Coronial

163 results for paracetamol toxicity

VICaged care2019-02-21

Finding into death of Kathleen Schleibs

88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…

…uded: inadequate assessment before discharge from acute care despite uncontrolled pain and ongoing opioid toxicity; discharge to a low-care facility unable to provide needed medical support; failure to perform C-reactive…

orthopaedic surgerygeriatric medicinediagnosticcommunicationfentanyl
SAhospital2018-10-10

Coroner's Finding: ATKINS Stephen Robert

53y · Male·fentanyl and oxycodone toxicity

Stephen Robert Atkins, 53, died from fentanyl and oxycodone toxicity after admission to Flinders Medical Centre for investigation of Horner's syndrome and radiculopathy. Over…

neurologyemergency medicinediagnosticmedicationfentanyl
VIChospital2022-08-26

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

… with chronic pain and opioid dependence, died from hypoxic ischaemic encephalopathy following mixed drug toxicity. She underwent a ketamine infusion with opioid rotation from oxycodone to methadone at Victorian Rehabili…

pain medicineaddiction medicinecommunicationsystemmethadone
VIChome2024-05-24

Finding into death of L I

16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…

… with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) after obtaining prescriptions from 31 dif…

general practicepsychiatrymedicationdiagnosticcodeine
VIChome2020-08-24

Finding into death of Wayne Laurence Marshall

54y · Male·Methadone use in a man with asthma and sarcoidosis of the lungs

Wayne Marshall, a 54-year-old registered nurse, died from respiratory depression caused by methadone use in the context of underlying asthma and pulmonary sarcoidosis. He was found gasping for air at home and could not b…

emergency medicineintensive caremethadone
NSWhospital2018-03-29

Inquest into the death of Paul Lau

54y · Male·aspiration pneumonia caused by multiple drug toxicity

Paul Lau, aged 54, died from aspiration pneumonia caused by opioid toxicity following ACL reconstruction surgery. The death resulted from a prescribing error where anaesthetist Dr K…

anaesthesiaorthopaedic surgerydiagnosticmedicationfentanyl
WAcommunity2001-12-19

Inquest into the Death of Martin Raymond Coffey

24y · Male·Aspiration of vomit associated with combined drug effect

Martin Raymond Coffey, 24, died from aspiration of vomit associated with combined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the de…

psychiatrygeneral practicesystemcommunicationamitriptyline
VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

…to use heroin, benzodiazepines, and amphetamines. He was found deceased ten days later from combined drug toxicity. The coroner found the psychiatric care appropriate but identified a system failure: the referral for com…

psychiatryaddiction medicinecommunicationsystemheroin
NSWhospital2020-11-20

Inquest into the death of Melissa Stokes

49y · Female·Fatal Cardiac Arrhythmia

… intubation history. The ward was understaffed and busy. The coroner noted that had the cause been opioid toxicity, observant nursing with hourly observations would likely have detected deterioration, but if cardiac arrh…

anaesthesiagynaecologycommunicationdelaytramadol
SAhome2017-07-25

Coroner's Finding: MCKENZIE Deborah Francis

22y · Female·compression of the neck consistent with hanging

22-year-old Deborah McKenzie, an Aboriginal woman, died by hanging on 13 March 2013 after a complex sequence of failures in mental health care and police procedures. She had reported her partner Shane Woods to police for…

general practiceemergency medicinediagnosticproceduralparacetamol
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
NSW2024-12-19

Inquest into the death of Ian Turner

35y · Male·multi-drug toxicity

CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incident…

psychiatrygeneral practicediagnosticcommunicationamitriptyline
WAhome2023-11-10

Inquest into the Death of Child ML (Name Subject to Suppression Order)

7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…

Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…

paediatricsrespiratory medicinemedicationsystemcodeine
WAhospital2023-11-29

Inquest into the Death of Samuel Edward ASHBY

46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…

Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…

psychiatrygeneral medicinediagnosticsystemclozapine
QLDcommunity2021-05-14

Cahill, Margaret Ann

61y · Female·Multiple drug (tapentadol, morphine, diazepam, citalopram) intoxication

Margaret Cahill, a 61-year-old nurse assistant, died from multiple drug intoxication after a GP administered 60mg intramuscular morphine without knowing she had consumed tapentadol 1-2 hours earlier. The coroner identifi…

general practiceemergency medicinediagnosticmedicationtapentadol
VIChospital2013-04-22

Finding into death of Evelyn Wright

62y · Female·Hypoxic brain injury complicating mixed drug toxicity

Evelyn Faye Scherger (62F) died from hypoxic brain injury following a polypharmacy overdose on 6 September 2011, two days after discharge from the Mildura Base Hospital Emergency Department. She had presented after a sus…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
SA2025-05-20

Coroner's Finding: Pham, Duy Ngoc

35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…

35-year-old male died from multiple organ failure following out-of-hospital cardiac arrest caused by perforated duodenum. He was in police custody for drug-related charges and diagnosed with opioid withdrawal. Critical d…

emergency medicinegeneral practicedelaycommunicationmethamphetamine
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

…agnosis. Critical clinical findings—profound thrombocytopenia (platelets 23), fever, and general systemic toxicity combined with her known valvular disease history—should have prompted hospital admission and sepsis worku…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
NSWcommunity2008-01-24

Coroner's Finding: Vanessa Ann Anderson

16y · Female·Respiratory arrest due to the depressant effect of opiate medication

Vanessa Anderson, 16, suffered a depressed skull fracture from a golf ball strike and was admitted to Royal North Shore Hospital. She died from respiratory arrest due to opioid-induced respiratory depression, which was e…

neurosurgeryanaesthesiamedicationcommunicationoxycodone
SAhospital2014-02-14

Coroner's Finding: RYAN John William and WALTON Patricia Dawn

Unknown·Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…

Two obese patients died from hypoxic-ischaemic encephalopathy following cardio-respiratory deterioration post-operatively at a private hospital without overnight medical cover. John Ryan (54) deteriorated within hours of…

anaesthesiaorthopaedic surgerydiagnosticcommunicationmorphine
1789

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