Coronial

78 results for chronic pain syndrome

QLDcommunity2016-12-21

Capps, Ruth

75y · Female·multiple injuries due to or as a consequence of motor vehicle collision

…ter drifting into oncoming traffic. She had multiple medical conditions including diabetes, sleep apnoea, chronic back pain, osteoarthritis, and recurrent falls. Despite a previous licence cancellation in 2012 due to po…

general practiceoccupational therapydiagnosticcommunicationnitrazepam
VIChome2018-07-10

Finding into death of Carmelo Gusman

50y · Male·Single, contact-range shotgun discharge to the head

Carmelo Gusman, a 50-year-old man, died from a self-inflicted shotgun wound after killing his wife in a murder-suicide. His death followed a workplace back injury that caused him significant psychological distress, loss …

psychiatrypsychology
NSWhospital2024-05-10

Inquest into the death of Finlay Browne

16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…

Finlay Browne, a 16-year-old with Down syndrome, presented to Bathurst Base Hospital on 30 September 2016 with acute abdominal pain and vomiting. Despite…

emergency medicinesurgerydiagnosticcommunication
VIC2026-04-22

Finding into death of Natasha Stojkoski

38y · Female·Multiple injuries sustained when struck by a train

…ted to HR despite being a multi-person bullying complaint. This mishandling, combined with ongoing physical pain and workplace distress, contributed to severe major depression. Despite attendance at emergency department …

psychiatryoccupational and environmental healthsystemcommunicationescitalopram
VIChome2025-08-21

Finding into death of Ryan Andrew Robinson

31y · Male·Mixed drug toxicity (heroin, bromazolam, metonitazine, protonitazene, methamphet…

Ryan Robinson, a 31-year-old man with longstanding opioid use disorder and complex mental health conditions, died from mixed drug toxicity involving heroin, novel psychoactive substances (nitazenes: metonitazene and prot…

general practiceaddiction medicineheroin
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

…sferred to mainstream prison on 1 January 2020 despite remaining unwell. On 2 January 2020, while in severe pain and distress overnight, Veronica received minimal assessment and support from night nurse RN George and pri…

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008…

respiratory medicineintensive caredelaydiazepam
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Unknown·Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…

general practiceemergency medicinediagnosticmedicationalprazolam
QLD2019-12-05

Harrison, Steven Leslie

61y · Male·Coronary atherosclerosis

…ctioned as clinical triggers for risk modification. Systemic improvements including a Nurse Navigator for chronic disease management have since been implemented.

cardiologygeneral practicediagnosticsystemmetformin
WA2022-05-20

Inquest into the Death of Kevin Ernest McCRACKEN

58y · Male·Hypertensive and valvular heart disease

Kevin McCracken, 58, died of hypertensive and valvular heart disease following sudden cardiac collapse in a prison pre-release unit. He had complex pre-existing cardiac disease including previous valve replacement and ao…

cardiologycorrectional healthsystemmedicationwarfarin
NSW2017-11-06

Inquest into the death of Edward Haenga

37y · Male·cardiac arrhythmia

A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…

psychiatrygeneral practicemedicationproceduralescitalopram
QLD2019-05-08

Malone, Terrence Michael

54y · Male·incised wound to the neck

…ollateral information and recent history were not communicated or accessed by prison staff; (5) unmanaged chronic pain from untreated shoulder injury and alcohol withdrawal contributed to distress. The coroner found the…

psychiatryemergency medicinediagnosticcommunicationalcohol
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

A 29-year-old man with class III obesity died from combined drug toxicity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting a…

general practicetoxicologydiagnosticsystempregabalin
VICcustody2024-12-11

Finding into death of Jayke Michael Aleckson

24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging

Jayke Aleckson, 24, died by hanging in a non-BDRP compliant prison health cell while on remand at Marngoneet Correctional Centre in October 2018. Key clinical lessons: (1) Multiple unmet requests for antidepressant medic…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
WAhospital2023-05-26

Inquest into the Death of Jacob George Isaac TAULELEI

28y · Male·Multiple injuries sustained when struck by a freight train

Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing intent to jump in front of a train. Despite being assess…

psychiatryemergency medicinediagnosticcommunicationduloxetine
QLDhome2015-07-27

Howman, Katie Lee

30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl

Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…

psychiatrypsychologydiagnosticsystemfentanyl
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical…

psychiatryintensive caresystemcommunicationrisperidone
VIC2020-04-06

Finding into death of Darren Brandon

51y · Male·hypoxic-ischemic encephalopathy due to hanging

Darren Brandon died by hanging in prison on 10 June 2018, two days after arriving at Melbourne Assessment Prison. He was a 51-year-old man with acquired brain injury from a 2003 motorcycle accident, depression, and histo…

psychiatryforensic medicinecommunicationsystemoxycodone

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