Coronial

568 results for overdose

VIChome2011-03-08

Finding into death of Shane Stephen Hubezak

33y · Male·Combined drug toxicity (heroin, alprazolam, methadone)

Shane Hubezak, aged 33, died from combined drug toxicity involving heroin, alprazolam (Xanax), methadone, and cannabis. On 25 July 2010, he was arrested following a police pursuit and motor vehicle collision. He was tran…

heroin
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

A 20-month-old Aboriginal boy died from lung infection on a background of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone ta…

general practiceforensic medicinediagnosticmedicationoxycodone
VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

Hunter Joseph Stewart, a 27-year-old with major depressive disorder and alcohol dependence, was admitted to St Vincent's Acute Inpatient Service following police custody for public intoxication. He was treated for alcoho…

psychiatryaddiction medicinecommunicationsystemheroin
TAShome2018-01-29

Coroner's Finding: Stewart, Justin Blade

36y · Male·mixed drug toxicity

…n, and death. The coroner accepted that death resulted from this drug combination rather than intentional overdose. The case highlights risks of polypharmacy with CNS depressants, particularly in patients with mental ill…

psychiatrygeneral practicequetiapine
VICcommunity2017-03-22

Finding into death of Peter Van Danh

36y · Male·Head injuries from motor vehicle strike

Peter Van Danh, a 36-year-old man, died on 11 September 2014 from head injuries consistent with being struck by a motor vehicle. He had consumed approximately 40 diazepam tablets and tested positive for methamphetamine, …

forensic medicinediazepam
VIChospital2012-01-31

Finding into death of Lee Patrica Collings

51y · Female·Multiple injuries sustained when struck by a car while lying on the Mornington P…

Lee Collings, 51, died by suicide after absconding from an Emergency Department. She presented with suicidal ideation and was triaged as Mental Health Category 4. Key failures included: the Crisis Assessment Team clinici…

emergency medicinepsychiatrycommunicationsystemsodium valproate
VIChospital2014-07-28

Finding into death of Glen David Kingsun

42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…

… multiple doctors prescribed without complete awareness of other medications, leading to likely verapamil overdose (toxic combination with propranolol). Dr B. prescribed diltiazem 320mg mistakenly, Dr N. then increased v…

general practiceemergency medicinemedicationcommunicationverapamil
VICmental health2012-04-30

Finding into death of Travis Andrew McNees

18y · Male·Multiple injuries due to impact by train

…sconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdose following relationship breakdown. Clinical lessons include: (1) CATT clinician should have conducted face…

psychiatryemergency medicinecommunicationsystemparacetamol
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

…ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after orthopaedic surgery for a wrist fracture sustained while …

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
VIChospital2021-03-19

Finding into death of BT

25y · Male·Multiple system failure and ingestion of sodium nitrite

BT, a 25-year-old man with bipolar affective disorder and long-standing depression, died from intentional sodium nitrite ingestion while an inpatient in the Behavioural Assessment Unit at Royal Melbourne Hospital. He pre…

emergency medicinepsychiatrydiagnosticsystemsodium nitrite
VICmental health2025-12-11

Finding into death of Tania Louise De Jong

48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…

…ring initial assessment. During day leave on 23 April 2023, she obtained drugs and subsequently died from overdose involving morphine, codeine, venlafaxine, amitriptyline, and zopiclone. Critical clinical lessons include…

psychiatrygeneral practicesystemcommunicationmorphine
SAaged care2008-02-04

Coroner's Finding: KEOUGH Thomas Ryan

18y · Male·methadone toxicity

Thomas Ryan Keough, aged 18, died from methadone toxicity at Palm Lodge, a supported residential facility for people with mental illness, in August 2003. His body was not discovered for 48 hours after death. The coroner …

psychiatryaddiction medicineproceduralcommunicationmethadone
NSW2017-11-22

Inquest into the death of Roger Josef Davies

42y · Male·Unknown

…to mortality. With only skeletal remains and no soft tissue, it was impossible to exclude natural causes, overdose, or trauma. The case highlights challenges in investigating deaths of vulnerable homeless persons with co…

pathologyemergency medicine
QLDhome2015-07-27

Howman, Katie Lee

30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl

… registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs indicated long-standing intr…

psychiatrypsychologydiagnosticsystemfentanyl
WAcommunity2005-07

Inquest into the Death of Kevin Leslie Charles Bellchambers

31y · Male·Gunshot wound to the head

…sed had a long history of drug abuse, was on parole with bail conditions, had attempted suicide by heroin overdose days earlier, and had not eaten for several days. He was exhausted, hungry, possibly withdrawing from dru…

heroin
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

… December 2007. She had severe recurrent postpartum depression and had attempted suicide two weeks prior (overdose). Despite being assessed as high-risk on 4 December and placed on hourly observations, she hanged herself…

psychiatryintensive carediagnosticcommunicationsertraline
SAhospital2006-06-22

Coroner's Finding: MERRITT Christopher Simon

24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)

…nning. Critically, Dr W. likely had access to a February 2003 FMC discharge summary documenting Temazepam overdose with psychiatric assessment, which would have revealed a pattern of impulsive self-harm. Dr W.'s assessme…

general practiceemergency medicinediagnosticcommunicationcitalopram
NSW2023-12-12

Inquest into the death of TH

57y · Male·Chronic Coronary Artery Atherosclerosis in the context of mirtazapine toxicity

…2022. He obtained unprescribed medications (mirtazapine and paracetamol at toxic levels) and deliberately overdosed in his cell. While he had significant cardiac risk factors, the intentional ingestion of medications and…

mirtazapine
VIChome2013-11-28

Finding into death of Dorothy Merle Lane

84y · Female·complications of mixed drug toxicity (morphine, zolpidem and alprazolam) in a wo…

An 84-year-old woman with dementia, ischaemic heart disease, and cancer died from mixed drug toxicity (morphine, zolpidem, alprazolam) while visiting her daughter. Her daughter, who had a history of depression and PTSD, …

geriatric medicinecardiologysystemmorphine
QLDcommunity2022-05-05

Guise, Jason Barry

45y · Male·Unknown

…deceased could not have entered alone. Five plausible scenarios emerged: drug-fuelled assault, accidental overdose/suicide with body disposal, involvement in firearms recovery criminal activity, drug debt-related killing…

forensic medicinetoxicologymethamphetamine
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