Coronial

8 results for medication overuse

NSW2021-03-09

Inquest into the death of Robert MAXFIELD

45y · Male·multiple drug toxicity

…rom other inmates or unauthorised sources. His mirtazapine levels exceeded prescribed amounts, suggesting overuse. The coroner found no deficiency by correctional or health services. Clinical lessons include: recognisin…

forensic medicinepsychiatrymethadone
VIChospital2017-12-11

Finding into death of Karen Ann Moore

49y · Female·Bronchopneumonia, hypoxic brain injury, and combined drug toxicity (oxycodone an…

…uscitation. Over 15 months prior to death, she had seven hospital admissions for overdoses of prescribed medications. Her GP, Dr N., prescribed high-dose oxycontin (240mg/day) and diazepam despite repeated overdoses and …

general practiceemergency medicinemedicationcommunicationoxycodone
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

…tient overdosed significantly); physiological stress from psychosis and physical restraint; and possible medication miscommunication. Critical clinical lessons: (1) the combination of doxepin and venlafaxine requires car…

psychiatrygeneral practicemedicationcommunicationdoxepin
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

…s formal monitoring processes; (5) managing the balance between adequate Parkinson's symptom control and medication-induced behavioural disturbances is extremely challenging and requires careful coordination. Alfred Heal…

psychiatryneurologysystemcommunicationmadopar
NSWhospital2023-09-11

Inquest into the death of TE

26y · Female·multiple blunt force injuries from fall from height; significant contributing co…

…r the same day. Expert evidence indicates she should have been involuntarily detained overnight to allow medication overdose effects to clear and permit comprehensive discharge planning, though three experienced psychiat…

psychiatryemergency medicinediagnosticcommunicationpregabalin
VIChomePodcast2018-11-09

Finding into death of Minh Thao La

48y · Male·hypoxic ischaemic encephalopathy, complicating cardiac arrest in the setting of …

…days later. Clinical lessons include: all asthmatics need written action plans and appropriate preventer medications (not just reliever); hay fever sufferers warrant allergy testing and preventive therapy; those at risk …

emergency medicineparamedicinesystemsalbutamol
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, in…

general practicepsychiatrycommunicationsystemcodeine
TAShospital2020-06-30

Coroner's Finding: Shrimpton, Dallas Brooks

54y · Male·carbon monoxide asphyxia

Dallas Brooks Shrimpton, a 54-year-old man with severe alcohol dependence, chronic depression, and multiple previous suicide attempts, died by carbon monoxide asphyxiation. He presented to Royal Hobart Hospital ED on 16 …

psychiatryemergency medicinecommunicationsystemalcohol

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