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VIChome2020-06-12

Finding into death of Daniel Isaac Semple

39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…

A 39-year-old man with epilepsy and opioid dependence died from multiple drug toxicity involving methadone, benzodiazepines (diazepam, oxazepam), antiepileptics (carbamazepine, levetiracetam), and mirtazapine. He was pre…

general practiceaddiction medicinediagnosticmedicationmethadone
VIChome2020-06-05

Finding into death of Gregory Allen Floyd

43y · Male·Gunshot wound to the head

Gregory Allen Floyd, aged 43, died from a self-inflicted gunshot wound following the killing of his partner Ora Holt. In the months preceding the deaths, Mr Floyd exhibited delusional beliefs that Ms Holt was having affa…

general practicepsychologydiagnosticsystemcodeine
VIChome2020-06-05

Finding into death of Ora Holt

39y · Female·gunshot wound to the head

Ora Holt, aged 39, was shot and killed by her partner Gregory Floyd on 25 April 2017 in Wangaratta, Victoria. Floyd exhibited escalating coercive, controlling and abusive behaviour throughout late 2016 and early 2017, in…

general practicepsychiatrydiagnosticcodeine
VICaged care2020-06-03

Finding into death of Annette Lee Douglass

60y · Female·Respiratory arrest in the setting of aspiration pneumonia; seizures associated w…

A 60-year-old woman with Down syndrome, Alzheimer's dementia, and epilepsy died from respiratory arrest due to aspiration pneumonia after a seizure. A multi-day delay in anticonvulsant medication (phenytoin) occurred due…

general practiceneurologycommunicationsystemphenytoin
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the chil…

general practicepsychiatrycommunicationsystemtriflouperazine
SAhome2020-05-28

Coroner's Finding: WHITE Jeffrey Thomas

35y · Male·heroin toxicity

Jeffrey Thomas White, 35, died from heroin toxicity while on home detention bail. He had a 13-year history of polysubstance abuse including heroin, amphetamines, and methamphetamine. Three days before death, he contacted…

addiction medicinegeneral practicedelayheroin
SAhospital2020-05-28

Coroner's Finding: OLIVER Ian Arthur

81y · Male·haemorrhage from metastatic squamous cell tumour of the right axilla

An 81-year-old man with extensive comorbidities (cardiac failure, COPD, diabetes, renal failure) presented with a right axillary squamous cell carcinoma with metastases. He was admitted for palliative care and pain manag…

oncologypalliative care
SAaged care2020-05-28

Coroner's Finding: COCHRAN Henry Reginald

89y · Male·ischaemic heart disease and chronic obstructive pulmonary disease with aspiratio…

An 89-year-old man with ischaemic heart disease, COPD, dementia, and Korsakoff syndrome died at a nursing home from cardiorespiratory failure with aspiration pneumonia. He was found on the bathroom floor after a fall and…

general practicegeriatric medicine
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

A 46-year-old woman with a history of depression, anxiety, and alcohol dependence died by hanging. She was transported to Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideati…

emergency medicinepsychiatrycommunicationsystemalcohol
VIChospital2020-05-25

Finding into death of Chris Perdios

42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…

Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …

intensive careemergency medicinecommunicationsystemquetiapine
VICcommunity2020-05-22

Finding into death of Christina Maree Chamberlain

60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

Christina Maree Chamberlain, aged 60, died when her vehicle drifted across lanes and collided with a tree on Great Alpine Road. She was taking multiple medications including oxycodone, amitriptyline, sertraline, diazepam…

emergency medicineforensic medicineoxycodone
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

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

Christopher Neil Adams, 31, died from mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine, diazepam) combined with advanced coronary atherosclerotic disease. He had a documented history of opi…

general practiceemergency medicinesystemmethadone
TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
TAS2020-05-18

Coroner's Finding: Barber, Gavin John

55y · Male·head injury sustained in a single motorcycle crash

A 55-year-old man with multiple comorbidities (bipolar disorder, OCD, asthma, bronchiectasis, methadone dependency) died from head injury sustained in a motorcycle crash. He was riding 3 weeks after a previous motorcycle…

general practiceorthopaedic surgerycommunicationmethadone
TAShome2020-05-15

Coroner's Finding: Hunter, Feryne Gaylene

75y · Female·Airway obstruction due to aspiration occluding a permanent tracheostomy

Feryne Gaylene Hunter, aged 75, died from airway obstruction due to aspiration into her permanent tracheostomy. She had a history of subglottic stenosis, asthma, and gastro-oesophageal reflux disease with a hiatus hernia…

paramedicinegeneral practicecommunication
WAcommunity2020-05-14

Inquest into the Suspected Death of Thomas Dominic RAE

25y · Male·immersion in water (drowning)

Thomas Dominic Rae, aged 25, disappeared while rock fishing at Shelley Beach, Western Australia on 7 July 2019 and is presumed drowned. He had a history of mental health issues (anxiety, depression, bipolar affective dis…

emergency medicinepsychiatry
TAShome2020-05-14

Coroner's Finding: Cashion, Brett Matthew

48y · Male·combined drug intoxication from morphine and quetiapine

Brett Cashion, a 48-year-old man with chronic pain and mental health issues, died from combined morphine and quetiapine intoxication after injecting prescription morphine. He was receiving daily Subutex in Tasmania from …

general practicepain medicinecommunicationsystemmorphine
SA2020-05-08

Coroner's Finding: CANHAM Craig Nicholas

63y · Male·cardiac arrhythmia complicating recent posterior myocardial infarct with underly…

Craig Nicholas Canham, aged 63, died in custody at Yatala Labour Prison from cardiac arrhythmia complicating a recent posterior myocardial infarction with underlying hypertrophic cardiomyopathy. He had suffered a myocard…

cardiologygeneral practicetenecteplase
VICcommunity2020-05-07

Finding into death of Mark Beames

44y · Male·Unascertained

Mark Beames, a 44-year-old Aboriginal man with epilepsy, acquired brain injury, and alcohol dependency, disappeared on 4 September 2014 from Swan Hill, Victoria. He had recently been discharged from hospital after self-d…

psychiatryneurologydiazepam
NSW2020-05-06

Inquest into the death of Jonathon HOGAN

23y · Male·Neck compression as a result of hanging

Jonathon Hogan, a 23-year-old Aboriginal man of Wiradjuri, Ngiyampaa and Murrawarri descent, died by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with pr…

psychiatrygeneral practicediagnosticcommunicationolanzapine

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