Coronial

59 results for substance ingestion

VIChospital2018-12-14

Finding into death of Yucel Arslan

40y · Male·Methamphetamine toxicity

… swallowing a package during a police traffic stop. When police used force to prevent him swallowing the substance, he ingested it anyway. Despite paramedics attending and offering hospital transport, the man refused tr…

emergency medicinetoxicologycommunicationsystemmethamphetamine
VICaged care2022-09-02

Finding into death of Alan Joseph Wilson

55y · Male·Acute alcohol toxicity

Alan Wilson, a 55-year-old man with intellectual disability, schizophrenia, and severe alcohol addiction, died from acute alcohol toxicity in an aged care facility. Post-mortem blood alcohol concentration was 0.33%, suff…

geriatric medicinepsychiatrysystemalcohol
SAcommunity, workplace2019-10-23

Coroner's Finding: Murray, Erin Paige and Patterson, Amy Jean

Female·pentobarbitone toxicity

…ociated women (a veterinary student and a practicing veterinarian) died from pentobarbitone toxicity via ingestion, with evidence of intentional self-harm. The coroner identified that both women had access to lethal pen…

veterinary medicinepsychiatrysystemdelaypentobarbitone
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

…e seizure of potential evidence. The case highlights the catastrophic consequences of unmanaged parental substance abuse on child safety and the need for better systems to identify and intervene in prescription opioid m…

paediatricsgeneral practicemedicationdiagnosticmorphine
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …

emergency medicineintensive caregamma hydroxybutyrate
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

…21 following a 12-day admission for management of psychosis and recent suicidal behaviour (drain cleaner ingestion). Key deficiencies included: failure of discharging psychiatrist to discuss CTO directly with receiving …

psychiatryintensive carecommunicationsystempaliperidone
VIChome2025-04-17

Finding into death of Thomas Vale

Unknown·Toxicity to protonitazene

Four adults died on 24 June 2024 from protonitazene toxicity after purchasing drugs believed to be MDMA and cocaine in Melbourne. Protonitazene is a novel synthetic opioid 100 times more potent than heroin that has conta…

toxicologyforensic medicineprotonitazene
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…

emergency medicinepsychiatrycommunicationdelaystrychnine
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

…regarding drug-seeking behaviour, and proper assessment of drug dependence before prescribing Schedule 8 substances.

general practiceforensic medicinediagnosticmedicationoxycodone
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

…ectant on 25 September 2010. His death occurred from acute lung injury due to aspiration of the irritant substance. Critical lessons include: (1) the emergency dispatch system's reliance on symptom-based triage is funda…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …

general practicepaediatricssystemdelayoxycodone
VIChome2017-10-30

Finding into death of Dannika Michelle Smith

26y · Female·Toxicity to Pentobarbitone

Dannika Smith, aged 26, died from pentobarbitone toxicity after deliberate self-ingestion. She had Borderline Personality Disorder with documented suicidal ideation and had previously attempted …

psychiatrypathologysystemdelaypentobarbitone
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 privat…

addiction medicineforensic medicinediagnosticsystemheroin
VIChospital2022-05-17

Finding into death of Mr J

36y · Male·Multiple Sharp Force Injuries to Chest and Neck

…9 with GP support after achieving 3 years stability. In early January 2020, he presented to ED following ingestion of benzodiazepines and alcohol with ambiguous suicidal statements; he was discharged after brief assessm…

general practicepsychiatrycommunicationdiagnosticpaliperidone
NSWcommunity2024-02-19

Inquest into the death of Omar Mohammad

33y · Male·Irreversible hypoxic brain injury secondary to acute cocaine toxicity

…y for mental health assessment only. Critical delays occurred in informing paramedics about the ingested substance and the seizure activity. Police officers commenced CPR after approximately 5 minutes but ceased it afte…

emergency medicinetoxicologycommunicationdelaycocaine
TAShome2018-09-20

Coroner's Finding: Steer, Michael Allan

44y · Male·mixed drug toxicity

…nitoring systems. Key clinical lessons include recognising limitations in managing complex patients with substance misuse disorders, maintaining restrictive prescribing protocols despite patient resistance, accessing DO…

general practicepsychiatrydiagnosticcommunicationquetiapine
NSW2020-02-28

Inquest into the death of Eric WHITTAKER

35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm

Eric Whittaker, a 35-year-old Aboriginal man, died from a subarachnoid haemorrhage caused by a ruptured cerebral artery aneurysm while in remand custody at Parklea Correctional Centre. On 2 July 2017, he made 20 emergenc…

correctional healthneurologydiagnosticcommunicationamphetamine
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenting to Avro Clinic in …

psychiatrygeneral practicecommunicationsystemquetiapine
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

Andrew Lather, aged 24, died at Charters Towers Rehabilitation Unit on 6 March 2004 from aspiration of gastric contents due to drug toxicity after ingesting approximately 150 tablets from a medication drawer beside his b…

psychiatryrehabilitation medicinesystemcommunicationquetiapine

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