Coronial

158 results for chronic pain disorder

TAShome2024-10-23

Coroner's Finding: Earl, Kathleen May

58y · Female·Complications of poorly controlled type 2 diabetes

Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…

general practiceendocrinologysystemcommunicationryzodeg
VIC2020-01-15

Finding into death of Travis Lee Fernandez

35y · Male·Hanging

…of his presentation. The deceased appears to have experienced some jaw discomfort but not documented severe pain proximate to death.

oral and maxillofacial surgeryemergency medicinecommunicationsystemmethadone
WAhome2016-02-10

Inquest into the Death of Shayne Andrew BERRY

44y · Male·Combined drug effect (oxycodone and benzodiazepines)

A 44-year-old man with a history of heroin addiction registered as a drug addict in 2010 died from combined drug effect involving oxycodone and benzodiazepines. Despite being a registered drug addict, he obtained prescri…

general practicepharmacologysystemcommunicationoxycodone
SAhospital2017-11-15

Coroner's Finding: BROADWAY Rita Ann

66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…

…infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling catheter placed for urinary incontinence. The ED doc…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

…—direct assessment with listening for breathing is superior; (2) diagnostic uncertainty between psychotic disorder and personality disorder significantly impacts treatment and requires careful multidisciplinary review, p…

psychiatryintensive caresystemcommunicationrisperidone
VIChome2023-04-13

Finding into death of Martin William Sheahan

57y · Male·Gunshot wounds to the head and abdomen

Martin Sheahan, 57, was fatally shot by Glenn Usher-Clarke at his home on 26 January 2022. Usher-Clarke, who held a NSW firearms licence and permit to acquire, legally purchased a shotgun in Victoria on 17 December 2021 …

general practicepsychiatrycommunicationsystemmirtazapine
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

… patients in medication compliance, obtaining collateral clinical information, and maintaining structured chronic disease management protocols for high-risk cardiac patients, even in custodial settings.

cardiologygeneral practicediagnosticmedicationaspirin
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

…ce use and social chaos; (2) inadequate risk assessment and mental health screening despite substance use disorder; (3) lack of coordination between multiple prescribers allowing dangerous benzodiazepine accumulation; an…

emergency medicinegeneral practicediagnosticsystemheroin
QLDhome2026-02-11

Inquest into the death of FSGT

50y · Male·Gunshot wound to the head

A 50-year-old RAAF Flight Sergeant with Major Depressive Disorder and anxiety died from a self-inflicted gunshot wound to the head after police responded to a domestic dis…

general practicepsychologysystemcommunicationamitriptyline
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrabl…

psychiatrypsychologycommunicationsystemcitalopram
QLDhome2013-12-06

Cook, Jenny Lee

29y · Female·Exsanguination caused by a single stab wound to left lung

Jenny Lee Cook, age 29, died from a stab wound to the chest on 19 January 2009. Police concluded suicide within 20 hours but the investigation was fundamentally inadequate. Critical evidence was not obtained: Mr Cook's m…

forensic medicinepsychiatrydiagnosticsystemmirtazapine
QLD2013-04-18

McCarty, Lawrence

45y · Male·exsanguination due to incised wound to neck

Lawrence McCarty, a 45-year-old man in custody on remand, died by suicide in prison on 30 April 2011 by slashing his neck with a dismantled razor blade. Clinical lessons include: (1) reception staff failed to adequately …

general practicepsychiatrydiagnosticcommunicationsertraline
VIChome2016-10-07

Finding into death of Milica (Mary) Minchev

48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…

A 48-year-old woman with epilepsy, depression, anxiety and documented drug dependence died from combined toxicity of oxycodone, benzodiazepines, amitriptyline and other drugs. Over 12 months pre-death, she obtained medic…

general practicepsychiatrydiagnosticmedicationoxycodone
NSW2024-06-20

Inquest into the death of Michael Baker

44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…

…changes; poor diabetes management including missed optometry and podiatry referrals; and failure to address painful ingrown toenails despite multiple requests. These failures were driven by severe under-resourcing: one G…

general practicepsychiatrydiagnosticcommunicationmethadone
NSW2017-11-06

Inquest into the death of Edward Haenga

37y · Male·cardiac arrhythmia

A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…

psychiatrygeneral practicemedicationproceduralescitalopram
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 benzodiazepines. She had accessed prescription drugs from at …

general practiceaddiction medicinediagnosticmedicationcodeine
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

A 29-year-old man with class III obesity died from combined drug toxicity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting a…

general practicetoxicologydiagnosticsystempregabalin
VIChome2025-01-31

Finding into death of Nicky Kudrin

60y · Male·Gunshot wound to the head (self-inflicted)

Nicky Kudrin, a 60-year-old man, died from a self-inflicted gunshot wound to the head on 7 July 2021 during a police operation. He attended his ex-wife's home, assaulted her, displayed a homemade firearm, and made threat…

methamphetamine
VIChome2020-01-29

Finding into death of Caitlin-Lei Alaya

44y · Female·Combined drug toxicity (elevated pregabalin, temazepam, oxazepam, ibuprofen, mel…

Caitlin-Lei Alaya, a 44-year-old woman with fibromyalgia, PTSD, depression and suicidal ideation, died from combined drug toxicity (elevated pregabalin, temazepam, ibuprofen, meloxicam). She survived a suicide attempt on…

general practiceemergency medicinemedicationsystempregabalin
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
1678

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