Coronial

168 results for benzodiazepine use

NSWcommunity2021-10-22

Inquest into the death of Terence Gray

54y · Male·Multiple injuries from collision with motor vehicle

Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lac…

psychiatryemergency medicinecommunicationsystemalcohol
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
VIChome2024-05-24

Finding into death of L I

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

LI, a 16-year-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) aft…

general practicepsychiatrymedicationdiagnosticcodeine
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

…tnessed; a 2:00 am observation was recorded as "in bed asleep" based on a non-visual check; and the bed was used as a ligature point after Matthew had approximately one hour without proper staff contact. The coroner fou…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWcommunity2021-12-21

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL

Male·Combined effects of multiple blunt force injuries and the effects of fire (Craig…

…pattern; (3) decision to supply 20mg diazepam as take-home doses on Boxing Day despite signs of problematic use; (4) absence of real-time prescription monitoring (only introduced post-incident, excluding antidepressants…

general practiceemergency medicinemedicationcommunicationmethadone
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…e coordination errors. She had been admitted to Mount Barker Hospital for anxiety, depression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist me…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…

general practicegeriatric medicinemedicationcommunicationoxazepam
NSWaged care2015-03-09

Inquest into the deaths and fire at the Quakers Hills Nursing Home, Hambledon Road, Quakers Hill

smoke inhalation and burns from deliberately-lit fire (primary cause varies by i…

Fourteen elderly residents died in a deliberately-lit fire at Quakers Hill Nursing Home on 18 November 2011, set by drug-dependent nurse Roger Dean to destroy evidence of medication theft. Dean had worked while visibly i…

geriatric medicineoccupational and environmental healthsystemcommunicationoxycodone
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