Coronial

116 results for prescription drug addiction

NSWhome2024-08-09

Inquest into the death of Linus Phillips

65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…

…Mr Phillips had chronic pain from knee surgery, severe sleep apnoea, and was opioid-dependent. Dr H., an addiction specialist, prescribed Physeptone (methadone tablets) starting 14 October 2014 at escalating doses reach…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhospital2013-09-03

Coroner's Finding: MUMFORD Michael John

41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity

A 41-year-old man with depression, anxiety, and substance abuse history deliberately ingested 390 metformin tablets on 24 December 2009 in a suicide attempt. He presented to the ED conscious and coherent, reporting the o…

intensive careemergency medicinemetformin
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:…

Two young people died from acute multiple drug toxicity in 2005. Erfinna Lay (22, female) died from aspiration after ingesting chloral hydrate prescribed …

general practicepsychiatrymedicationcommunicationchloral hydrate
TAScommunity2024-01-22

Coroner's Finding: de-identified TX

30y · Male·Drowning due to jumping from the Batman Bridge

…s, risk mitigation strategies, or treatment plans. Critical omissions included: failure to access DORA (prescription monitoring system) despite alerts about his opioid dependence history; lack of collateral information g…

general practicepsychiatrydiagnosticsystemclonazepam
NSWhome2022-08-19

Inquest into the death of Phoenix Hemmings

1y · Male·methadone toxicity

…and dispensers when patients on opioid treatment programs have children in the home; the risks of using prescription medications for unauthorised sedation of children; and the need for multidisciplinary communication bet…

general practicepharmacysystemcommunicationmethadone
VIC2021-05-24

Finding into death of Melanie Diane Doherty

29y · Female·Mixed Drug Toxicity

A 29-year-old woman died from mixed drug toxicity after being found unresponsive at a residential parenting program. She had complex medical conditi…

addiction medicinepsychiatrymedicationcommunicationmethadone
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxyco…

infectious diseasesemergency medicinecommunicationsystemfentanyl
VIChome2019-10-10

Finding into death of Liana Pickup

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

…rsonality disorder, schizoaffective disorder), chronic back pain, and substance dependence, died from mixed drug toxicity after commencing methadone maintenance therapy. She received her first 20mg methadone dose at 4:55…

general practicepsychiatrymedicationcommunicationmethadone
QLDcommunity2016-01-18

Kumeroa, Shaun Basil

42y · Male·gunshot wounds to the chest and abdomen

Shaun Basil Kumeroa, aged 42, died from gunshot wounds during a police siege in Brisbane. Following a family dispute resolution conference regarding custody of his daughter, Mr Kumeroa assaulted his ex-partner and became…

general practicepsychologybuprenorphine/naloxone
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…

psychiatrygeneral practicecommunicationdocumentationsertraline
VICcommunity2024-05-15

Finding into death of Denise Lucina Roberts

63y · Female·Combined features of bronchopneumonia, emphysema and ischaemic heart disease on …

A 63-year-old woman with depression, anxiety, liver cirrhosis, and chronic drug use died from bronchopneumonia, emphysema, and ischaemic heart disease following a prolonged lie on the gro…

general practiceaddiction medicinecommunicationsystemdiazepam
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

…afaxine three days before the homicide, he developed acute psychosis likely related to tramadol withdrawal, drug interaction, or combination with recent substance cessation. He stabbed Ms Harris multiple times, set fire …

general practicepain medicinemedicationcommunicationtramadol
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…

psychiatryaddiction medicinemedicationproceduralmethadone
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

… use and prescribed 30 mg methadone daily after two doses. The coroner found the medical assessment and prescription decisions, though lacking formal assessment tools and urinalysis testing, fell within acceptable clinic…

addiction medicinegeneral practicediagnosticsystemmethadone
QLDcustody2005-10-12

Waldon, Mark Anthony aka Hurricane, Mark Anthony

29y · Male·Aspiration due to acute gastric dilatation

Mark Herricane, aged 29, died of aspiration from acute gastric dilatation during opioid withdrawal in custody at Arthur Gorrie Correctional Centre on 3 January 2002. Despite repeated intercom calls requesting medical hel…

correctional healthgeneral medicinediagnosticproceduralheroin
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …

general practiceaddiction medicinemedicationdiagnosticbuprenorphine

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