Coronial

568 results for overdose

VIChome2019-06-12

Finding into death of MKT

38y · Male·Toxicity to heroin

…une 2018, dying on 1-2 July 2018. Key clinical lesson: recently released prisoners face markedly elevated overdose risk due to reduced opioid tolerance after enforced abstinence, combined with access to more potent drugs…

emergency medicinegeneral practicesystemcommunicationheroin
NSWhome2025-08-26

Inquest into the death of Valmai Jane Birch

34y · Female·Unascertained (possibilities: positional asphyxia, drowning, neck compression, d…

…recise cause of death, with possibilities including positional asphyxia, drowning, neck compression, drug overdose, or a combination. Bagster was convicted of manslaughter in 2022 after criminal trials. This case highlig…

forensic medicinemorphine
QLD2016-05-09

Blutcher, Micheal Wayne

31y · Male·accidental overdose of fentanyl

Micheal Blutcher, aged 31, died from accidental fentanyl overdose in custody at Capricornia Correctional Centre Farm after injecting fentanyl extracted from a transdermal …

emergency medicinetoxicologysystemdelayfentanyl
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

…ling services, and maintained on methadone with good medication compliance, he died from an unintentional overdose at home. The coroner identified systemic issues with addiction services, particularly during COVID-relate…

addiction medicinegeneral practicesystemheroin
WAhome- 15 May 2014

Inquest into the Death of Helen Barbara MINETT

55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis

… health issues including DID, and suicidal ideation died from multiple drug toxicity following a morphine overdose. She ingested approximately 800mg of morphine mixture on the morning of 28 September 2009. Her GP, Dr W.,…

general practicepain medicinediagnosticcommunicationmorphine hydrochloride
VIChospital1999-03-29

JONES Eric

33y · Male·Postural asphyxia due to restraint (Posey Poncho vest)

A 33-year-old male admitted after drug overdose died from asphyxiation while restrained in a Posey Poncho vest. Successfully treated for overdose complic…

intensive careemergency medicineproceduralsystemmethadone
VIChome2019-10-10

Finding into death of Liana Pickup

32y · Female·Mixed drug toxicity (methadone, oxycodone, desmethylvenlafaxine, quetiapine, ola…

…can persist 48 hours; concurrent CNS depressants significantly increase toxicity risk; and partner/family overdose awareness training and naloxone availability could potentially prevent deaths. The coroner noted confound…

general practicepsychiatrymedicationcommunicationmethadone
SAhospital2015-09-22

Coroner's Finding: WHETTERS Peter Richard Bertram

75y · Male·Multiorgan failure complicating mixed drug toxicity

…chronic renal failure died from multiorgan failure complicating mixed drug toxicity following intentional overdose of alcohol, temazepam, and oxycodone. He had expressed suicidal ideation to family members on the day of …

cardiologyintensive caretemazepam
NSWhome2018-07-27

Inquest into the death of Alissa Campbell

26y · Female·Multiple drug toxicity

Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodi…

general practiceaddiction medicinediagnosticmedicationcodeine
VIChome2025-04-17

Finding into death of Thomas Vale

Unknown·Toxicity to protonitazene

…at the time. Key clinical lessons include awareness of novel synthetic opioid circulation, recognition of overdose signs (respiratory depression, reduced consciousness, pinpoint pupils), and availability of naloxone. Pre…

toxicologyforensic medicineprotonitazene
VIChome2002-08-30

CARRIGG Yvonne

Female·Dothiepin toxicity

Yvonne Carrigg, a woman with recurrent post-natal depression, died from dothiepin overdose three days after psychiatric discharge. Critical clinical failures included: prescribing dothiepin (a car…

psychiatrygeneral practicediagnosticmedicationdosulepin
VIChospital2013-12-09

Finding into death of JM

17y · Female·Combined Drug Toxicity (heroin, alprazolam and diazepam)

…a telephone calls and sent an alert email on the day of collapse, but intervention could not occur before overdose. The coroner found no causal failures in supervision, communication breakdown, or systemic failures. Clin…

psychiatryaddiction medicinecommunicationsystemheroin
QLD2017-09-11

Mr D

36y · Male·mixed drug toxicity including heroin and methamphetamine

A 36-year-old man with a history of intravenous drug use died from mixed drug toxicity involving heroin and methamphetamine. He was recently released on parole and appeared to be reintegrating successfully. During a trip…

forensic medicinetoxicologyheroin
VICcommunity2017-07-07

Finding into death of SO

27y · Male·Mixed drug toxicity

…rent improvement in mood and engagement during substance use disorder treatment do not eliminate imminent overdose risk, particularly following discovery of active drug use. Enhanced discharge planning, closer follow-up …

psychiatryaddiction medicinedischargesystemheroin
TAShome2020-06-12

Coroner's Finding: Arnold, Derek William

51y · Male·acute methadone toxicity

…tion supplies where prior authorities had expired without renewal. The coroner could not determine if the overdose was deliberate or accidental. Key clinical lesson: strict adherence to methadone regulatory requirements …

general practicepain medicinemedicationsystemmethadone
VICcommunity2011-10-28

Finding into death of Terri Elizabeth Musgrave

51y · Female·toxicity to heroin

…eated substance use disorder and the limited capacity of law enforcement or single individuals to prevent overdose deaths without coordinated health and social interventions.

forensic medicinetoxicologyheroin
NSW2021-03-09

Inquest into the death of Robert MAXFIELD

45y · Male·multiple drug toxicity

…The coroner found no deficiency by correctional or health services. Clinical lessons include: recognising overdose risk in inmates with substance use histories; monitoring medication compliance in custody settings; and c…

forensic medicinepsychiatrymethadone
TAScommunity2018-06-20

Coroner's Finding: MB

23y · Male·mixed prescription drug toxicity (tramadol and alprazolam)

…madol and alprazolam) at a camping site. He had a history of depression, anxiety, self-harm, and previous overdose attempts. His mother provided unprescribed tramadol in a first-aid kit, instructing him to take it for fo…

general practicepsychiatrymedicationcommunicationtramadol
WAhome2018-08-03

Inquest into the Death of Jackie-Lee SMITH

56y · Female·Acute combined drug toxicity

…ut wished to persevere with tramadol. Toxicology showed very high tramadol concentrations consistent with overdose, likely from taking larger than prescribed amounts to manage pain. She fell in her bathroom while intoxic…

general practicepain medicinetramadol
VIC2011-10-05

Finding into death of Stuart Hill

40y · Male·drug overdose (propofol)

… recovery nurse at the Alfred Hospital with a history of anxiety and depression, died by intentional drug overdose using propofol and rocuronium obtained from his workplace. Following a relationship argument on 21 Januar…

anaesthesiapsychiatrypropofol
145629

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