Coronial

78 results for chronic pain syndrome

SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

…, and endoscopy for liver cancer discovered incidentally in 2021. In December 2022, he presented with chest pain and was found to have pneumonia and pulmonary embolism. Despite anticoagulation and intensive care support,…

hepatologyoncologyenoxaparin
WAmental health2005-09-23

Inquest into the Death of Robert David Abbott

67y · Male·Ligature Compression of the Neck (Hanging)

…e ward of Joondalup Health Campus on 19 December 2003. He had a long history of depression exacerbated by chronic pain from a 2000 motor vehicle accident, and required multiple psychiatric admissions. On 18 December 200…

psychiatrygeneral medicineproceduralsystemvenlafaxine
QLDhome2016-08-22

SJM - Non-inquest findings

57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)

…itoring, despite the patient exceeding recommended daily doses (8 tablets/day vs maximum 6). No alternative pain management strategies, specialist referrals, or genuine medication reduction plans were documented. Key cli…

general practicepathologymedicationdiagnosticpropoxyphene
QLDhospitalPodcast2008-10-10

Maxfield, Annette

62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum

…at a remote hospital. The coroner found the operation itself was inappropriate: performed for undiagnosed chronic pain in a patient with extensive surgical history, rather than for malignancy. The surgery should not hav…

colorectal surgeryanaesthesiadiagnosticproceduralsevoflurane
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

…mpts and mental health issues following a 2012 motor vehicle accident (deliberate self-harm) resulting in chronic pain managed with opioids. On 22 April 2018, following a violent altercation with his wife, police attend…

general practiceforensic medicinecommunicationsystemoxycodone
WAhospital2015-07-29

Inquest into the Death of Tien Chung NGUYEN

55y · Male·ruptured dissection of the thoracic aorta

…e of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 November 2010 and was transferred to Swan Districts Hospital where in…

emergency medicinecardiothoracic surgerydiagnostic
VIChome2026-01-08

Finding into death of L L

34y · Female·Combined drug toxicity (gabapentin, oxycodone, tramadol, diazepam, citalopram, d…

A 34-year-old woman with complex medical history including chronic pain, sleep disorder, anxiety and PTSD died from combined drug toxicity involving gabapentin, oxycodone, …

general practicerespiratory medicinesystemcommunicationgabapentin
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabali…

addiction medicinegeneral practicemedicationcommunicationmethadone
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

…iginal male prisoner with multiple cardiovascular risk factors (diabetes, hypertension, high cholesterol, chronic kidney disease, obesity, smoking) died on 5 February 2024 from myocardial infarction. He presented on 26 …

cardiologycorrectional health
VIChospital2022-08-26

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 and opioid dependence, died from hypoxic ischaemic encephalopathy following mixed drug toxicity. She…

pain medicineaddiction medicinecommunicationsystemmethadone
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression …

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
VIChome2023-05-04

Finding into death of Jodie Overstead

34y · Female·Multi drug toxicity

Jodie Overstead, a 34-year-old with epilepsy, anxiety, and chronic pain, died from multi-drug toxicity involving tramadol, codeine, amitriptyline, benzodiazepines and other…

general practicepain medicinediagnosticmedicationtramadol
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam
TAShome2019-04-24

Coroner's Finding: Porteous, Shayne Edward

59y · Male·mixed drug toxicity (tramadol and sertraline), likely serotonin syndrome

…r-old man died from mixed drug toxicity involving tramadol and sertraline, likely precipitating serotonin syndrome. He was prescribed tramadol 150mg morning and 100mg evening (total 250mg daily), but evidence indicates h…

general practicepharmacymedicationcommunicationtramadol
QLD2016-07-06

Mickelo, Garnett Allan

48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)

…) and inadequate response to chest heaviness symptoms on 23 November (nursing staff did not apply the chest pain protocol and documented 'no cardiac issues' despite his significant cardiac history). Autopsy revealed myoc…

cardiologycardiothoracic surgerymedicationcommunicationisosorbide mononitrate
QLDhospital2006-08-10

Casey, Lenard John

39y · Male·Coronary thrombosis caused by coronary atherosclerosis

…died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the police station and was admitted to Normanton Hospital with acute coronary syndrome. During attempted…

cardiologyemergency medicinecommunicationmorphine
NSWhospital2017-07-06

Inquest into the death of Kerry Forrest

56y · Female·Complications of cervical cancer

Kerry Forrest, aged 56, died in custody on 26 January 2016 from complications of advanced cervical cancer. She was serving a 25-year sentence after being diagnosed with terminal cervical cancer in 2012, prior to sentenci…

palliative careoncology
QLDhome2018-05-21

House, William John; White, Vanessa Joan; Smith, Jodie Anne and Milne, Daniel Keith

Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…

Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multiple doctors ('doctor shopping') without effective detection. Systemic failures include…

general practicepain medicinediagnosticmedicationfentanyl
VIChospital2024-02-04

Finding into death of Miranda Louise Lynch

46y · Female·Sepsis of unknown origin

Miranda Lynch, a 46-year-old woman with severe cerebral palsy, spastic quadriplegia, epilepsy, and aspiration pneumonia history, died from sepsis of unknown origin. She was admitted to Box Hill Hospital on 20 April 2023 …

emergency medicinegeneral medicineintravenous fluids
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

… over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite concerning features including severe headache (9/10), vomiting, pupil changes, and progressive d…

emergency medicineneurologydiagnosticcommunicationdiazepam

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