died from combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in the setting of sarcoidosis. He had a long history of substance abuse and anxiety disord…

psychiatryaddiction medicinesystemcommunicationoxymorphone
VICaged care2016-02-25

Finding into death of Ena Edith Vickers

76y · Female·Complications of head and neck injuries sustained in a fall

Mrs Ena Vickers, 76, with dementia and Parkinson's disease, suffered an unwitnessed fall at Embracia nursing home on 30 July 2012, sustaining head and neck injuries including acute subdural haematoma. The initial assessm…

geriatric medicinegeneral practicediagnosticsystemaspirin
VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

Hunter Joseph Stewart, a 27-year-old with major depressive disorder and alcohol dependence, was admitted to St Vincent's Acute Inpatient Service following police custody for public intoxication. He was treated for alcoho…

psychiatryaddiction medicinecommunicationsystemheroin
WAhome2016-02-10

Inquest into the Death of Adrian Marcus WESTLUND

22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…

Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan). He manipulated multiple GPs by misreprese…

general practiceaddiction medicinediagnosticcommunicationalprazolam
WAhome2016-02-10

Inquest into the Death of Daniel James HALL

26y · Male·Multiple drug toxicity and bronchopneumonia

Daniel James Hall, aged 26, died on 31 July 2010 from multiple drug toxicity and bronchopneumonia after consuming approximately 10-12 OxyContin tablets over 24 hours, vastly exceeding the prescribed dose of one tablet ev…

anaesthesiaENT surgerycommunicationsystemoxycodone
WAhome2016-02-10

Inquest into the Death of Shayne Andrew BERRY

44y · Male·Combined drug effect (oxycodone and benzodiazepines)

A 44-year-old man with a history of heroin addiction registered as a drug addict in 2010 died from combined drug effect involving oxycodone and benzodiazepines. Despite being a registered drug addict, he obtained prescri…

general practicepharmacologysystemcommunicationoxycodone
QLDhome2016-02-09

DM

35y · Female·Stab wound to chest penetrating the descending thoracic aorta resulting in catas…

DM, a 35-year-old woman, died from a stab wound to the chest inflicted by her husband during a domestic violence incident on 26 June 2011. The wound penetrated the descending thoracic aorta, causing catastrophic blood lo…

forensic medicineemergency medicinesystemcommunicationamphetamine
QLDcommunity2016-02-05

Cooper, Paul James - Non-inquest findings

41y · Male·Hanging

Paul Cooper, a 41-year-old man with bipolar disorder, died by hanging in August 2015, eleven days after psychiatric review. He had recently commenced Isotretinoin for severe acne, which coincided with development of para…

psychiatrygeneral practicecommunicationsystemisotretinoin
TASmental health2016-01-29

Coroner's Finding: Mr D

57y · Male·Multiple fatal injuries following a fall from height onto rocks

A 57-year-old European-born man died by suicide after falling from a cliff in northern Tasmania in July 2014. He had experienced progressive mental health deterioration over 12 months, including depression, anxiety, and …

psychiatrygeneral practicecommunicationsystemescitalopram
VIChome2016-01-18

Finding into death of Dean Wayne Wright

30y · Male·Mixed drug toxicity (codeine, tramadol, oxazepam, diazepam)

Dean Wright, a 30-year-old man with bipolar disorder, schizophrenia, anxiety and opioid dependence, died from mixed drug toxicity involving codeine, tramadol, oxazepam and diazepam. He systematically obtained prescriptio…

general practicepsychiatrysystemcommunicationcodeine
VIChome2016

Finding into death of Alexander James McCulloch

35y · Male·Complications of morbid obesity in a man with cardiomegaly and schizophrenia

Alexander McCulloch, a 35-year-old man with schizophrenia, morbid obesity (BMI 45), and cardiomegaly, was found dead in bed. Autopsy attributed death to complications of morbid obesity with cardiomegaly and schizophrenia…

psychiatrygeneral practicecommunicationsystemfluphenthixol decanoate
VICcommunity2016

Finding into death of XY

58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…

A 58-year-old man with chronic depression, anxiety and personality disorders died from combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propranolol, diazepam) after presenting to ED with suicidal…

psychiatryemergency medicinediagnosticcommunicationeucalyptus oil
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