Coronial

568 results for overdose

VIC2015-02-23

Finding into death of Michael Theodore Anthony

28y · Male·toxicity to heroin

…nes, benzodiazepines, and hepatitis C infection. He was severely depressed following his brother's heroin overdose death in 1999. No medical intervention was sought or available during his fatal overdose. Key systemic is…

emergency medicineforensic medicinesystemdelayheroin
VIC2016-11-07

Finding into death of Troy Daniel Saint

29y · Male·mixed drug toxicity including heroin

… evidence showed falsified documentation. (3) Staff failed to recognise Troy's loud snoring as a possible overdose indicator. (4) Despite discovering heroin on the premises via another patient and finding drug parapherna…

addiction medicinepsychiatrycommunicationsystemheroin
TAShospital2020-11-26

Coroner's Finding: Kelly, Brian John

71y · Male·hydromorphone toxicity

…a died from hydromorphone toxicity after receiving 20mg instead of the prescribed 2mg dose in the ED. The overdose was accidental but resulted from shocking inattention to basic medication safety principles. The death wa…

palliative careemergency medicinemedicationsystemhydromorphone
VIChomeNew2026-06-24

Finding into death of Sheridan Louise Burnell

24y · Female·Mixed drug toxicity

Sheridan Burnell, 24, died from mixed drug toxicity following an intentional overdose of prescription medications (lamotrigine and quetiapine) on 2 January 2021. Her mental health care was re…

psychiatrygeneral practicecommunicationsertraline
VIChome2013-10-11

Finding into death of LP

31y · Male·Multidrug overdose including heroin

LP, a 31-year-old man with depression, severe anxiety, and substance use disorder, died from multidrug overdose including heroin. He had long-standing benzodiazepine (Xanax) abuse since his late teens, complicated by …

pathologypsychiatryheroin
VIChome2014-06-19

Finding into death of William John Bailey

22y · Male·Combined drug toxicity (methadone and benzodiazepines)

…one dispensing created unsecured access to opioids, and that recent prison release substantially elevated overdose risk due to loss of opioid tolerance during incarceration. Key clinical lessons: (1) post-release opioid …

addiction medicineemergency medicinesystemmethadone
TAShome2023-06-19

Coroner's Finding: Dawson, Andrew

44y · Male·Methamphetamine toxicity

…asmania. He had a history of depression, anxiety, heavy illicit drug use, and a recent suicide attempt by overdose in September 2021. Following relationship distress and suicidal text messages, he likely used methampheta…

methamphetamine
VIChomeNew2026-06-19

Finding into death of Elizabeth Jean Hanlon

38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…

…aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder, intellectual disabili…

psychiatryintensive carepromethazine
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

34-year-old male with longstanding opioid and benzodiazepine dependence who overdosed following discharge from hospital. He was hospitalized on 22 September 2010 after police-observed overdo…

emergency medicinegeneral practicediagnosticsystemheroin
VIChome2022-01-31

Finding into death of Leeanne Matheson

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

…iazepines. She was admitted to Box Hill Hospital on 12 April 2019 with suspected methadone and clonazepam overdose. An addiction medicine specialist reduced her methadone from 40mg to 20mg daily and her clonazepam from 2…

addiction medicinegeneral practicemedicationcommunicationmethadone
SAhospital2004-12-14

Coroner's Finding: O'NEILL Louise Kay

31y · Female·mixed drug toxicity (propoxyphene, fluvoxamine, and alprazolam)

…tment with a reopened wrist laceration and reported mild analgesia use, but had actually consumed a large overdose of propoxyphene. She was triaged as Priority 4 and deteriorated unexpectedly over 70 minutes while waitin…

emergency medicinetoxicologydiagnosticcommunicationpropoxyphene
VIC2012-03-23

Finding into death of Jason Jeffrey Hester

34y · Male·Mixed drug toxicity (heroin, codeine and doxepin)

… correctional facility, died from mixed drug toxicity (heroin, codeine and doxepin) following an apparent overdose. He had been granted approved leave and had been complying with leave conditions. Despite 17 negative uri…

forensic medicinecorrectional healthcommunicationsystemheroin
VIChospital2012-10-25

Finding into death of Fikri Memedovski

30y · Male·Heroin overdose

Fikri Memedovski, aged 30, died from heroin overdose with resulting cardiopulmonary arrest and anoxic brain damage on 23 November 2009 at Dandenong Hospital. …

intensive carepsychiatrycommunicationsystemheroin
TAScommunity2020-07-17

Coroner's Finding: Lyons, Matthew Clayton

47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)

…le times in the months before death, including asking his caseworker how many tablets would be needed for overdose. After two emergency department visits without psychiatric admission despite expressing suicidal intent, …

psychiatrygeneral practicecommunicationsystemquetiapine
SAhospital2025-06-11

Coroner's Finding: OHalloran, Emma Louise

48y · Female·multiple drug toxicity consisting of flecainide, lorazepam and diazepam

…-year-old woman died from multiple drug toxicity (flecainide, lorazepam, diazepam) following a deliberate overdose. She was located by police after a search and detained under the Mental Health Act. Critical delays occur…

cardiologygeneral practicesystemcommunicationflecainide
VIChospital2017-07-13

Finding into death of Michelle Louise Rosevear

41y · Female·Left middle cerebral artery territory ischaemic stroke

…ent with altered consciousness on 28 May 2015. She was initially assessed as having a possible medication overdose rather than acute stroke, despite later learning she had reported weakness on her right side and suspecte…

emergency medicineneurologydiagnosticdelayquetiapine
NSWhospital2020-09-25

Inquest into the death of Gregory MASTERS

52y · Male·Polypharmacy overdose of amitriptyline and doxylamine in the context of underlyi…

…ular disease and obstructive sleep apnoea died following restraint in ICU. He had ingested a polypharmacy overdose of amitriptyline and doxylamine on 26-27 February 2017, was admitted to Nepean Hospital, and successfully…

intensive carepsychiatryamitriptyline
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

… concurrent methadone treatment or considering that benzodiazepines with methadone significantly increase overdose risk. The combination of recently paroled status (associated with low opioid tolerance), takeaway methado…

general practiceaddiction medicinemedicationcommunicationheroin
VIChospital2018-06-22

Finding into death of Liaqat Ali Hamid Kayani

44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity

A 44-year-old male died from hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financial difficulties, and prior heroin use. After collapsing at a frie…

emergency medicineintensive careheroin
ACThospital2025-02-26

Inquest Into The Death Of Jessica Hilary Bovill

43y · Female·Severe diffuse hypoxic brain injury caused by administration of supratherapeutic…

…oxic brain injury caused by excessive sodium bicarbonate administration during treatment of amitriptyline overdose. The treating ED consultant prescribed sodium bicarbonate at 2 mmol/kg repeated every 3-5 minutes without…

emergency medicinetoxicologymedicationcommunicationamitriptyline

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