Coronial

32 results for drug-induced respiratory depression

NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…

general practicepsychiatrymedicationdiagnosticmethadone
ACThospital2016-12-16

AN INQUEST INTO THE DEATH OF PAUL FENNESSY

21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…

Paul Fennessy, a 21-year-old with polysubstance addiction and mental health issues, died from positional asphyxia following a drug overdose on 6 January 2010. He presented to the Emergency Department that afternoon after…

emergency medicinepsychiatrycommunicationsystemmethadone
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
VIChome2026-04-17

Finding into death of Harrison William Ladd

25y · Male·Combined drug toxicity

Harrison William Ladd, 25, died from combined drug toxicity involving clonazepam, dexamphetamine, codeine, diazepam and pholcodine. He had complex mental health and substance use disorder requiring specialist addiction c…

general practicepsychiatrymedicationcommunicationclonazepam
VICcommunity2016-08-26

Finding into death of Melissa Jane May

44y · Female·Combined drug toxicity (oxycodone, diazepam, and pregabalin)

Melissa May, a 44-year-old woman with chronic pain and opioid dependence, died from combined drug toxicity on 16 December 2013. She had been prescribed oxycodone, diazepam, and pregabalin by doctors at Rich River Health …

general practicepain medicinecommunicationsystemoxycodone
WAhospital2017-08-23

Inquest into the Death of Marjorie Joy JARICK

54y · Female·Opioid toxicity (predominantly fentanyl)

…ement enhanced monitoring protocols (at least 2-hourly observations) when opioids are started; escalate respiratory depression signs (low oxygen saturation plus vomiting) to senior medical staff; and restrict fentanyl p…

anaesthesiasurgerymedicationcommunicationfentanyl
WAhome2016-02-10

Inquest into the Death of Shayne Andrew BERRY

44y · Male·Combined drug effect (oxycodone and benzodiazepines)

A 44-year-old man with a history of heroin addiction registered as a drug addict in 2010 died from combined drug effect involving oxycodone and benzodiazepines. Despite being a registered drug addict, he obtained prescri…

general practicepharmacologysystemcommunicationoxycodone
QLDhospital2025-03-31

Inquest into the death of Jamie Brian Campbell

43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…

… unnecessary and given too soon. Critical failures included: inadequate assessment of vital signs, with respiratory rates severely under-documented (actual 50+ breaths/min recorded as 36), misinterpretation of involunta…

emergency medicinetoxicologydiagnosticmedicationmethamphetamine
VIChospital2020-04-16

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2017. She was discharged on 23 May on methadone 5mg twice daily pl…

pain medicineemergency medicinecommunicationdiagnosticmethadone
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

Mrs Lillian Shaw, a 67-year-old obese woman with a history of NSAID use, presented with vomiting and abdominal pain over 36 hours. A GP visited three times without performing adequate physical examination, failed to insp…

general practicegastroenterologydiagnosticmedicationtramadol
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

…abdominal complaints. The coroner found that appropriate monitoring, especially checking heart rate and respiratory status, may have prevented his death. Clinical lessons include: ensuring sedated patients receive frequ…

psychiatryaddiction medicinemedicationproceduralmethadone
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 …

emergency medicineintensive carediagnosticcommunicationsodium valproate

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