Coronial

49 results for withdrawal syndrome

QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

An 8-week-old infant died from SIDS category II, likely due to accidental asphyxiation when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction …

neonatologypaediatricssystemcommunicationheroin
SAhome2008-02-11

Coroner's Finding: LYDEN-BAKER Elizjah Monique Ivy

0y · Female·undetermined; possible suffocation not definitively established at autopsy

A 4-week-old neonate died at home with undetermined cause, though suffocation on a soft pillow was considered possible. The infant was born prematurely on a concrete pavement to a mother with untreated opioid addiction a…

neonatologypaediatricscommunicationsystemmorphine
QLDhome2014-08-07

A four month old baby - Non-inquest findings

0y · Male·Sudden infant death syndrome (unclassified sudden infant death subclassification…

…d in parental care following a Court Assessment Order. The cause was determined to be sudden infant death syndrome, possibly involving hypothermia given the cold environment (5-6°C), lack of heating, and the child found …

paediatricspathologysystemdelaymethamphetamine
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

…fter commencing venlafaxine; and failure to provide Consumer Medicine Information (CMI) sheets detailing withdrawal risks and suicidality warnings. The coroner found her behaviour on 11 October was likely related to cess…

psychiatrypsychologycommunicationdelayfluoxetine
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

…involuntary psychiatric patient. He had significant unrecognised cardiac risk factors including metabolic syndrome, obesity, diabetes, hypertension, and hyperlipidaemia. During his final admission, he became extremely ag…

psychiatrycardiologysystemcommunicationquetiapine
VICmental health2011-07-22

Finding into death of Lionel Raymond Perry

44y · Male·Cardiomegaly

… ventricular hypertrophy) while an involuntary psychiatric inpatient. He presented with hypertension and withdrawal symptoms on admission; initial management including transfer to ED and GTN was appropriate. Critical gap…

psychiatryemergency medicinecommunicationdocumentationmethadone
VIChome2017-08-28

Finding into death of Tara Sue Love

22y · Female·Sudden Arrhythmic Death Syndrome

Tara Love, a 22-year-old woman, died from sudden arrhythmic death syndrome due to long QT syndrome (LQTS). She presented multiple times to the Royal Women's Hospital with ECG chang…

obstetricscardiologydiagnosticcommunicationlabetalol
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior to death, she developed progressive symptoms includ…

emergency medicineparamedicinedelaycommunicationmethamphetamine
VICmental health2020-03-17

Finding into death of Paul Peterson

54y · Male·Neck compression (hanging)

Paul Peterson, 54, died by hanging after leaving a private psychiatric hospital on unapproved leave while on close observations. He was admitted with major depression, suicidal ideation, and opioid dependence. On 1 July …

psychiatrysystemcommunicationcitalopram
NThospital2004-07-02

Inquest into the death of John Colbert

55y · Male·Head injury from a fall, contributed to by chronic alcoholism and cirrhosis, res…

John Henry Colbert, a 55-year-old man with chronic alcoholism, Wernicke's encephalitis and cirrhosis, was admitted to Royal Darwin Hospital's ICU following a seizure. He was transferred to Ward 4A on 14 October 2002 and …

neurosurgeryemergency medicinesystemdelaydiazepam
VIChome2026-04-17

Finding into death of Simon Christopher Gaskill

50y · Male·unascertained

…for months. He had been discharged from hospital in December 2021 following treatment for severe alcohol withdrawal and seizures, sent to homelessness without adequate follow-up care. His cause of death remains unascerta…

emergency medicinegeneral medicinecommunicationsystemalcohol
TAShome2016-07-22

Coroner's Finding: ADT

0y · Female·subdural haemorrhage, intracranial haemorrhage and oedema caused by severe shaki…

… fractures. She was transferred to Royal Hobart Hospital ICU but died shortly after parents consented to withdrawal of life support. Her father admitted to violently shaking and squeezing her in frustration when she refu…

neonatologypaediatricscannabis
QLD2016-01-19

Reynolds, Michael John

55y · Male·coronary atherosclerosis

Michael Reynolds, aged 55, died of coronary atherosclerosis while incarcerated. He had suffered a myocardial infarction at age 32 and subsequently refused cardiac medications despite medical advice, a decision consistent…

cardiologyforensic medicinesodium valproate
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

…und hypoxic brain injury. He was transferred to St George Hospital in Sydney but died 4 days later after withdrawal of life support. The coroner concluded Wolf likely had an underlying cardiac predisposition (possibly Br…

emergency medicinecardiologysystemdelay
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating s…

paediatricsgeneral practicesystemdelaytemazepam
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

…omy for caecal volvulus. Post-operatively he developed respiratory depression, hypernatremia and alcohol withdrawal requiring benzodiazepines and BiPap support. A central venous line was inserted for medication access pr…

surgeryanaesthesiaproceduraldiagnosticdiazepam
NThospital2025-12-19

Inquest into the death of T. Ptjara and T. Ptjara

Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…

…ssness despite its profound health impacts; service gaps in medication management, aftercare for alcohol withdrawal, and residential facilities for people with cognitive impairment; and unjustified use of spit hoods on a…

emergency medicineintensive carecommunicationsystem
QLD2010-04-16

Nguyen, Luong Bang

31y · Male·Subarachnoid haemorrhage due to or as a consequence of a ruptured large fusiform…

A 31-year-old man with long-standing intravenous drug use and hepatitis C died in prison custody from a ruptured mycotic aneurysm causing subarachnoid hemorrhage. He collapsed in his cell after lock-down without prior wa…

emergency medicineintensive carequetiapine
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

…d Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his agita…

intensive careinfectious diseasescommunicationsystemmeropenem
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

…ement; single assessments showing stability may miss chronic risk; the biopsychosocial trajectory toward withdrawal from services is common and dangerous; and structured follow-up with crisis planning is critical in this…

psychiatryemergency medicinesystemcommunicationmethamphetamine

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