59 results for “substance misuse (alcohol)”
40y · Female·Clozapine toxicity in a woman with cardiomegaly
A 40-year-old woman with depression, anxiety, alcoholism and undiagnosed cardiomegaly died from clozapine toxicity after obtaining the drug from a co-resident at a Peer Recovery Community. She was not prescribed clozapin…
24y · Male·Neck compression in the circumstances of hanging
…sk management. The investigation also revealed Mildura had an elevated suicide cluster in 2019 linked to substance misuse, poverty, isolation, and lack of local drug/alcohol rehabilitation services.
51y · Female·multiple (head, chest, pelvic and limb) injuries
…t, Tasmania, on 9 October 2023. A 51-year-old female driver with a history of bipolar disorder and alcohol misuse entered the north-bound lanes of a divided highway when she should have entered the south-bound lanes. She…
20y · Female·Mixed drug toxicity including tramadol and flualprazolam
…ersity student, died from mixed drug toxicity involving tramadol and flualprazolam (a novel psychoactive substance benzodiazepine). She obtained tramadol from a friend and consumed what she believed was Xanax but likely…
36y · Female·Traumatic closed head injury
A 36-year-old theatre nurse died from traumatic closed head injury after jumping from a moving vehicle whilst heavily intoxicated. She had consumed most of a bottle of vodka over 12 hours at a party and had a blood alcoh…
44y · Male·Unascertained
…for vulnerable patients with complex needs, ensuring medication compliance in patients with epilepsy and substance use disorders, and coordinated care across mental health, addiction services and primary care for patien…
25y · Female·Neck compression secondary to hanging
CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family vio…
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
…nadequate communication between GPs and pharmacists; prescribing of benzodiazepines and opioids to known substance-dependent patients; failure to consult psychiatrists for long-term psychiatric medication; emergency dep…
58y · Male·Amitriptyline toxicity
…iculty: Mr Felman presented with established risk factors (chronic pain, depression, prior attempt 2005, substance use) yet consistently denied current suicidal intent and provided alternative explanations for behaviour…
36y · Female·Stab wound to the right chest
…cribed high-dose tramadol (700-800mg daily) for chronic pain over 22 months by his GP without documented substance abuse assessment, despite documented history of polysubstance dependence. When Eckersley ceased alcohol …
34y · Male·unascertained; most likely immersion after swimming at City Beach
…as potential warning signs, and assessing suicide risk in patients with comorbid psychiatric illness and substance misuse.
50y · Male·mixed drug and alcohol toxicity (pentobarbitone and ethanol)
Brian Gary Linklater, aged 50, died from mixed drug and alcohol toxicity after intentionally injecting pentobarbitone (a barbiturate used in veterinary practice) obtained from his partner's vehicle and consuming vodka. H…
56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…
…d drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five months prior to death. She obtained metha…
40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…
… caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with recent escalation involving heroin, amphetamine, and oxycodone. She was enrolled in Tasmania…
39y · Male·propofol toxicity
Craig Doherty, a 39-year-old clinical theatre nurse at Royal Perth Hospital, died from propofol toxicity in June 2010. He had unrestricted access to propofol as an anaesthetic agent and misappropriated it for recreationa…
terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…
…val from her mother's care. Her mother, HC, had chronic benzodiazepine and opioid dependence, presenting substance-affected whilst caring for her profoundly disabled daughter who required 24/7 supervision and assistance…
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…ation reduction plans were documented. Key clinical lessons: Doloxene should be avoided in patients with substance abuse history; concurrent CNS depressants require careful justification and monitoring; long-term benzod…
46y · Male·Complications of ligature compression of the neck (hanging)
…n 11 August 2022 while on an interim supervision order after his release from prison. He had depression, substance use disorder, and chronic suicidal ideation. The coroner identified critical gaps in care: (1) lack of a…
14y · Male·injuries sustained in fall from height
… 12 years, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendance, and homelessness. The coroner found that DHS failed to conduct proper me…
35y · Male·Fentanyl toxicity
…sed, particularly overnight when staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple medications. While his GP appropriately prescribed Fentanyl …
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