Coronial

568 results for overdose

TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
VIC2019-10-16

Finding into death of FDS

34y · Male·Mixed drug toxicity

…y decreased drug tolerance after period of abstinence while incarcerated, making them vulnerable to fatal overdose; FDS attended a GP requesting benzodiazepines without disclosing substance use relapse concerns; no urgen…

general practiceforensic medicinecommunicationdelayheroin
SAmental health2012-12-13

Coroner's Finding: Jenkinson Jacqueline Mary

46y · Female·mixed drug toxicity

46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …

psychiatrypsychologycommunicationsystemclozapine
VIChospital2013-04-22

Finding into death of Evelyn Wright

62y · Female·Hypoxic brain injury complicating mixed drug toxicity

Evelyn Faye Scherger (62F) died from hypoxic brain injury following a polypharmacy overdose on 6 September 2011, two days after discharge from the Mildura Base Hospital Emergency Department. She ha…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
QLDhospital2007-08-17

Mental Health patient

71y · Male·hypoxic brain injury due to hanging

… July 2005, three days after admission to a private psychiatric hospital (Belmont) following a medication overdose of uncertain intent. His psychiatrist (Dr D.) documented suspicions on 20 July that the patient might be …

psychiatryemergency medicinecommunicationdiagnostictemazepam
VIChospital2012-06-08

Finding into death of Donna Maria Mousely

46y · Female·Hypoxic brain injury due to combined drug toxicity

… advising a 36-hour washout period after the final codeine dose before methadone commencement, increasing overdose risk. The coroner found no basis to criticise any health professional and did not make an AHPRA referral.

addiction medicinegeneral practicecommunicationmethadone
VICcommunity2024

Finding into death of Mr XML

60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…

Mr XML, aged 60, died from mixed drug toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving…

forensic medicinetoxicologymethamphetamine
TAShome2023-04-20

Coroner's Finding: Young, Luke Trevor

42y · Male·mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapin…

…d from mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapine) in a suicide by overdose. He had severe, longstanding bipolar II disorder with chronic suicidality, complicated by alcohol/drug de…

psychiatrygeneral practicesystemdelaysertraline
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

…mogenic cardiomyopathy (undetected cardiac condition); combined doxepin and venlafaxine toxicity (patient overdosed significantly); physiological stress from psychosis and physical restraint; and possible medication misc…

psychiatrygeneral practicemedicationcommunicationdoxepin
VICcommunity2021-03-31

Finding into death of Ilker

32y · Male·Mixed drug toxicity (25C-NBOMe, 4-fluoroamphetamine, doxylamine)

A 32-year-old man died from mixed drug toxicity after consuming tablets he believed were MDMA, which actually contained 25C-NBOMe and 4-fluoroamphetamine—novel psychoactive substances (NPS) of unknown potency obtained fr…

emergency medicinetoxicologysystem25c-nbome
NSWhome2023-08-15

Inquest into the death of LA

5y · Female·Hypoxic-ischaemic Encephalopathy due to methadone toxicity

LA, a five-year-old girl, died from hypoxic-ischaemic encephalopathy due to methadone toxicity on 22 January 2017. She ingested methadone at her grandfather's home while staying overnight; the grandfather was enrolled in…

paediatricsintensive caredelaycommunicationmethadone
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…cluded: the prescribing doctor not specifying tablet/capsule formulation despite knowing oral drops posed overdose risk; lack of clear warning about side effects and toxicity; and dispensing a concentrated paediatric for…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
VIChospital2025-08-18

Finding into death of B T

53y · Male·Complications of hypoxic brain injury secondary to mixed drug toxicity (methylam…

BT, a 53-year-old man with substance use disorder and mental health conditions, died from complications of hypoxic brain injury secondary to mixed drug toxicity (methylamphetamine, benzodiazepines, metonitazene). He inje…

emergency medicineintensive caremethamphetamine
TAShome2024

Coroner's Finding: Heraghty, Susanna Elizabeth

68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)

Ms Heraghty, a 68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) …

orthopaedic surgeryanaesthesiaoxycodone
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

…esponse was appropriate. Lessons include need for mandatory comprehensive reassessments after significant overdoses, better collateral information gathering, improved interdisciplinary communication, and consideration of…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VICcommunity2025-09-05

Finding into death of R J

36y · Male·Heroin toxicity

A 36-year-old man with a history of homelessness and intravenous heroin use died from heroin toxicity after overdosing in a public toilet block. Emergency services were called promptly by a bystander who remained at the …

communicationsystemheroin
VIChospital2019-07-30

Finding into death of Allison Judith Allan

43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…

43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …

emergency medicineintensive carediagnosticcommunicationsodium valproate
VIChome2021-07-27

Finding into death of Daniel Joseph Herbert

37y · Male·Combined drug toxicity (methadone, fentanyl, diazepam and pregabalin)

Daniel Joseph Herbert, aged 37, died from combined drug toxicity involving methadone, fentanyl, diazepam and pregabalin. He had a 17-year history of opioid dependence stemming from prescription OxyContin for a work-relat…

general practiceaddiction medicinecommunicationsystemmethadone
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

… to benign causes. Only at midnight on 3 February, when experiencing severe chest pain, did he reveal the overdose. Police responded promptly and he was transferred to Dandenong Hospital where he developed acute liver fa…

emergency medicineintensive careparacetamol
VIChome2021-03-19

Finding into death of Kim Melissa Hall

36y · Female·combined effects of baclofen toxicity and blunt head injury

Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treated with off-label baclofen prescribed by her GP. O…

general practiceaddiction medicinemedicationbaclofen
113141529

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