Coronial

74 results for cocaine use

VIC2016-05-25

Finding into death of Umut Selek

23y · Male·Unascertained

…red cardiac arrest during transport to hospital. Despite extensive autopsy and investigation, the precise cause of death remains unascertained. The coroner excluded positional asphyxia, Midazolam toxicity, and closed he…

forensic medicineemergency medicinecommunicationsystemmidazolam
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…. Critical clinical lessons include: early identification of escalating mental health crises with substance use; importance of comprehensive follow-up after acute psychiatric presentations; risk assessment in the contex…

psychiatryemergency medicinecommunicationsystemmethamphetamine
QLDhome2022-11-25

Ho, Duy Linh

41y · Male·Gunshot wounds to the head and torso

Duy Linh Ho, a 41-year-old man with long-standing substance use disorder and untreated mental health issues, died from gunshot wounds after a police response to his self-h…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
NSWmental health2014-05-08

Inquest into the death of Hugh David LISLE

24y · Male·cardio-respiratory arrest due to multi-drug toxicity

…on training and technique (CPR performed on bed rather than firm surface, confusion regarding defibrillator use). The patient's access to non-prescribed buprenorphine despite being in supervised care highlights medicati…

psychiatryemergency medicinecommunicationsystemdiazepam
WA2025-12-17

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

14y · Female·ligature compression of the neck (hanging)

Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…

paediatricsgeneral practicecommunicationsystemmelatonin
QLDhome2025-06-25

Non-inquest findings into the death of an eight month old twin whose family was known to Child Safety

0y · Male·Severe acute dehydration and acute malnutrition

An eight-month-old boy died from severe acute dehydration and malnutrition after receiving no or minimal fluid or food intake during a three-day drug binge by his mother and her partner. Child Safety was involved with th…

paediatricsemergency medicinediagnosticsystemmethamphetamine
VICcommunity2012-12-10

Finding into death of Benjamin Jason Pappas

28y · Male·consistent with drowning

Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 Ma…

general practicepsychiatrysystemcommunicationheroin
VIChospital2023-07-31

Finding into death of Michael Stankic

29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis

…established that prophylactic enoxaparin was probably ineffective in this case and that cessation did not cause or contribute to death. However, the case highlights gaps in clinical guidance: defining 'immobility' for V…

intensive carepsychiatrysystemdelayenoxaparin
VIChome2023-07-28

Finding into death of Jackson Desmond David Stawicki

24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm

Jackson Stawicki, 24, died from haemorrhagic shock following a sharp force injury to his left arm while intoxicated with multiple illicit substances. He presented to the ED three times within 24 hours (4-5 September 2020…

emergency medicinepsychiatrycommunicationsystemflualprazolam
NSWhome2021-04-30

Inquest into the deaths of Gabriella THOMPSON and Tafari WALTON

27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…

…. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to mandatory drug testing;…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VICcommunity2012-12-10

Finding into death of Lynette May Phillips

27y · Female·neck compression

27-year-old Lynette Phillips died from neck compression (strangulation) at the hands of her intimate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was…

general practicepsychiatrycommunicationsystemheroin
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

…erns, and without a documented discharge plan. The mental health assessment by a nurse practitioner did not use standardised assessment forms, did not adequately explore the patient's complex history, and failed to obta…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

…, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose attempts. Key clinical lessons include: the failure to maintain continuit…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
NSW2021-05-12

Inquest into the death of Jack KOKAUA

30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …

…ncounter after absconding from hospital. Contributing factors included positional asphyxia, exertion, taser use (deployed three times), and his underlying heart disease. Critical failures included: no ambulance called e…

emergency medicinepsychiatryproceduralcommunicationzuclopenthixol

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