1,172 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…
45y · Male·Consistent with hanging
Jeffrey Stuart Whitling, a 45-year-old man with schizophrenia, died by hanging in March 2010. He had a documented history of non-compliance with antipsychotic medication, forensic involvement, and repeated disengagement …
27y · Male·Hanging
Richard Hilton, a 27-year-old with longstanding bipolar affective disorder and benzodiazepine dependence, presented to Werribee ED three times in two months with suicidal ideation and self-harm attempts. Each time he was…
9y · Male·Disseminated melioidosis
William Bligh, a 9-year-old boy from Palm Island, died from disseminated melioidosis on 24 February 2013. He presented with fever and cough from 2 February, initially assessed as viral illness. Over 11 days, he was revie…
54y · Female·Acute alcohol toxicity with immersion
A 54-year-old woman with major depressive disorder and alcohol addiction died from acute alcohol toxicity with immersion. She was hospitalised involuntarily on 23 December 2008 with a blood alcohol level of 0.323 and sui…
83y · Female·neck compression from a wheelchair restraint strap
Ruth Ann Dicker, an 83-year-old resident of an aged care facility with epilepsy, Parkinson's disease, and dementia, died from neck compression caused by a wheelchair lap belt restraint. After a significant history of fal…
34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)
Cassilla Ellen Dooley, a 34-year-old woman with chronic mental illness and substance dependence, died from mixed drug toxicity involving ethanol, methadone, diazepam, and risperidone at a supported housing facility. She …
38y · Male·mixed drug toxicity and arrhythmogenic right ventricular dysplasia
Shane Andrew Kromwyk, aged 38, died at home on 14 March 2009 while on home detention bail. Post-mortem examination revealed mixed drug toxicity (methadone, diazepam, alprazolam) combined with pre-existing arrhythmogenic …
57y · Male·Aspiration pneumonia in an HIV positive man on methadone
A 57-year-old man with HIV, chronic alcoholism, and opioid dependence died from aspiration pneumonia while residing in a managed care facility. On the day of death, staff noted abnormal behaviour and drowsiness; methadon…
87y · Male·Complications of subdural haematoma and fractured hip following a traumatic inci…
Mr Mehmet Hasan, 87, died from complications of subdural haematoma and fractured hip following an alleged traumatic incident involving staff at Lorikeet Lodge Aged Care on 12 June 2010. Following transfer to hospital, hi…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
Mrs Thelma Katherine Holt, a 79-year-old woman with multiple comorbidities including obesity, vascular disease, hypertension, and prior Nissen fundoplication, underwent placement of a second intragastric balloon on 11 Se…
62y · Male·extensive small cell lung cancer
Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…
30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)
Melanie Reynolds, a 30-year-old registered nurse with borderline personality disorder and depression, died from mixed drug toxicity (propranolol, duloxetine, codeine). She had engaged with Crisis Assessment and Treatment…
16y · Male·Bacterial meningitis
A 16-year-old previously healthy boy died from bacterial meningitis after being misdiagnosed with gastroenteritis at a general practice. He presented with a 3-day history of vomiting, severe headache, and fever. The GP r…
30y · Male·compression of the neck consistent with hanging
Christopher Aaron Smith, a 30-year-old Koorie Aboriginal man remanded in custody on serious criminal charges, died by hanging in his prison cell. A critical missed opportunity occurred in November 2009 when Mr Smith atte…
69y · Female·left pontine haemorrhage with re-bleeding associated with hypertensive vascular …
A 69-year-old woman died from left pontine haemorrhage with re-bleeding. On 2 February 2010, her GP referred her for a CT head scan after she reported two weeks of slurred speech. The scan on 11 February revealed a ponti…
55y · Male·Staphylococcal sepsis, complications of pressure sores and hypostatic pneumonia,…
Stephen Summers, a 55-year-old man with cerebral palsy and profound disability, died from Staphylococcal sepsis after rapid deterioration following deinstitutionalisation from Kew Cottages to community residential accomm…
37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline
Leigh Ronald Bellingham, a 37-year-old man with a history of depression, suicidality, hepatitis C, and substance abuse, died from toxic effects of heroin in combination with mirtazapine and sertraline in June 2008. He wa…
68y · Male·Dilated cardiomyopathy with previous aortic valve replacement and aortic graft
A 68-year-old man with aortic valve replacement died from undiagnosed dilated cardiomyopathy, with retroperitoneal haemorrhage as a contributing factor. He developed a large perinephric haematoma (1900mL) secondary to ov…
16y · Female·respiratory arrest caused by combined toxic effects of methadone and alprazolam
This is a coronial prevention report examining methadone takeaway dosing risks in Victoria, prepared following the death of Helen Stagoll (age 16) in 2010 from respiratory arrest caused by diverted methadone and alprazol…
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