Coronial

568 results for overdose

VIC2011-09-01

Finding into death of Elijah Michael Shelley

28y · Male·heroin toxicity

… depression, anxiety, and polysubstance abuse, was admitted to Alfred Health following a suspected heroin overdose suicide attempt on 27 October 2008. Under the care of Consultant Psychiatrist Dr A., he received comprehe…

psychiatryheroin
VICcommunity2016-05-05

Finding into death of David Scrofano

41y · Male·Pheniramine toxicity

David Scrofano, 41, died from pheniramine toxicity following an overdose of antihistamine tablets. He had a long history of schizophrenia, acquired brain injury, and poly-substan…

forensic medicinetoxicologydiagnosticcommunicationpheniramine
SA2019-05-09

Coroner's Finding: PIKE Lucas Adam

43y · Male·morphine (heroin) toxicity

Lucas Pike, aged 43, died from heroin toxicity after injecting heroin in a general practitioner's surgery in Adelaide. The heroin was procured by Mark Campbell and administered by Campbell in the practice's pathology roo…

general practiceemergency medicineheroin
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

…de from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner found three key deficiencies causally related to his death: (1) access to a blanket with edg…

psychiatryemergency medicinesystemproceduralolanzapam
SAhome2017-07-25

Coroner's Finding: MCKENZIE Deborah Francis

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

…charges. Overwhelmed by guilt about the impact on her son and her ex-partner's incarceration, she took an overdose on 11 March. Despite documentary evidence of suicidal intent (written notes including funeral arrangement…

general practiceemergency medicinediagnosticproceduralparacetamol
QLDcommunity2021-05-14

Cahill, Margaret Ann

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

… The coroner found the death preventable—hospital admission with regular vital sign monitoring and opioid overdose protocols would likely have prevented her death. Key lessons include maintaining clear professional bound…

general practiceemergency medicinediagnosticmedicationtapentadol
VICcommunity2015-07-01

Finding into death of Robert Peter Ferrier

47y · Male·Drug toxicity in the setting of restraint

…cal lessons include recognition that even appropriate care cannot prevent deaths from severe polypharmacy overdoses; extended CPR was hindered by practical constraints of the ambulance environment; and mental health cris…

emergency medicinetoxicologyamitriptyline
VIChome2021-10-26

Finding into death of James Dimitrios Komninakis

42y · Male·MIXED DRUG TOXICITY

…imal contact with medical services, enhanced addiction support, harm reduction strategies, and accessible overdose reversal protocols might have altered the trajectory of his long-standing substance use disorder.

heroin
VICcommunity2009-12-01

Finding into death of Dean Withall

30y · Male·Alcohol and drug toxicity

Dean Withall, aged 30, died from alcohol and drug toxicity following heroin injection combined with alcohol consumption. He had a long history of drug and alcohol abuse and was released from prison on parole four days be…

heroin
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

…order and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overdose involving tramadol and methadone (not prescribed to him). The methadone was likely diverted from a commun…

psychiatryaddiction medicinesystemmethadone
TASmental health2018-10-19

Coroner's Finding: Bowden, Frederick Rocky

59y · Male·aspiration pneumonia and end stage renal failure due to obstructive uropathy and…

… met acceptable standards and did not contribute to his death. An investigation into a possible clozapine overdose found any overdose was accidental (one extra tablet) and unrelated to renal failure.

psychiatrynephrologyclozapine
VIChome2022-11-15

Finding into death of Matthew Perinovic

3y · Male·Multiple stab wounds to the back

…d poor communication between mental health services and the patient's general practitioner. A significant overdose of risperidone in mid-December was not communicated to the mental health service. While the coroner found…

psychiatrygeneral practicecommunicationsystemrisperidone
SAcommunity2008-12-18

Coroner's Finding: EDWARDS Adrian Lee

31y · Male·haemorrhage due to incised wound to left arm with amphetamine toxicity as a poss…

…. Autopsy revealed haemorrhage from the arm wound with high amphetamine levels and evidence of mixed drug overdose. The coroner found the handcuffing decision justified and appropriate given his dangerous combative behav…

emergency medicineforensic medicinedextroamphetamine
VIChome2023-05-29

Finding into death of Stuart John Noble

47y · Male·Multidrug toxicity (ethanol, quetiapine, baclofen, benzodiazepines)

…ed from multidrug toxicity involving baclofen, quetiapine, benzodiazepines, and ethanol in an intentional overdose. He was prescribed baclofen off-label by his GP for alcohol use disorder despite it lacking TGA approval …

general practiceaddiction medicinediagnosticsystembaclofen
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

…o hospital until afternoon despite clear clinical indicators warranting immediate evacuation. Paracetamol overdose was likely ingested 1-3 November from diverted medication; acetylcysteine antidote effectiveness was dimi…

emergency medicinetoxicologydiagnosticcommunicationparacetamol
VIChospital2010-03-24

Coroner's Finding: Janet Carol Rosse

32y · Female·Mexiletine toxicity

…ior to discharge. She discharged herself on 7 August 2007 and subsequently took an intentional mexiletine overdose at home, resulting in mexiletine toxicity and death. The coroner found that psychiatric consultation shou…

neurologypsychiatrycommunicationsystemmexiletine
NSWhome2016-07-05

Inquest into the death of Jason BRITTEN

30y · Male·Cause of death remains uncertain; likely drug-related but not established

…decomposition preventing meaningful autopsy findings and toxicological testing. While drug-related death (overdose or intentional) was likely given the presence of syringes and his substance abuse history, suicide could …

psychiatryaddiction medicinedelayheroin
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

… 32-year-old with bipolar affective disorder and borderline personality disorder, died from valproic acid overdose at a crisis accommodation facility. He was admitted to John Cade Psychiatric Unit following a benzodiazep…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
VIChome2011-02-17

Finding into death of Michael William Gledhill

37y · Male·Mixed drug toxicity (heroin, methadone and diazepam) in a man with coronary arte…

…al lessons include: (1) poor information-sharing between emergency services and treating clinicians about overdose presentations and drug-related arrests; (2) inadequate supervision of take-away methadone dispensing, par…

general practicepharmacologymedicationcommunicationheroin
TAS2017-12-11

Coroner's Finding: Lehmann, Matthias

38y · Male·Unable to determine; presumed to be drowning, hypothermia, or other cause follow…

…ar-old man with a significant history of mental health difficulties and multiple suicide attempts by drug overdose, disappeared during a ferry journey from Devonport to Melbourne on 15-16 August 2012. Evidence strongly s…

psychiatry
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