134 results for “drug interaction”
64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage
A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertraline. He…
73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …
… staff education on novel anticoagulants, poor handover communication, and absence of systematic checks for drug interactions. The hospital implemented extensive remedial actions including new medication safety policies,…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
…ed recognition of serious deterioration; and uncertainty about transfer timing to a medical facility. While drug therapy was not definitively shown to cause death, experts identified potential triggers including medicati…
65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…
…t ECG. The prescribed methadone interacted adversely with Domperidone and Ciprofloxacin, both QT-prolonging drugs. Mr Phillips should have been admitted as an inpatient. Failures included: inadequate communication betwee…
22y · Male·hypoxic ischaemic encephalopathy as a result of hanging
… before cell placement decisions; conduct thorough post-hospitalisation assessments rather than cursory interactions; escalate concerns about seizures and mental health distress; recommend appropriate protective placeme…
21y · Male·upper airway obstruction and plastic bag asphyxia
Matthew Aaron Condie, a 21-year-old prisoner serving a 12-year sentence at Port Phillip Prison, died by asphyxiation using a plastic bag on 27-28 September 2007. The coroner found his death was potentially preventable du…
27y · Male·Multiple injuries sustained after being struck by a train
Christopher Dewhurst, 27, died by suicide after being struck by a train while on ground leave from a psychiatric unit. He was a compulsory patient subject to a Temporary Treatment Order, admitted with suicidal ideation a…
53y · Male·severe burns
Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate due to distress about power cuts at h…
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…
54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…
… warrants urgent psychiatric assessment despite current calm presentation; (3) clinicians prescribing these drug combinations should confirm patient understanding and obtain ECG monitoring; (4) case manager should have e…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …
45y · Male·gunshot wound to the chest with associated significant blood loss
Stanley Russell, a 45-year-old Aboriginal man with mild intellectual disability, was shot dead by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother d…
28y · Female·bronchopneumonia complicating oxycodone toxicity
Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…
33y · Male·Pelvic crush injury sustained while working at an underground coal mine
Jason Blee, a 33-year-old experienced miner and trainer at Moranbah North Mine in Queensland, was fatally crushed on 9 April 2007 when a shuttle car pinned him against a rib (wall) in a narrow underground heading. Follow…
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