Coronial

568 results for overdose

NSWhospital2022-09-26

Inquest into the death of Faithe Baxter

22y · Female·cardiac arrest of uncertain cause noting the existence of drug toxicity; the dru…

Faithe Baxter, aged 22, died from cardiac arrest due to methamphetamine toxicity after using multiple drugs including methamphetamine, benzodiazepines, opioids and nitrous oxide. She became unconscious in a car overnight…

emergency medicineintensive caredelaymethamphetamine
VICmental health2015-07-08

Finding into death of David Allan D'Angelo

30y · Male·Heroin toxicity

…Nurse Layne, he absconded when left briefly unattended. He was treated by ambulance paramedics for heroin overdose at 12:52pm and declined hospital transport. He died later that day from heroin toxicity at a backpackers'…

psychiatryemergency medicinesystemdelayheroin
NSWmental health2014-06-18

Inquest into the death of Mark Richard GLEESON

39y · Male·respiratory failure as a result of the interaction of prescribed medication and …

Mark Richard Gleeson, 39, died from respiratory failure caused by the combined effect of prescribed antipsychotic/anxiolytic medications (olanzapine, quetiapine, clonazepam) and alcohol consumed within hours of discharge…

psychiatryolanzapine
SA2000-06-16

Coroner's Finding: CARTER Marshall Freeland

19y · Male·heroin toxicity

Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…

forensic medicineemergency medicinediagnosticcommunicationheroin
QLDhome2008-09-12

Doheny, Dominic Raphael

36y · Male·morphine toxicity

…e for acute pain; clear dosing instructions (every 12 hours, not twice daily) and explicit warnings about overdose fatality are essential; patient non-compliance and altered mental state (drowsiness, confusion) at midnig…

emergency medicinegeneral practicemedicationprescribingmorphine
VIChome

Finding into death of Nathan Carl Skewes

31y · Male·mixed drug toxicity

…used these substances in the weeks before his death, with some family awareness. There is no evidence the overdose was deliberate. The coroner identified a critical public health gap: no legal authority has responsibilit…

systemfentanyl
VIChospital2011-05-04

Finding into death of Ms P

30y · Female·Multi organ failure from hydrochloric acid ingestion

…ptember 2008. She had presented to mental health services on 18 September following suicidal ideation and overdose of benzodiazepines. Despite hospitalization, she was discharged to community care after one night based o…

psychiatrygeneral practicecommunicationsystemtemazepam
QLD2006-04-13

Adams, Michael James

20y · Male·Hanging (wilful murder by Andrew Thomas Kranz)

… Centre despite documented concerns from medical and correctional staff about his safety following a drug overdose. A solicitor had previously reported concerns about his isolation and psychological distress. The coroner…

systemdelayheroin
WAaged care2020-03-27

Inquest into the Death of Laureen Kaye REILLY

54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…

Laureen Kaye Reilly, aged 54, died from combined drug toxicity involving heroin, cannabis, and prescription medications including antipsychotics and mood stabilizers. She had complex mental health disorders, acquired bra…

psychiatrygeneral practiceheroin
SAhospital2007-01-03

Coroner's Finding: FOOT Brodie Sian

23y · Female·drowning and citalopram overdose

… who prescribed citalopram starter packs. She was found drowned on 24 March 2004 with a lethal citalopram overdose. Key failures: (1) failure to escalate to psychiatric registrar; (2) medication given without medical ass…

general practiceemergency medicinediagnosticproceduralcitalopram
VIChospital2024-03-13

Finding into death of K M

18y · Male·Drug toxicity (3,4-methylenedioxy-N-methylamphetamine (MDMA), methylone)

…cking services that could have identified the presence of methylone (a synthetic cathinone) and warned of overdose risks, potentially enabling informed safer choices about drug use.

emergency medicineintensive careMDMA
SAhospital2020-01-10

Coroner's Finding: FIORETTI Louisa Jill Josephine

19y · Female·2,4-dinitrophenol toxicity

A 19-year-old woman died from 2,4-dinitrophenol (DNP) toxicity after intentionally ingesting approximately 50 x 250mg capsules purchased online. She presented to Flinders Medical Centre with an Inpatient Treatment Order …

toxicologyemergency medicine2,4-dinitrophenol
NSWhospital2019-12-17

Inquest into the death of Alan BUGDEN and Amaru BESTRIN

Unknown·Alan Bugden: pulmonary thromboembolism after stroke. Amaru Bestrin: combined dru…

Two deaths occurred in hospital toilets due to undetected collapse in publicly accessible facilities. Alan Bugden, 66, suffered a stroke in an ambulatory care centre toilet at Royal North Shore Hospital and remained unde…

emergency medicineneurologysystemcommunicationheroin
SAhospital2000-04-12

Coroner's Finding: RUSSELL Brian Edward

80y · Male·bronchopneumonia complicated by morphine toxicity

…ed colleagues, and attempted correction with a paperclip rather than seeking proper assistance. After the overdose was discovered, naloxone was administered, then additional morphine was given despite ongoing signs of di…

palliative caregastroenterologymedicationproceduralmorphine
WAcommunity2025-08-22

Inquest into the Death of David Kalunda FLYNN

2y · Male·Cardiorespiratory arrest in a young child with opioid (morphine) toxicity

…e about 4 hours later and was found without a pulse at 6:30pm. Despite resuscitation, he died from opioid overdose. Experts agreed that if David had been properly monitored at the clinic, his dangerous drowsiness would h…

general practicegeneral surgerymedicationproceduralmorphine
VIChome2010-05-06

Finding into death of Simon Mark Gray

31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …

Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…

psychiatrypain medicinesystemmorphine
TAScommunity2023-05-08

Coroner's Finding: Johns, Ross Alexander

36y · Male·hanging, with contributing factors of alcohol dependence and depression

…ol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following admission for overdose and suicide attempt. The coroner found no deficits in his treatment or care, and that procedures and prot…

psychiatryemergency medicineprescription medications at therapeutic levels
TAShome2017-10-12

Coroner's Finding: Allie, Sue Denise

63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…

Sue Denise Allie, aged 63, died at home in July 2015. She had presented to hospital in May 2015 with superwarfarin (brodifacoum) poisoning from rat poison, which she attributed to handling contaminated material. Medical …

general practicehaematologydiagnosticbrodifacoum
VIChome2022-05-20

Finding into death of Mr P

26y · Male·Mixed drug toxicity (MDMA, ketamine, methylphenidate, and novel psychoactive sub…

Mr P, a 26-year-old man, died from mixed drug toxicity involving MDMA, ketamine, methylphenidate, and novel psychoactive substances (synthetic cathinones: ethylone, eutylone, N-ethylpentylone, N-ethylhexedrone). He consu…

toxicologyforensic medicinesystemMDMA
VIChospital2014-04-24

Finding into death of Stacey Jade Smith

20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station

…lex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of a train. Initial assessment app…

emergency medicinepsychiatrycommunicationsystemdiazepam
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