Coronial

28 results for alcohol tolerance

WApolice custody2017-03-31

Inquest into the Death of Maureen MANDIJARRA

44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…

…ecurrent skin infections, was arrested at Male Oval on 29 November 2012 for street drinking under a zero-tolerance police approach. She was heavily intoxicated and uncharacteristically aggressive during admission to cus…

emergency medicineinfectious diseasesdiagnosticcommunicationalcohol
NTmental health2016-07-11

Inquest into the death of Dean Jigili

23y · Male·self-inflicted hanging

… found the transfer decision reasonable without hindsight, noting his improved mental state and previous tolerance of Cowdy Ward. Key issues included delayed discharge summaries, inadequate inter-team communication betw…

psychiatryemergency medicinecommunicationsystemcannabis
NSW2018-09-12

Inquest into the death of W

38y · Male·Multidrug toxicity

A 38-year-old man with multiple drug dependencies (alcohol, opioids, benzodiazepines) was admitted to a drug withdrawal facility for assisted detoxification. He rec…

addiction medicineemergency medicinemedicationcommunicationbuprenorphine
QLD2014-12-11

Rowe, Laurence Edwin

68y · Male·head injury from crush trauma between forklift mast components

…perator training, maintenance records, operating manuals, risk assessments, traffic management, and zero tolerance for unsafe work practices.

occupational and environmental healthemergency medicinesystemcommunication
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighte…

psychiatrydiagnosticsystemrisperidone
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie Centre in the ACT. He was assessed as opioi…

addiction medicinegeneral practicediagnosticsystemmethadone
NTcommunity2025-07-07

Inquest into the death of Kumanjayi Walker

19y · Male·fatal gunshot wounds to the chest and back from three rounds fired by Constable …

Kumanjayi Walker, a 19-year-old Warlpiri/Luritja man with complex trauma history, was fatally shot three times on 9 November 2019 during an attempted arrest in Yuendumu. The coroner found the death was avoidable and resu…

emergency medicinegeneral practicediagnosticprocedural
WAhospital2023-04-17

Inquest into the Death of Edward Ivan AFRICH

64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …

Edward Ivan Africh, a 64-year-old sentenced prisoner, died from bronchopneumonia and sepsis with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart fai…

respiratory medicinecardiologycommunicationsystemthiamine

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