28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…
… patients about concurrent care at other facilities; GPs should verify inpatient status before prescribing opioids; hospital staff should maintain higher suspicion of drug-seeking behaviour in patients with acknowledged …
44y · Male·Heroin toxicity
A 44-year-old man with a 24-year history of opioid addiction died from heroin toxicity two days after release from prison on a Community Corrections Order. H…
38y · Male·Toxic effects of morphine in a setting of benzodiazepine dependency
A 38-year-old man with chronic pain, mental illness, and benzodiazepine dependency died from morphine toxicity. He obtained multiple benzodiazepines and opioids from five different doctor…
37y · Male·cardiomegaly and recent ingestion of methadone
…, particularly in non-dependent individuals, and the importance of controlled dispensing and monitoring of opioid medications.
26y · Male·Multiple drug toxicity and bronchopneumonia
…eously obtaining OxyContin from ENT anaesthetist Dr R., who was unaware of his drug addict status and past opioid dependency. The deceased concealed his current registered drug addict status from Dr R., presenting only a…
43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…
A 43-year-old man with long-standing opioid use disorder and polysubstance dependence died from hypoxic brain injury following cardiac arrest caused b…
38y · Female·mixed drug toxicity (lethal level of dothiepin, potentially lethal level of morp…
…sons: GPs managing poly-substance users should avoid maintaining multiple benzodiazepines without active dependency reduction; tricyclic antidepressants should be avoided with benzodiazepines in heroin users; specialist …
44y · Male·Combined drug effect (oxycodone and benzodiazepines)
… then misused the medication intravenously in combination with his regular benzodiazepines. He had reduced opioid tolerance following 21 months without opioid replacement therapy. The prescriptions themselves were not in…
47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma
Lance Robert Nikkelson, a 47-year-old Aboriginal man in prison custody, died from complications of cirrhosis and metastatic hepatocellular carcinoma. He presented with abdominal pain in May 2019, initially assessed as co…
31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…
…absence of pharmacological review of drug interactions, and inadequate monitoring of a patient known to be opioid-dependent. The coroner found that proper coordination through a case manager or pharmacologist review, rea…
38y · Male·asphyxiation due to hanging
A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in September 2011. He had …
30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl
Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…
56y · Male·Aspiration of gastric content secondary to combined drug toxicity
…ation of gastric content secondary to combined drug toxicity. He had a long history of prescription drug dependency and multiple mental health issues. Two general practitioners prescribed long-term benzodiazepines (diaze…
27y · Female·neck compression
…mate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was receiving support from family violence services. She was also a patient of GP Dr K., who simult…
22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…
…hood motor vehicle accident, died from mixed drug toxicity involving eight substances including prescribed opioids, benzodiazepines, and unprescribed ketamine. He had a documented substance use disorder and engaged in pr…
38y · Male·Toxicity to heroin
…2018. Key clinical lesson: recently released prisoners face markedly elevated overdose risk due to reduced opioid tolerance after enforced abstinence, combined with access to more potent drugs and potential purity variat…
30y · Male·Heroin toxicity
…is symptoms improved rapidly with antipsychotic medication, and by 6 April he was transferred to the Low Dependency Unit and granted staff-escorted leave. On 7 April, during supervised leave with Associate Charge Nurse L…
39y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to methadon…
A 39-year-old woman with opioid dependency died from cardiac arrest caused by methadone toxicity. She had been prescribed up to six take-a…
55y · Male·head injury sustained in a single motorcycle crash
A 55-year-old man with multiple comorbidities (bipolar disorder, OCD, asthma, bronchiectasis, methadone dependency) died from head injury sustained in a motorcycle crash. He was riding 3 weeks after a previous motorcycl…
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 Co…
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