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VIChome2014-05-15

Finding into death of Georgia Susan Cheal

31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…

Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…

general practicepsychiatrycommunicationsystemoxycodone
NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2009…

psychiatryemergency medicinequetiapine
VIChome2014-04-30

Finding into death of Nathan Troy Chalkley

27y · Male·Toxicity to heroin

Nathan Chalkley, 27, died from heroin toxicity on 27 January 2007. He was released from Barwon Prison in October 2006 on parole after serving time for criminal offences. Despite engagement with corrections, a psychiatris…

psychiatryforensic medicinesystemheroin
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical clinical failure…

general practiceaddiction medicinemedicationcommunicationheroin
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

33y · Male·toxic effects of oxycodone

A 33-year-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine a…

general practicepsychiatrydiagnosticmedicationoxycodone
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed …

general practicepsychiatrysertraline
VIC2013-12-31

Finding into death of Wayne Joannou

26y · Male·Gunshot wound to head

Wayne Joannou, 26, died from a gunshot wound to the head on 18 February 2005 when the Special Operations Group attempted his arrest. He was a known violent offender with a 10-year criminal history and substance abuse iss…

addiction medicinepsychiatrysystemcommunicationheroin
VIChospital2013-12-09

Finding into death of JM

17y · Female·Combined Drug Toxicity (heroin, alprazolam and diazepam)

A 17-year-old female with complex mental health and substance use disorders died from combined drug toxicity (heroin, alprazolam, and diazepam) following release from youth detention. Despite extensive involvement from d…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2013-10-11

Finding into death of LP

31y · Male·Multidrug overdose including heroin

LP, a 31-year-old man with depression, severe anxiety, and substance use disorder, died from multidrug overdose including heroin. He had long-standing benzodiazepine (Xanax) abuse since his late teens, complicated by met…

pathologypsychiatryheroin
VIChome2013-10-01

Finding into death of Christina Mifsud

45y · Female·Combined Drug Toxicity

Christina Mifsud, aged 45, died from combined drug toxicity including methadone, diazepam, paroxetine and cannabis. She accessed methadone prescribed to her partner stored unsecured in their home. The coroner identified …

pharmacologyaddiction medicinesystemmethadone
VIChome2013-10-01

Finding into death of Dion Heather

38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…

A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…

addiction medicinegeneral practicesystemdelaymethadone
VIChome2013-09-12

Finding into death of Sarolta Elesits

54y · Female·Acute alcohol toxicity with immersion

A 54-year-old woman with major depressive disorder and alcohol addiction died from acute alcohol toxicity with immersion. She was hospitalised involuntarily on 23 December 2008 with a blood alcohol level of 0.323 and sui…

psychiatryaddiction medicinecommunicationsystemalcohol
VICcommunity2013-09-04

Finding into death of Cassilla Ellen Dooley

34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)

Cassilla Ellen Dooley, a 34-year-old woman with chronic mental illness and substance dependence, died from mixed drug toxicity involving ethanol, methadone, diazepam, and risperidone at a supported housing facility. She …

psychiatryemergency medicinecommunicationsystemalcohol
SAhome2013-09-03

Coroner's Finding: KROMWYK Shane Andrew

38y · Male·mixed drug toxicity and arrhythmogenic right ventricular dysplasia

Shane Andrew Kromwyk, aged 38, died at home on 14 March 2009 while on home detention bail. Post-mortem examination revealed mixed drug toxicity (methadone, diazepam, alprazolam) combined with pre-existing arrhythmogenic …

general practiceaddiction medicinediagnosticmedicationmethadone
VIC2013-08-23

Finding into death of PT

57y · Male·Aspiration pneumonia in an HIV positive man on methadone

A 57-year-old man with HIV, chronic alcoholism, and opioid dependence died from aspiration pneumonia while residing in a managed care facility. On the day of death, staff noted abnormal behaviour and drowsiness; methadon…

general practicepathologysystemmethadone
VIChome2013-06-12

Finding into death of Matthew Robert Frandsen

41y · Male·mixed drug toxicity (ethanol, amitriptyline, methadone, morphine, diazepam, tema…

Matthew Frandsen, a 41-year-old with longstanding illicit drug and alcohol use disorder, died from mixed drug toxicity involving ethanol, methadone, morphine, amitriptyline, and benzodiazepines. He was found heavily into…

forensic medicineaddiction medicinesystemdelayalcohol
VICcommunity2013-06-05

Finding into death of Helen Maree Stagoll

16y · Female·respiratory arrest caused by combined toxic effects of methadone and alprazolam

This is a coronial prevention report examining methadone takeaway dosing risks in Victoria, prepared following the death of Helen Stagoll (age 16) in 2010 from respiratory arrest caused by diverted methadone and alprazol…

addiction medicinepharmacologysystemdelaymethadone
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…

psychiatrygeneral practicecommunicationdocumentationsertraline
WA2013

Inquest into the Death of Lewis, Leslie Graham

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

Leslie Graham Lewis, a 57-year-old Australian registered nurse, died in Thailand on 24 February 2011 in circumstances that remain unclear. He had been admitted to hospital in Nong Khai with severe alcohol intoxication an…

emergency medicinegeneral medicinedischargesystemalcohol
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

Herbert Mitchell, a 50-year-old man with alcohol dependence, was arrested for public drunkenness after being found extremely intoxicated at a shopping centre. Initially taken to an alcohol diversion centre but removed du…

emergency medicineintensive carediagnosticsystemalcohol
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