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VIChome2015-07-20

Finding into death of Brenton James Grosser

49y · Male·Drug toxicity (methadone)

Brenton Grosser, a 49-year-old man with alcohol addiction history, died from methadone toxicity after consuming three 100ml takeaway methadone bottles prescribed to his housemate. He had consumed significant alcohol (app…

toxicologyforensic medicinesystemmethadone
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

A 34-year-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual dia…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
VIChome2015-06-23

Finding into death of Terri Anne Woolley-Peresso

44y · Female·Unascertained

A 44-year-old woman with chronic pain, epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known 'doctor shopper' who obtained opioids from mu…

general practiceaddiction medicinediagnosticmedicationdiazepam
TAShome2015-06-05

Coroner's Finding: Mr A

43y · Male·acute right heart failure (cor pulmonale) complicating foreign body (microcrysta…

A 43-year-old male died from acute right heart failure (cor pulmonale) caused by pulmonary granulomas resulting from intravenous injection of crushed methylphenidate (Ritalin) tablets. The microcrystalline cellulose bind…

forensic medicineaddiction medicinemethylphenidate
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

Tamiya Calais Lievesley, a six-month-old infant, died from morphine toxicity on 2 March 2004. She ingested a fatal dose of morphine, likely administered by one of her parents who were both morphine-dependent. The coroner…

paediatricsgeneral practicemedicationdiagnosticmorphine
TAShome2015-03-20

Coroner's Finding: Sterling, William John

60y · Male·Complications of chronic lung disease (emphysema, foreign body giant cell reacti…

A 60-year-old man with severe emphysema, atherosclerotic coronary disease, and secondary pulmonary hypertension died at home. He had a history of heavy smoking, chronic back pain treated with morphine, alcohol abuse, and…

respiratory medicinecardiologymorphine
TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…

A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence…

general practicepain medicinesystemoxycodone
VIChome2015-02-20

Finding into death of Phillip George Black

29y · Male·Combined methadone, diazepam and clonazepam toxicity in a man commencing a metha…

Phillip Black, age 29, died from combined methadone, diazepam and clonazepam toxicity after commencing methadone maintenance therapy. He presented to Dr D. on 23 September 2010 seeking to re-commence MMT, having previous…

addiction medicinegeneral practicediagnosticmedicationmethadone
VICcommunity2015-01-20

Finding into death of Peter Oelfke

48y · Male·Haemophilus influenzae bronchopneumonia in the setting of alcohol and methadone …

Peter Oelfke, a 48-year-old man with alcohol and opioid dependence, died from haemophilus influenzae bronchopneumonia complicated by alcohol and methadone toxicity. He had no fixed address and lived in a tent. His GP pre…

general practiceforensic medicinemedicationsystemmethadone
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

Paul Kanis, a 38-year-old man with schizoaffective disorder, drug dependency, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The c…

general practiceaddiction medicinecommunicationsystemmethadone
VICcommunity2014-12-12

Finding into death of John Raymond Gilbett

54y · Male·hanging

John Raymond Gilbett, aged 54, died by hanging on 11 September 2011. He had chronic pain and opioid dependence managed by general practitioners, and chronic mental illness from a 2001 motor vehicle accident. His GP presc…

general practicepsychiatryvarenicline
VIChome2014-11-11

Finding into death of Tamara Ann Burt

32y · Female·Alcoholic ketoacidosis

Tamara Burt, 32, died of alcoholic ketoacidosis after isolating in her room and drinking excessively. She had bipolar affective disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite o…

psychiatryaddiction medicinesystemcommunicationquetiapine
VIChome2014-10-30

Finding into death of Anne Christine Brain

44y · Female·Intoxication by the combined effects of tramadol, methadone, diazepam, codeine, …

Anne Christine Brain, a 44-year-old woman with schizophrenia, anxiety, and depression who was opioid-dependent, died from intoxication by combined effects of tramadol, methadone, diazepam, codeine, alprazolam, risperidon…

general practiceaddiction medicinesystemcommunicationtramadol
VIChome2014-10-06

Finding into death of Peter Andrew McNay

50y · Male·hanging

50-year-old male with long-standing substance abuse history (alcohol, marijuana, heroin until 2009) and complex mental health issues including depression, anxiety, personality traits, and multiple prior suicide attempts.…

psychiatryaddiction medicinealcohol
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement …

paediatricsaddiction medicinesystemcommunicationinhalant
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overdose involving tramadol and methadone (not prescribed to h…

psychiatryaddiction medicinesystemmethadone
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…

general practiceemergency medicinediagnosticmedicationalprazolam
VIChome2014-06-19

Finding into death of William John Bailey

22y · Male·Combined drug toxicity (methadone and benzodiazepines)

William John Bailey, a 22-year-old man recently released from prison, died from combined drug toxicity involving methadone and benzodiazepines. He consumed methadone takeaway doses prescribed to his housemate Ms Rattya w…

addiction medicineemergency medicinesystemmethadone
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…

psychiatryaddiction medicinediagnosticmedicationmethadone
NSW2014-05-21

Inquest into the death of GB

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 been assessed multiple times by the Risk Interv…

psychiatryaddiction medicineproceduralmethamphetamine
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