Coronial
TAS2022-03-10

Coroner's Finding: Cooper, Joanne Dulcie

41y · Female·Brain, chest, abdominal and pelvic injuries sustained in a motor vehicle collisi…

…roner determined she likely fell asleep at the wheel, with non-prescription diazepam contributing to the drowsiness. This case highlights the serious risk of driving while under the influence of sedating medications and …

emergency medicineintensive careamitriptyline
VIC2013-08-23

Finding into death of PT

57y · Male·Aspiration pneumonia in an HIV positive man on methadone

…monia while residing in a managed care facility. On the day of death, staff noted abnormal behaviour and drowsiness; methadone dose was reduced from 100mg to 50mg after consultation with his GP. Evening medications inclu…

general practicepathologysystemmethadone
TAS2022-11-30

Coroner's Finding: Gurr, Phillip Leslie

54y · Male·Acute severe trauma sustained in a motor vehicle crash, including transected tho…

…n oncoming vehicle. The cause of lane drift could not be definitively determined; possibilities included drowsiness (he woke at 3 am daily, had vehicle heater on), alcohol consumption (blood alcohol 0.024 g/100mL), distr…

jim beam bourbon and cola
VIChospital2023-09-11

Finding into death of Catherine Mary Lyons

59y · Female·Complications of Trisomy 21

…ember 2022 and was prescribed Augmentin. On 12 December, she showed improvement in cough but had daytime drowsiness; mirtazapine was reduced. On 15 December, she was found unresponsive with cyanosis and hypoxia (76%), re…

general practiceemergency medicineamoxicillin/clavulanate
SAaged care2016-08-22

Coroner's Finding: WAY Dennis Martin

88y · Male·general inanition on a background of advanced dementia and a fractured patella (…

…uardianship order requiring residential placement. Post-operatively, he experienced poor oral intake and drowsiness attributed to analgesic use. The family and care team agreed to palliative care only. The coroner found …

geriatric medicineorthopaedic surgery
TAS2015-08-01

Coroner's Finding: Leemhuis, Leah Maree

46y · Female·Multiple severe trauma suffered in a motor vehicle accident

…evel), and had used cannabis. The forensic pathologist noted this drug combination likely contributed to drowsiness. The coroner found the accident was caused solely by Ms Leemhuis's actions crossing the centre line. Key…

psychiatrygeneral practicecommunicationdiazepam
NTcommunity2024

Inquest into the death of Road Death 9 of 2024

47y · Male·Multiple blunt force injuries sustained in single motor vehicle collision

…irment, and excessive speed. Clinical lessons include the significant impairment caused by polydrug use (drowsiness, poor concentration, slower reaction times, impaired judgment and coordination) and the critical importa…

methamphetamine
TAS2018-01-04

Coroner's Finding: Elias, Nebras

43y · Male·Multiple blunt traumatic injuries sustained in a motor vehicle crash

… the crash. The coroner found the crash resulted from momentary inattention (possibly GPS distraction or drowsiness) followed by an overcorrection manoeuvre, with Dr E. fully conscious throughout. Both drivers were weari…

NThome2019-06-20

Inquest into the death of Fazan Khan

22y · Male·accidental multi-drug toxicity, predominantly oxycodone and 3,4-methylenedioxyme…

… and sedatives, and the particular danger of 'lean' consumption. Recognition of warning signs (vomiting, drowsiness, slurred speech) and intervention by party attendees might have prevented death. Medical practitioners p…

forensic medicinetoxicologyoxycodone
VICcommunity2020-05-22

Finding into death of Christina Maree Chamberlain

60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

…ions including oxycodone, amitriptyline, sertraline, diazepam, and carbamazepine—many capable of causing drowsiness. She had significant comorbidities including hypertension, cardiomegaly, sleep apnoea, and chronic back …

emergency medicineforensic medicineoxycodone
WA2016-09-27

Inquest into the Death of Baby Z

0y · Male·unascertained

…al, child protection, and prison services was needed before discharge; (2) close observation of maternal drowsiness due to medication combinations (methadone, gabapentin, diazepam) should have prompted delayed discharge;…

obstetricsneonatologycommunicationdelaymethadone
NTcommunity2024

Inquest into the death of Road Death 13 of 2024

77y · Male·Blunt force head and chest injuries from motor vehicle collision

…cal finding: citalopram can reduce seizure threshold and reduce lamotrigine efficacy; mirtazapine causes drowsiness impairing coordination. An acute medical episode such as seizure cannot be excluded as the cause of the …

neurologycardiologysystemlamotrigine
VIChospital2025-03-03

Finding into death of Caroline Anne McCormack

74y · Female·Infective exacerbation of chronic obstructive airways disease in the setting of …

…ously included in her Webster-pak despite being ceased by palliative care. She experienced a fall due to drowsiness from the medication on 17 March, was admitted to hospital on 19 March with declining consciousness, and …

general practicepalliative caremedicationsystempregabalin
QLDhospital2021-03-09

Horne, Ashley Thomas

49y · Male·Stab wound to the chest

…d deterioration signs in arrested persons (complaints of breathing difficulty, change from aggression to drowsiness) as medical emergencies, not behavioural issues, enabling timely removal of restraints and QAS assessmen…

emergency medicineparamedicinecommunicationdelaysertraline
VICmental health2013-07-26

Finding into death of Amy Hauserman

26y · Female·Hypoxic brain injury in the setting of immersion

…ed bathing was made in error, given her multiple risk factors: severe constipation, recent diazepam use, drowsiness, poor mental state, and possible medication withdrawal effects. The absence of constant supervision was …

psychiatryforensic medicinediagnosticcommunicationclozapine
VICaged care2020-01-13

Finding into death of Annie Chettle

74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…

…y head injury in older adults with multiple comorbidities; urgent clinical re-assessment when unexpected drowsiness and mobility changes emerge post-fall; documentation failures by nursing staff meant critical informatio…

geriatric medicineemergency medicinediagnosticcommunication
VIChospital2023-11-30

Finding into death of John Rose

58y · Male·Aspiration pneumonia, in the setting of epilepsy and Down's syndrome

…hospital stay, which did not respond adequately to antibiotic treatment. He deteriorated with increasing drowsiness and oxygen desaturation, and was subsequently transferred to palliative care. The coroner found the clin…

emergency medicinegeneral medicineantibiotics
VIC2011-07-21

Finding into death of Cherie Deanne Alderson

42y · Female·Metastatic breast cancer

… June 2010 for pain management. Her condition deteriorated more rapidly than anticipated, with increased drowsiness and fever managed with comfort measures. The finding contains no indication of clinical mismanagement, d…

oncologypalliative care
VICaged care2020

Finding into death of Sharon Brown

54y · Female·COMPLICATIONS OF DEMENTIA

…eated with antibiotics. Despite treatment, her condition deteriorated with ongoing nausea, vomiting, and drowsiness. She was transferred to McCulloch House for palliative care on 9 October 2020 and died 22 days later. Au…

general practicegeneral medicine
QLD2012-05-31

Perry, Anthony Mark

41y · Male·Respiratory depression caused by alcohol and morphine poisoning

… necessary based on his ability to walk and respond to questions. However, Perry's presentation included drowsiness consistent with mixed drug and alcohol toxicity. Had police known of morphine use, naloxone administrati…

forensic medicineemergency medicinediagnosticsystemmorphine

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