61 results for “opioid withdrawal”
54y · Male·carbon monoxide asphyxia
… before being discharged voluntarily with community support. He had discharged himself from an inpatient withdrawal unit two days earlier against medical advice. Key clinical lessons include: poor information-sharing bet…
60y · Female·hanging
Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …
36y · Female·Stab wound to the right chest
…n desvenlafaxine three days before the homicide, he developed acute psychosis likely related to tramadol withdrawal, drug interaction, or combination with recent substance cessation. He stabbed Ms Harris multiple times, …
54y · Male·Neck compression (hanging)
…napproved leave while on close observations. He was admitted with major depression, suicidal ideation, and opioid dependence. On 1 July 2014, despite being on hourly observations and deteriorating mental state that eveni…
51y · Female·undetermined - either citalopram toxicity or ischaemic heart disease
…3 while on home detention bail. She had been hospitalized in July 2013 following suspected drug overdose/withdrawal, during which she developed secondary kidney and heart complications. She was discharged in good health …
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment…
34y · Male·heroin toxicity with possible contribution from coronary atherosclerosis
…wever, systemic failures in drug harm reduction were identified. Key preventable factors included: lack of opioid replacement therapy programs (methadone/buprenorphine) despite evidence they reduce overdose deaths; inade…
33y · Male·Neck compression (hanging)
…ted murder. He had a recent suicide attempt by gunshot wound (31 October), was on opiate medications for withdrawal management, and presented with anxiety and withdrawal symptoms. Initially assessed as medium risk with 6…
38y · Male·asphyxiation due to hanging
A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in September 2011. He had been assessed multiple times by the Risk Interv…
48y · Female·Ligature compression of the neck (hanging)
…compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief from her partner's recent drug-related death, and initial self-harm ideation, but her me…
47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…
A 47-year-old man serving his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine whil…
17y · Female·mixed drug toxicity
…ontrary to guidelines recommending 5-10mg increments every 4 days); misinterpreting toxicity symptoms as withdrawal and increasing doses accordingly; failing to recognise drug interactions (fluoxetine increases methadone…
44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity
…as resuscitated by emergency services but suffered irreversible brain damage and died after life support withdrawal. The case highlights the complexity of drug-related deaths and the role of harm minimisation policies in…
37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…
…xicity. He was placed in detoxification requiring four-hourly clinical observations after assessment for withdrawal from heroin, methamphetamine and benzodiazepines. Critical failures occurred: nursing staff did not read…
26y · Male·Drug toxicity (1,4 butanediol, gamma hydroxybutyrate, methylamphetamine, cocaine…
…eted rehabilitation in May 2022, but relapsed after an overseas holiday. His GP appropriately identified withdrawal symptoms and referred him to hospital in November 2023, prescribing Valium. The clinical lesson centres …
23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…
…specific monitoring protocols for methadone re-induction in hospital, insufficient nursing education about opioid toxicity, and failure to recognize and escalate early warning signs before respiratory depression.
45y · Female·Multi-drug toxicity
…ine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of addictive opioids, benzodiazepines and other CNS depressants despite documented drug and alcohol dependence, 15+ prior over…
0y · Female·Sudden infant death syndrome (SIDS) category 2
Baby A, born on 6 August 2018 to a mother in remand custody at Dame Phyllis Frost Centre, died of SIDS category 2 on 18 August 2018 aged 12 days. She was born with neonatal abstinence syndrome due to maternal methadone u…
15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)
…safe storage of potentially dangerous medications in households with vulnerable adolescents; considering withdrawal effects and sleep disturbance management during medication transitions; and clear communication regardin…
33y · Male·complications of acute peritonitis caused by rupture of a duodenal ulcer
Sony William Tran-Bui, aged 33, died from acute peritonitis caused by a ruptured duodenal ulcer while in custody at Silverwater Correctional Centre in November 2013. The death was not preventable given the sudden, unexpe…
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