Coronial

568 results for overdose

VIChome2014-06-12

Finding into death of Maree Arthur

45y · Female·Pethidine toxicity

Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr P., prescribed large quantities of pethidine and ox…

general practicepain medicinemedicationdiagnosticpethidine
ACTcommunity2024-06-17

Inquest Into The Death Of Catherine Maree Broadbent

39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)

Catherine Broadbent, 39, died from multiple drug toxicity involving benzodiazepines (etizolam, carisoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with life…

psychiatryemergency medicineetizolam
VIChome2025-06-02

Finding into death of Christina Lackmann

32y · Female·Caffeine toxicity

32-year-old woman died from caffeine toxicity after ingesting caffeine tablets. She called 000 at 7:49 pm reporting dizziness and numbness but was triaged as non-urgent Code 3. Unable to connect with a secondary triage p…

emergency medicinetoxicologytriagesystemcaffeine
WAhospital2005-09

Inquest into the Death of Vicki Anne Greaves

36y · Female·Pneumonia complicating combined drug effect

Vicki Anne Greaves, 36, died on 18 March 2004 at Royal Perth Hospital Emergency Department from pneumonia complicating combined drug effect. She was subject to an Intensive Supervision Order for drug-related offences. On…

addiction medicinepsychiatrycommunicationsystemheroin
VICcommunity2016-06-01

Finding into death of Benjamin Albert Appelman

30y · Male·Mixed drug toxicity (methadone, amitriptyline, alprazolam, diazepam, oxazepam, n…

Benjamin Appelman, 30, died from mixed drug toxicity in a creek in December 2010. He had engaged in prescription shopping across multiple GPs and pharmacies to obtain benzodiazepines, obtaining 1050 alprazolam, 1540 diaz…

general practicetoxicologydiagnosticmedicationmethadone
QLD2011-10-20

Hornby, Grace Ann; Hornby, Jessica Lee; Mansell, Denise Ann; Thomson, Anthony Paul

Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…

Motor vehicle accident involving 4 deaths on 8 May 2009 at Nambour Connection Road and Blackall Street intersection, Queensland: 5-year-old twins, a 60-year-old female driver, and 43-year-old male driver Anthony Paul Tho…

general practicepsychiatrysystemcommunicationdextroamphetamine
TAShospital2022-07-01

Coroner's Finding: CL de-identified

33y · Female·hanging

…f depression, anxiety, childhood sexual abuse, alcohol dependence, two prior suicide attempts (medication overdose and motor vehicle crash), and family history of suicide when assessing risk. The risk assessment was inco…

psychiatryemergency medicinediagnosticcommunicationsertraline
VICaged care2014-05-14

Finding into death of Norma Alice Bensley

92y · Female·Ischaemic heart disease in the setting of inappropriate administration of antihy…

Norma Bensley, a 92-year-old aged care resident, died from ischaemic heart disease after being inadvertently administered another resident's antihypertensive medications. A newly qualified nurse administered the wrong me…

geriatric medicinegeneral practicemedicationsystemantihypertensive medications
VICcommunity2015-04-13

Finding into death of KJ

18y · Female·Multiple injuries due to impact by train

…charged from mental health services on 5 November 2012 despite ongoing high suicide risk, multiple recent overdoses, and active hallucinations of her attacker; (2) she was not registered with the Victims Register despite…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
SAhome2004-11-18

Coroner's Finding: CUNNINGHAM Tracey-Lee

26y · Female·morphine toxicity complicated terminally by bronchopneumonia

A 26-year-old woman with chronic migraines and depression died from morphine toxicity complicated by aspiration pneumonia. She had a documented history of drug-seeking behaviour, forged prescriptions, and doctor-shopping…

general practiceneurologymedicationdiagnosticmorphine
VIChome2014-04-02

Finding into death of AB

34y · Female·Combined drug toxicity (propofol, sevoflurane and others)

A 34-year-old anaesthetist at Royal Melbourne Hospital died from combined drug toxicity involving propofol and sevoflurane—anaesthetic agents she accessed from unlocked theatre trolleys and administered to herself at hom…

anaesthesiageneral practicesystemcommunicationpropofol
ACTcommunity2012-06-25

Inquest Into The Death Of Nathan Doherty

27y · Male·Gunshot wound to the chest fired by Sergeant Matthew Gale of the Australian Fede…

…. Nathan had a long history of depression, anxiety, and alcohol abuse, with two prior suicide attempts by overdose in 2010 and 2011. After relationship conflict with his ex-partner, he attended her home intoxicated with …

psychiatryemergency medicinecommunicationsystemolanzapine
VIChome2021

Finding into death of Tate Hobbs

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

…mentation. The concurrent prescription of multiple central nervous system depressants created substantial overdose risk. Dr S.'s prescribing was unsafe due to inadequate monitoring, coordination failure with specialists,…

general practicepain medicinemedicationcommunicationpregabalin
WAhospital2016-06-28

Inquest into the Death of Geoffrey Mark REID

23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…

…structions about methadone toxicity signs; tolerance was lost during abstinence, making him vulnerable to overdose; and nursing staff failed to escalate concerning signs (sedation, slurred speech, unsteady gait) until to…

psychiatryaddiction medicinecommunicationdiagnosticmethadone
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

…lth conditions including depression, CPTSD, and anxiety, presented to hospital after a suicide attempt by overdose on 9 August 2021. She was experiencing severe tinnitus-related distress alongside multiple psychosocial s…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
TAShome2018-09-20

Coroner's Finding: Steer, Michael Allan

44y · Male·mixed drug toxicity

…hen Steer requested autonomy. Within months of regaining unsupervised access to prescriptions, he fatally overdosed. The coroner found this death potentially preventable through continuation of controlled dispensing, spe…

general practicepsychiatrydiagnosticcommunicationquetiapine
VIChospital2016-08-31

Finding into death of Nathan Dimech

17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…

Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …

general practicepharmacycommunicationsystemmethadone
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone,…

infectious diseasesemergency medicinecommunicationsystemfentanyl
VIChome2025-10-09

Finding into death of Narelle Catherine Simmons

42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…

…use disorders are at heightened risk of femicide and may present with injuries initially misattributed to overdose. Police failed to recognise suspicious circumstances despite broken window, open door, unserved FVIO, and…

forensic medicinegeneral practicediagnosticcommunicationmethadone
WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

Tania Marie Hodgkinson, a 48-year-old Aboriginal woman, died by suicide via ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief fro…

psychiatrypsychologycommunicationsystemheroin
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