Coronial

568 results for overdose

WAmental health- 11 April 2014

Inquest into the Death of Aaron Luke PRISGROVE

32y · Male·ligature compression of the neck (hanging)

…o Graylands Hospital's Smith Ward. He had presented to Tom Price Hospital on 8 July following a panadeine overdose, was transferred to Royal Perth Hospital where he made two hanging attempts, then transferred to Grayland…

psychiatryemergency medicinecommunicationsystemparacetamol/codeine
VIChome2017-09-21

Finding into death of ALJW

21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia

…out good prognosis. He had recent psychological counselling for depression and suicidal ideation after an overdose attempt in early July. His previous cardiac review at age 14 had provided bleak prognostic information. T…

cardiologypsychologycommunicationsystemheroin
QLDhome2017-02-07

ES, a 87 year old lady

87y · Female·Multiple opioid drug toxicity (morphine and fentanyl) in combination with conges…

An 87-year-old woman with multiple comorbidities (ischaemic heart disease, emphysema, chronic kidney disease) was discharged home for palliative care after a hospital admission. Her family administered excessive doses of…

general practicepalliative caremedicationcommunicationmorphine
WAhospital2015-07-16

Inquest into the Death of James Anthony STANCZYK

31y · Male·ligature compression of the neck (hanging)

…iagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying him as extremely high suicide risk and requesting one-to-one guard ob…

emergency medicinepsychiatrycommunicationsystemdiazepam
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

James Dougan, 32-year-old man with longstanding polysubstance abuse, died from mixed drug toxicity (codeine, methadone, alprazolam, diazepam) complicated by severe coronary artery atherosclerosis. He engaged in prescript…

general practiceaddiction medicinemedicationcommunicationalprazolam
VIChome2021-08-20

Finding into death of Samantha Louise Leech

28y · Female·Complications of a seizure in the setting of prescription drug abuse (pregabalin…

Samantha Leech, 28, died from complications of a seizure in the setting of prescription drug abuse, particularly pregabalin. She obtained approximately 4000 pregabalin tablets over three months by visiting multiple GPs, …

general practicecardiologydiagnosticsystempregabalin
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIC2025-07-04

Finding into death of Brent Reker

35y · Male·Hanging

Brent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Corrections Centre on 12 December 2019, appr…

psychiatryemergency medicinecommunicationsystemmethadone
VIChome2012-05-18

Finding into death of David Andrew Trengrove

38y · Male·Toxic effects of morphine in a setting of benzodiazepine dependency

A 38-year-old man with chronic pain, mental illness, and benzodiazepine dependency died from morphine toxicity. He obtained multiple benzodiazepines and opioids from five different doctors through 'prescription shopping'…

general practicepsychiatrymedicationcommunicationmorphine
WAhome2021-04-16

Inquest into the Death of Child LDW (Name Subject to Suppression Order)

3y · Female·tramadol toxicity

A 3-year-old girl in state care died from tramadol toxicity after accessing prescribed opioid medication left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance ab…

paediatricsforensic medicinesystemdelaytramadol
QLDhome2014-07-18

Bowling, Dianne Judith

59y · Female·Mixed drug toxicity, with metoprolol at toxic level; coronary atherosclerosis as…

… died from mixed drug toxicity involving a toxic level of metoprolol. She had a history of three previous overdoses and was under community mental health services. In October 2011, community workers noted signs of deteri…

psychiatrygeneral practicecommunicationsystemmetoprolol
VIChospital2020-04-16

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2017. She was discharged on 23 May on methadone 5mg twice daily pl…

pain medicineemergency medicinecommunicationdiagnosticmethadone
VIChospital2021-02-26

Finding into death of Ian Fraser

68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…

Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…

respiratory medicinecardiothoracic surgerymedicationsystemapixaban
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

Robert Henderson, 31, died from mixed drug toxicity while subject to a community involuntary treatment order for schizophrenia. He was admitted to hospital on 9 July 2005 after his case manager appropriately identified e…

psychiatryemergency medicinediagnosticdelaymorphine
WAhome2018-12-06

Inquest into the Death of Mark Leslie SACH

27y · Male·combined drug toxicity (U-47700 and etizolam)

Mark Sach, aged 27, died from combined drug toxicity involving U-47700 (a synthetic opioid 7.5 times more potent than morphine) and etizolam (a benzodiazepine 10 times more potent than diazepam), obtained via internet pu…

pain medicinegeneral practicecommunicationdelayu-47700
WA2019-11-13

Inquest into the Death of Bret Lindsay CAPPER

43y · Male·bronchopneumonia and brain swelling following ligature compression of the neck (…

…anging. He had antisocial personality disorder, chronic suicidality, and three recent suicide attempts by overdose before incarceration. Although initially placed on appropriate ARMS moderate monitoring after intake risk…

psychiatrypsychologysystemcommunicationheroin
VIChome2015-10-28

Finding into death of Hannah Rachel Charles

17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)

Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid replacement ther…

addiction medicineforensic medicinediagnosticsystemheroin
NSWmental health2018-12-19

Inquest into the death of R R

38y · Female·neck compression (hanging)

…der, and borderline personality traits, was admitted to Bloomfield Hospital on 12 April 2015 following an overdose with stated intent to hang herself. Critical gaps in her care included: failure to communicate critical i…

psychiatryemergency medicinecommunicationsystem
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…

psychiatrygeneral practicediagnosticsystematomoxetine
NSW2023-03-23

Inquest into the death of KT

27y · Male·Mixed drug (methylamphetamine and clozapine) toxicity

KT, a 27-year-old with treatment-resistant schizophrenia, died in custody from mixed drug toxicity (clozapine and methylamphetamine). He was prescribed appropriate clozapine treatment with adequate monitoring. Key failur…

psychiatrytoxicologycommunicationsystemclozapine

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