108 results
50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…
A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence…
54y · Male·hanging
John Raymond Gilbett, aged 54, died by hanging on 11 September 2011. He had chronic pain and opioid dependence managed by general practitioners, and chronic mental illness from a 2001 motor vehicle accident. His GP presc…
22y · Male·mixed drug toxicity due to methadone, codeine, and morphine (metabolite), compou…
William Wallrock, 22, died from mixed drug toxicity four days after wisdom tooth extraction. He was initially appropriately advised to use paracetamol and ibuprofen. When inadequate pain relief prompted him to seek furth…
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…
45y · Female·Pethidine toxicity
Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr P., prescribed large quantities of pethidine and ox…
31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…
Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…
33y · Male·toxic effects of oxycodone
A 33-year-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine a…
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…
72y · Female·Intrathecal toxicity of bupivacaine and morphine
A 72-year-old woman with terminal metastatic parotid cancer died from intrathecal toxicity of bupivacaine and morphine. She was admitted to Ashford Hospital for pain management of pathological pelvic fractures. An intrat…
Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)
Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her GP prescribed fentanyl patches (50mcg/h, increased to 75mcg/h) after one wee…
50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …
50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…
45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia
A 45-year-old man died from hypoxic-ischaemic encephalopathy following cardiopulmonary arrest 11 hours after elective wrist plate removal surgery. Multiple contributing factors were identified: undisclosed obstructive sl…
38y · Male·Toxic effects of morphine in a setting of benzodiazepine dependency
A 38-year-old man with chronic pain, mental illness, and benzodiazepine dependency died from morphine toxicity. He obtained multiple benzodiazepines and opioids from five different doctors through 'prescription shopping'…
37y · Male·mixed drug toxicity
A 37-year-old man with chronic pain from scoliosis and recurrent pancreatitis died from mixed drug toxicity. Over four months, he obtained prescriptions from 19 different doctors for multiple medications including opioid…
24y · Male·Combined drug toxicity (morphine and diazepam)
James, aged 24, died from combined drug toxicity (morphine and diazepam) following intentional overdose. He had engaged in prescription shopping across 19 doctors and 32 pharmacies over three years, obtaining large quant…
37y · Female·exsanguination from incised wounds to right wrist and elbow
Tracey Inglis, a 37-year-old woman with chronic pain from multiple orthopaedic injuries, hepatitis C, and a history of suicidal ideation, died by suicide while imprisoned. Critical clinical lessons include: the Initial R…
43y · Male·hypoxic brain injury secondary to asphyxiation by ligature
A 43-year-old man died from hypoxic brain injury due to asphyxiation by ligature while an inpatient at a rehabilitation centre. He had undergone spinal surgery for back pain and cauda equina syndrome but was failing to i…
44y · Female·mixed drug toxicity with aspiration of gastric contents
A 44-year-old woman with chronic back pain and depression died from mixed drug toxicity with aspiration of gastric contents. She had been prescribed multiple medications including amitriptyline, diazepam, codeine, and lo…
73y · Female·neck compression by ligature
Sofija Dobrijevic, a 73-year-old woman detained under the Mental Health Act, died by ligature strangulation in a closed psychiatric ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histr…
31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …
Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…
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