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VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical clinical failure…

general practiceaddiction medicinemedicationcommunicationheroin
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

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…

general practicepsychiatrydiagnosticmedicationoxycodone
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed …

general practicepsychiatrysertraline
VIC2013-12-31

Finding into death of Wayne Joannou

26y · Male·Gunshot wound to head

Wayne Joannou, 26, died from a gunshot wound to the head on 18 February 2005 when the Special Operations Group attempted his arrest. He was a known violent offender with a 10-year criminal history and substance abuse iss…

addiction medicinepsychiatrysystemcommunicationheroin
VIChospital2013-12-09

Finding into death of JM

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

A 17-year-old female with complex mental health and substance use disorders died from combined drug toxicity (heroin, alprazolam, and diazepam) following release from youth detention. Despite extensive involvement from d…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2013-10-11

Finding into death of LP

31y · Male·Multidrug overdose including heroin

LP, a 31-year-old man with depression, severe anxiety, and substance use disorder, died from multidrug overdose including heroin. He had long-standing benzodiazepine (Xanax) abuse since his late teens, complicated by met…

pathologypsychiatryheroin
VIChome2013-10-01

Finding into death of Christina Mifsud

45y · Female·Combined Drug Toxicity

Christina Mifsud, aged 45, died from combined drug toxicity including methadone, diazepam, paroxetine and cannabis. She accessed methadone prescribed to her partner stored unsecured in their home. The coroner identified …

pharmacologyaddiction medicinesystemmethadone
VIChome2013-10-01

Finding into death of Dion Heather

38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…

A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…

addiction medicinegeneral practicesystemdelaymethadone
VIChome2013-09-12

Finding into death of Sarolta Elesits

54y · Female·Acute alcohol toxicity with immersion

A 54-year-old woman with major depressive disorder and alcohol addiction died from acute alcohol toxicity with immersion. She was hospitalised involuntarily on 23 December 2008 with a blood alcohol level of 0.323 and sui…

psychiatryaddiction medicinecommunicationsystemalcohol
VICcommunity2013-09-04

Finding into death of Cassilla Ellen Dooley

34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)

Cassilla Ellen Dooley, a 34-year-old woman with chronic mental illness and substance dependence, died from mixed drug toxicity involving ethanol, methadone, diazepam, and risperidone at a supported housing facility. She …

psychiatryemergency medicinecommunicationsystemalcohol
VIC2013-08-23

Finding into death of PT

57y · Male·Aspiration pneumonia in an HIV positive man on methadone

A 57-year-old man with HIV, chronic alcoholism, and opioid dependence died from aspiration pneumonia while residing in a managed care facility. On the day of death, staff noted abnormal behaviour and drowsiness; methadon…

general practicepathologysystemmethadone
VIChome2013-06-12

Finding into death of Matthew Robert Frandsen

41y · Male·mixed drug toxicity (ethanol, amitriptyline, methadone, morphine, diazepam, tema…

Matthew Frandsen, a 41-year-old with longstanding illicit drug and alcohol use disorder, died from mixed drug toxicity involving ethanol, methadone, morphine, amitriptyline, and benzodiazepines. He was found heavily into…

forensic medicineaddiction medicinesystemdelayalcohol
VICcommunity2013-06-05

Finding into death of Helen Maree Stagoll

16y · Female·respiratory arrest caused by combined toxic effects of methadone and alprazolam

This is a coronial prevention report examining methadone takeaway dosing risks in Victoria, prepared following the death of Helen Stagoll (age 16) in 2010 from respiratory arrest caused by diverted methadone and alprazol…

addiction medicinepharmacologysystemdelaymethadone
VIChome2012-09-28

Finding into death of Damien Perceval

33y · Male·Aspiration pneumonia and hypoxic brain injury in a man consuming alcohol and met…

A 33-year-old man with alcohol dependence died from aspiration pneumonia and hypoxic brain injury after consuming approximately 40ml of methadone (not prescribed to him) combined with alcohol. The methadone was prescribe…

toxicologyemergency medicinedelaymethadone
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…

psychiatryparamedicinesystemdelayalcohol
VIChospital2012-06-08

Finding into death of Donna Maria Mousely

46y · Female·Hypoxic brain injury due to combined drug toxicity

Donna Mousley, aged 46 years with long-standing panadeine forte and diazepam dependence, presented to an addiction medicine specialist seeking management. Dr C. prescribed methadone 40mg on 9 November 2010 after consulta…

addiction medicinegeneral practicecommunicationmethadone
VIChome2012-06-04

Finding into death of Phong Cao

39y · Male·Haemorrhage from right groin wound

A 39-year-old man with extensive intravenous drug use history died from haemorrhage following rupture of a femoral artery aneurysm during a groin injection attempt. He had previously been admitted for arterial repair fro…

vascular surgeryemergency medicineheroin
VICcommunity2012-04-12

Finding into death of Rajesh Pala

34y · Male·Mixed drug toxicity

Rajesh Pala, a 34-year-old man with polysubstance abuse disorder, borderline personality disorder, and chronic depression, died from mixed drug toxicity following discharge from The Alfred psychiatric unit. He was admitt…

psychiatryaddiction medicinecommunicationheroin
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm …

psychiatrygeneral practicediagnosticcommunicationmethadone
VIChome2012-02-15

Finding into death of James

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…

general practicepsychiatrysystemcommunicationmorphine

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