Coronial

117 results for paracetamol overdose

VIChome2021-03-19

Finding into death of Jessinda Kiroyan

41y · Female·Nitrate/nitrite toxicity

Jessinda Kiroyan, a 41-year-old woman with a longstanding history of bipolar affective disorder, died from nitrate/nitrite toxicity in May 2019 after intentionally ingesting sodium nitrite obtained from a food ingredient…

psychiatryforensic medicinesodium nitrite
QLDhome2016-08-22

SJM - Non-inquest findings

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

…ultiple central nervous system depressants (Temazepam, Alprazolam) concurrently, significantly increasing overdose risk. The GP prescribed large quantities (100 capsules at a time) without adequate monitoring, despite th…

general practicepathologymedicationdiagnosticpropoxyphene
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

…er system. The coroner emphasised that methadone diversion remains a significant contributor to Victorian overdose deaths and highlighted the need for improved education and policy regarding safe storage of methadone in …

general practiceforensic medicinesystemmethadone
VIChome2026-01-08

Finding into death of L L

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

… involving gabapentin, oxycodone, tramadol, diazepam, citalopram, desmethylvenlafaxine, ondansetron and paracetamol. She received extensive prescriptions from multiple providers without adequate coordination. Critical f…

general practicerespiratory medicinesystemcommunicationgabapentin
VIChome2011-09-13

Finding into death of Rosa Sinapi

47y · Female·risperidone toxicity

…a Sinapi, a 47-year-old woman with delusional disorder, died from risperidone toxicity after ingesting an overdose of her antipsychotic medication. She had self-escalated her risperidone dose from 3mg to 6mg daily withou…

psychiatrygeneral practicesystemdelayrisperidone
VICcommunity2019-06-18

Finding into death of Yara Sturak Mignon

35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…

Yara Sturak Mignon, a 35-year-old with a 10-year heroin addiction, was found unconscious in a restaurant bathroom on Victoria Street Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistami…

emergency medicineintensive caresystemheroin
VICmental health2016

Finding into death of Rebecca Victoria Poke

29y · Female·global cerebral ischaemic injury in the setting of neck compression

…e while an inpatient in Ward E of Casey Hospital on 2 September 2015. She had been admitted following a paracetamol overdose and was on 15-minute nursing observations. Despite appropriate psychiatric care, comprehensive…

psychiatryintensive caresystemvenlafaxine
VIChome2017-06-20

Finding into death of Finding Ms RF

50y · Female·Potentially fatal multiple drug toxicity (oxycodone, mirtazapine, citalopram, cl…

…21 different GPs between January and September 2013. In September alone, she was prescribed 180 codeine/paracetamol tablets, 112 pregabalin, and 96 oxycodone tablets—approximately three times recommended monthly doses. …

general practiceneurosurgerysystemcommunicationoxycodone
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

…disease. He had a documented history of opioid addiction, multiple emergency presentations for medication overdose, and drug-seeking behaviour managed by his GP and pharmacy services. Despite safeguards (locked medicatio…

general practiceemergency medicinesystemmethadone
WAcommunity2005-06-09

Inquest into the Death of Richard Stanley Tauwhare

25y · Male·gastro-intestinal haemorrhage due to erosive gastritis in association with acute…

Richard Stanley Tauwhare, a 25-year-old male, died on 10 February 2002 from gastro-intestinal haemorrhage due to erosive gastritis in association with acute-on-chronic amphetamine toxicity. He had consumed a large dose o…

methamphetamine
QLDcommunity2004-10-28

Cif Shoobridge Gr 20041028

25y · Male·Cardiorespiratory failure due to unpredictable additive effect of combination of…

…unpredictable additive effect of multiple drugs in combination (diazepam, morphine, codeine, methadone, paracetamol). He engaged in doctor-shopping, obtaining 89 prescriptions from 22 different general practitioners in …

general practiceaddiction medicinecommunicationsystemdiazepam
VIChome2022-05-20

Finding into death of Mandy Hawkey

51y · Female·Mixed drug toxicity

…esistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, antidepressants, and analgesics. The coroner identifi…

general practicepsychiatrymedicationcommunicationflunitrazepam
QLDhome2014-11-26

Smith, Rachel Danielle - Non-inquest findings

25y · Female·mixed drug toxicity

Rachel Smith, a 25-year-old woman with chronic migraines and depression, died from mixed drug toxicity after consuming multiple prescription medications including oxycodone, codeine, tramadol, diazepam, amitriptyline and…

general practiceneurologydiagnosticsystemoxycodone
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

…nd rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following suspected narcotic overdose after ingesting his wife's MS Contin tablets. Key clinical failures included: Dr L.'s delayed attendance …

emergency medicinegeneral practicediagnosticdelaymorphine
SAhospital2006-06-16

Coroner's Finding: SMITH Ian Myles

2y · Male·morphine toxicity

A 2-year-old boy died from morphine toxicity approximately 35 hours after suspected ingestion of up to 7 Kapanol (slow-release morphine) capsules accessed from his father's medication left unguarded in the home. Hospital…

emergency medicinepaediatricssystemdelaymorphine
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…cluded: the prescribing doctor not specifying tablet/capsule formulation despite knowing oral drops posed overdose risk; lack of clear warning about side effects and toxicity; and dispensing a concentrated paediatric for…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
VIChome2017-07-04

Finding into death of NJ

35y · Female·combined drug toxicity

…xicity involving methadone, pregabalin, methamphetamine, benzodiazepines, mirtazapine, promethazine and paracetamol. Critical clinical failures included: prescription shopping across multiple clinics (at least 4 doctors…

general practiceaddiction medicineprescribingcommunicationmethadone
NSWhome2014-04-24

Inquest into the death of SS

50y · Female·Cyanide toxicity

…person directly caused or contributed to her death, and concluded the manner of death was accidental drug overdose, noting she may have intended self-harm rather than completed suicide. Both Sigma-Aldrich and the NSW Pha…

psychiatrypsychologysystempotassium cyanide
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, initially obtained from multi…

general practicepsychiatrycommunicationsystemcodeine
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

… Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideation and overdose of prescribed medications with alcohol (BAC 0.179). Eastern Health correctly assessed she didn't meet cri…

emergency medicinepsychiatrycommunicationsystemalcohol

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