Coronial

49 results for withdrawal syndrome

VIC2011-10-04

Finding into death of Patrick Paul

68y · Male·Ischaemic heart disease and coronary artery atherosclerosis

…eart disease while in prison custody. He presented to hospital with symptoms suggestive of acute coronary syndrome (epigastric pain radiating to back, chest pain, dyspnoea, sweating) but was diagnosed as alcohol withdraw…

cardiologyemergency medicinediagnosticdelaymetoprolol
WA2013

Inquest into the Death of Lewis, Leslie Graham

57y · Male·Unable to be determined; circumstances suggest drowning in Mekong River or relat…

…een admitted to hospital in Nong Khai with severe alcohol intoxication and exhibited symptoms of alcohol withdrawal. Despite hospital staff warning him against further alcohol consumption, he was discharged after two day…

emergency medicinegeneral medicinedischargesystemalcohol
NSWaged care2014-05-23

Inquest into the death of Beryl Joyce WATSON

70y · Female·Aspiration pneumonia, associated with Huntington's disease

…dication from dispensing lists due to GP record-keeping errors, inadequate recognition of benzodiazepine withdrawal syndrome causing agitation and increased aspiration risk, insufficient fluid and nutritional support, po…

geriatric medicinegeneral practicemedicationcommunicationclonazepam
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

… 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the Dampier Peninsula in October 2010. He was last seen exhibiti…

psychiatryemergency medicinesystemcommunicationolanzapine
NSW2024-12-11

Inquest into the death of Terry Grady

59y · Male·Hanging

…ision of his antidepressant Pristiq (due to incomplete release of information), and potential medication withdrawal effects increasing suicide risk. An independent psychiatrist noted that while Pristiq discontinuation ca…

psychiatrycorrectional healthsystemdelaydesvenlafaxine
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

…tion assessment without proper physical examination or documentation. Veronica vomited persistently from withdrawal and other medical conditions but was not transferred to hospital despite clinical concern from nursing s…

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

…sumption and was on antidepressants. The ED medical and psychiatric assessments were suboptimal; alcohol withdrawal was not adequately considered despite his trembling and neuropsychiatric presentation. He was discharged…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…s, intubation, and tracheostomy. Communication breakdown occurred between ICU staff and family regarding withdrawal of treatment.

emergency medicinepsychiatrydiagnosticadrenaline
WAcommunity2020-06-03

Inquest into the Suspected Death of Anthony JOHNSTONE

33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…

…stern Australia, while in an acutely unstable mental state associated with chronic alcohol use disorder, withdrawal symptoms, and possible hallucinations. Despite extensive searches involving police, family, aircraft, an…

alcohol
VIChome2015-07-15

Finding into death of Margaret Helen McCall

60y · Female·hanging

Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pa…

pain medicinepsychiatrycommunicationsystemketamine
SAhospital2020-07-09

Coroner's Finding: SHAW Laurel Jean

84y · Female·multi-organ failure arising from Staphylococcal septicaemia

…ite appropriate intensive care treatment, she failed to improve sufficiently and her family consented to withdrawal of life support on 20 May 2018. The coroner found her detention was lawful, care was appropriate, and de…

intensive carepsychiatry
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

…nt Order. However, psychiatrist Dr O. incorrectly revoked the order the next morning, diagnosing steroid withdrawal instead. The medical team then planned discharge without psychiatric review. Critical failures included:…

oncologypsychiatrydiagnosticcommunicationdexamethasone
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

…l hospital over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite concerning features including severe headache (9/10), vomiting, pupil changes, and pro…

emergency medicineneurologydiagnosticcommunicationdiazepam
WAhospital- 8 July 2014

Inquest into the Death of Delray BEASLEY

56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely

…t significant intracranial pathology. His confusion and neurological symptoms were attributed to alcohol withdrawal and liver disease rather than head injury. By 14 June, he was medically cleared for discharge, though fo…

emergency medicineneurosurgerysystemdiazepam
VICcommunity2022-03-16

Finding into death of Richard James Vanderhelm

42y · Male·unascertained

…er in general practice without adequate specialist oversight, particularly regarding dose escalation and withdrawal planning.

general practiceaddiction medicinediagnosticmedicationmethadone
QLD2010-03-17

Barnes, Roy

47y · Male·Intracerebral haemorrhage secondary to heroin withdrawal in a patient with sever…

…He was held in the Southport watch house for 55 hours before collapsing. Nursing staff identified opioid withdrawal symptoms and prescribed diazepam 10mg three times daily, but administration was delayed 32 hours per sta…

emergency medicineneurologydelaysystemheroin
QLD2011-09-29

Tiers, Matthew Maurice

53y · Male·Multi-organ failure due to sepsis

… on 10 May) was delayed; no blood tests were performed on reception despite clinical indication; alcohol withdrawal protocol lacked standardised symptom-triggered approach with daily medical review. Earlier medical asses…

intensive careemergency medicinediagnosticsystemdiazepam
SAhospital2012-11-15

Coroner's Finding: Butler Mark Andrew

49y · Male·pneumonia, hypoxic brain injury and cardiac arrest

…c arrest with hypoxic brain injury and died. Contributing factors included failure to recognise cannabis withdrawal contributing to delirium, use of anticholinergic olanzapine potentially worsening confusion, and shackli…

colorectal surgerypsychiatrydiagnosticmedicationfentanyl
VIC2023-08-30

Finding into death of Baby A

0y · Female·Sudden infant death syndrome (SIDS) category 2

…ost Centre, died of SIDS category 2 on 18 August 2018 aged 12 days. She was born with neonatal abstinence syndrome due to maternal methadone use and was hospitalised twice within 3 days for poor weight gain and jaundice.…

neonatologypaediatricssystemcommunicationmethadone
NTcommunity1998-09-02

Inquest into the death of Esky Muller

14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)

…haemorrhage following a self-inflicted laceration to his arm. Clinical lessons: petrol sniffers in acute withdrawal require medical assessment and hospital admission, not informal community care. The deceased presented w…

emergency medicineaddiction medicinediagnosticsystempetrol

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