Coronial

110 results for chronic alcohol dependence

VIChospital2015-08-11

Finding into death of Orce Petrusevski

35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…

A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Desp…

emergency medicinepsychiatrydiagnosticmedicationdiazepam
VIChome2024-08-28

Finding into death of Laurence John Cox

Sodium nitrite toxicity

A 63-year-old man with a history of depression, anxiety, and chronic medical conditions including emphysema and blindness, and his 32-year-old daughter with depression, anore…

psychiatrypsychologysodium nitrite
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

…m natural causes. Clinical lessons include the challenge of managing non-compliant patients with multiple chronic conditions, the importance of attempting physical assessment despite patient refusal, and recognising det…

psychiatryemergency medicinecarbamazepine
NSWcommunity2014-06-27

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

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
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

…-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine, methadone, amitriptyli…

psychiatrypain medicinediagnosticmedicationvenlafaxine
SA2019-12-20

Coroner's Finding: MORGAN Martina

60y · Female·neck compression by ligature strangulation

Martina Morgan, aged 60, died from ligature strangulation by her own leggings while in police custody at Sturt Police Station in March 2015. She was significantly intoxicated (BAC 0.23%) and taking benzodiazepines when a…

diagnosticcommunicationalcohol
NThome2021-11-09

Inquest into the death of Holly Davidson

38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …

…ndicators. The coroner found she died of head trauma in the context of post-traumatic stress disorder and chronic alcoholism. Key failures included: inadequate police investigations, failure to recognise 'red flags' for…

emergency medicinepsychiatrydiagnosticsystemparacetamol/codeine/doxylamine
VIChome2019-06-12

Finding into death of MKT

38y · Male·Toxicity to heroin

…purity variations. Despite brief post-release engagement (accommodation support, GP referrals to drug and alcohol services, pain management), the deceased declined formal addiction treatment and appears to have rapidly …

emergency medicinegeneral practicesystemcommunicationheroin
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…

Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with r…

addiction medicineemergency medicinealprazolam
NSWhospital2026-03-25

Inquest into the death of Lifa Faafete

69y · Male·advanced cholangiocarcinoma

Mr Lifa Faafete, aged 69, died from advanced cholangiocarcinoma while in remand custody at Metropolitan Special Programs Centre. He was appropriately transferred to Prince of Wales Hospital on 22 March 2025 for symptom m…

palliative careoncologycommunication
TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

… later from cardiac enlargement, aspiration of gastric contents, and sleep apnoea, likely precipitated by alcohol and clozapine (found at therapeutic levels despite not being prescribed). Key clinical lessons: he requir…

psychiatrygeneral medicinesystemdelayzuclopenthixol
QLD2026-04-24

Findings of the Inquest into the death of Benjamin Freear

40y · Male·Gunshot wound to neck

Benjamin Freear, aged 40, died from a gunshot wound to the neck sustained during a police siege on 8 December 2019 in rural Queensland. He had been diagnosed with ADHD in April 2018 and prescribed dexamphetamine by psych…

psychiatrygeneral practicesystemdextroamphetamine
NSWcommunity2024-04-17

Inquest into the death of Michael Murray

44y · Male·Multiple blunt force injuries from fall from height

…slide Lookout in the Blue Mountains. He had been diagnosed with borderline personality disorder (BPD) and chronic suicidality. His death highlighted critical gaps in BPD care provision: a seven-month waitlist for dialec…

psychiatrygeneral practicesystemdelaydiazepam
SA2004-02-13

Coroner's Finding: DEWSON Brian Keith

33y · Male·hanging

Brian Dewson, a 33-year-old man with a 12-year history of drug and alcohol abuse, multiple psychiatric assessments (antisocial personality disorder, depression), and prior suicide …

psychiatrycorrectional healthsystemcitalopram
TAShome2026-01-07

Coroner's Finding: de-identified UN

43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…

A 43-year-old man with long-standing opioid use disorder and polysubstance dependence died from hypoxic brain injury following cardiac arrest caused by drug poisoning. He had been prescribed…

general practiceemergency medicinemedicationdiagnosticmethadone
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

A 63-year-old man with COPD, liver cirrhosis and alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respirato…

surgeryanaesthesiaproceduraldiagnosticdiazepam
NThome2007-05-18

Inquest into the death of Erfinna Patricia Lay and John Weston Quirk

Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…

…hloral hydrate prescribed to her partner. John Quirk (27, male) died from doloxene overdose combined with alcohol. Both were treated by the same GP, Dr D., for complex conditions including anxiety, depression, personali…

general practicepsychiatrymedicationcommunicationchloral hydrate
VIChome2023-01-30

Finding into death of Veronica Nelson

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

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phy…

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

…m aspiration pneumonia whilst in state care following removal from her mother's care. Her mother, HC, had chronic benzodiazepine and opioid dependence, presenting substance-affected whilst caring for her profoundly disa…

paediatricspalliative care
TAShospital2022-10-26

Coroner's Finding: Carroll, Terence John

71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …

Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…

ENT surgerygeneral surgerycommunicationdiagnostic

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