Coronial

1,010 results for pain

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ACThome2018-06-25

INQUEST INTO THE DEATH OF SUELLEN EDITH DAVIS

57y · Female·Positional asphyxia caused by the combined effect of consumption of several opia…

57-year-old woman with chronic pain died from positional asphyxia caused by consumption of multiple sedative medications. She was prescribed op…

general practicepain medicinecommunicationsystemoxycodone
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

…ith complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine, methadone, amitriptyline, quetiapine, an…

psychiatrypain medicinediagnosticmedicationvenlafaxine
SAhospital2021-11-16

Coroner's Finding: Kresevic, Ivanka

74y · Female·acute myocardial infarction due to coronary artery thrombosis

74-year-old woman presented to emergency department with chest pain on 6 January 2017. She was diagnosed with gastro-oesophageal reflux disease and discharged after 53 minutes…

emergency medicinecardiologydiagnosticcommunication
ACThome2020-02-07

Inquest into death of RODNEY WAYNE RUDD

67y · Male·aspiration of gastric contents, due to morphine toxicity, in the context of bila…

A 67-year-old man with chronic pain, pancreatitis, osteoporosis and emphysema died from aspiration of gastric contents due to morphine toxicity…

general practicepain medicinemorphine
TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…

A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diaze…

general practicepain medicinesystemoxycodone
VIChome2018-07-29

Finding into death of Diane Maria Hillgrove

34y · Female·Mixed drug toxicity

Diane Maria Hillgrove, a 34-year-old woman with chronic pain, PTSD, anxiety and substance abuse history, died from mixed drug toxicity on 7 July 2018. Post-mortem toxic…

general practicepsychiatrysystempregabalin
WAhospital2017-08-23

Inquest into the Death of Marjorie Joy JARICK

54y · Female·Opioid toxicity (predominantly fentanyl)

…at a private hospital. Anaesthetist Dr Y. prescribed a 75mcg/hr fentanyl patch post-operatively for chronic pain management due to the patient's intolerance of oral opioids. The patient had been reviewed by pain speciali…

anaesthesiasurgerymedicationcommunicationfentanyl
VIChospital2026-04-16

Finding into death of Damien Mark Stone

53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures

…neumonia following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (1) pain assessment in non-verbal patients requires structured tools (Abbey pain scale) and information from family/…

emergency medicineneurologydiagnosticcommunicationoxycodone
QLDhospital2012-06-22

Paton, Daniel William

45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia

…cumentation and observation of sedation levels despite published PCA guidelines, non-contact with the Acute Pain Management Service when clinical deterioration occurred, and lack of escalation to senior medical staff. Th…

anaesthesiapain medicinediagnosticmedicationmorphine
TAShome2018-03-19

Coroner's Finding: MC

22y · Male·combined mixed drug intoxication

A 22-year-old medical student with chronic spinal cord pain and depression died from combined drug intoxication involving U-47700 (a potent uncontrolled synthetic opio…

general practicepsychiatrysystemu-47700
VIChome2021

Finding into death of Tate Hobbs

36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)

A 36-year-old motor mechanic with chronic pain from a 2014 knee injury died from combined drug toxicity (pregabalin, morphine, amitriptyline). His general…

general practicepain medicinemedicationcommunicationpregabalin
VIChospital2024-05-28

Finding into death of Trevor Lindsay Jones

75y · Male·ruptured abdominal aortic aneurysm

…betes, and smoking history presented to a regional emergency department with right lower quadrant abdominal pain, back pain, groin pain, nausea, and vomiting. He was diagnosed with musculoskeletal pain and discharged. He…

emergency medicinevascular surgerydiagnostic
WAcommunity2020-10-02

Inquest into the Suspected Death of Jorn Jesper JENSEN

68y · Male·unascertained

A 68-year-old man with multiple chronic medical conditions including peripheral neuropathy, chronic pain, atrial fibrillation, dysphagia, and depression disappeared on 25 June 2017. He left home, drove his car to…

general practicecardiologybuprenorphine
TAShospital2021-12-13

Coroner's Finding: Barnett Catherine Diana

55y · Female·acute myocardial infarction due to right coronary artery thrombosis

A 55-year-old woman presenting to the emergency department with 24 hours of chest pain, arm pain, sweating and vomiting was discharged without an ECG or troponin measurement. She had an abdomina…

emergency medicinecardiologydiagnosticdelay
QLDhome2016-08-26

Winbank, Leslie Geoffrey

53y · Male·Self-inflicted gunshot wound to the head

Leslie Winbank, a 53-year-old man with chronic pain from disc prolapse and prostate cancer, died from a self-inflicted gunshot wound during a police siege at h…

psychiatrypain medicineoxycodone
VIC2022-09-02

Finding into death of Bazouni Bazouni

21y · Male·Hypoxic brain injury in the setting of drug toxicity

…system failures were identified. Key missed opportunities included: failure to perform an ECG despite chest pain complaint (SVCHS protocol breach), failure to communicate that he had swallowed a package containing drugs,…

emergency medicinecorrectional healthdiagnosticcommunicationmethamphetamine
SAhome2010-06-04

Coroner's Finding: ARBUCKLE Claudia Anna Maria

44y · Female·mixed drug toxicity with aspiration of gastric contents

A 44-year-old woman with chronic back pain and depression died from mixed drug toxicity with aspiration of gastric contents. She had been prescribed m…

general practicepain medicineamitriptyline
VIChome2025-03-18

Finding into death of R T

66y · Male·Complications of excess alcohol intake in a man with heart disease

…He had a 40+ year history of heavy daily alcohol consumption (12+ cans of beer plus whiskey daily), chronic pain from previous bowel surgery and hernia, and undiagnosed mild heart disease. Post-mortem toxicology showed e…

general practiceemergency medicinealcohol
VIChospital2017-09-20

Finding into death of Jason Leslie Spradbury

43y · Male·Metastatic colo-rectal carcinoma

Jason Spradbury, 43, was an inmate at Port Phillip Prison who presented with severe abdominal and back pain in February 2016, leading to diagnosis of metastatic colorectal cancer. He underwent partial bowel resectio…

oncologypalliative carechemotherapy agents
TAScommunity2025-09-12

Coroner's Finding: O'Connell, Stephen James

74y · Male·Drowning

…alth conditions dating to 1973. At the time of death, he was experiencing financial stress and chronic back pain. Evidence indicates he deliberately planned his death, including researching chain weight requirements to p…

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