Coronial

13 results for intramuscular injection of olanzapine

WAmental health2019-05-22

Inquest into the Death of Pamela Edith ASHLEY

64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…

…ed to an aged-care psychiatric ward (Banksia Ward) the following afternoon. At 3.10 pm she received an intramuscular olanzapine injection to manage extreme agitation and refusal of care. She appeared to settle and fell …

psychiatryemergency medicinecommunicationsystemchlorpromazine
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

…d. During acute agitation management, he was mistakenly given 2.5mg midazolam intravenously instead of intramuscularly due to miscommunication between Dr C. and RN Louise Copeland. Although the dose was within recommend…

emergency medicineneurologymedicationcommunicationmidazolam
TAScommunity2018-01-25

Coroner's Finding: Lockwood, Shane

45y · Male·Stab wound to the chest, self-inflicted

… Community Treatment Order. He was discharged on a complex medication regime requiring fortnightly depot injections at a general practice in George Town, a significant change from his 15-year pattern of receiving medica…

psychiatrygeneral practicecommunicationsystemclozapine
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

Gerard Guy Vaz, a 61-year-old man with bipolar disorder, obstructive sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with acute manic relapse with psychosis. He was administered zuc…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…He was subject to concurrent bail conditions and a Community Treatment Order requiring depot risperidone injections and forensic counselling. Smith rejected his mental illness diagnosis, refused antipsychotic medication…

psychiatryforensic medicinemedicationcommunicationrisperidone
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

…ealth unit. Critical failures occurred at multiple levels: (1) the decision to acutely sedate him with intramuscular lorazepam was not clinically warranted—he was calm and not aggressive; (2) the restraint was poorly pl…

psychiatryemergency medicinediagnosticprocedurallorazepam
NSWhospital2022-10-28

Inquest into death of Dane LOCKWOOD

33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…

A 33-year-old man with methamphetamine addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to le…

emergency medicinepsychiatrysystemdelaymethamphetamine
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…

Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
VICpsychiatric hospital ward2013-03-13

Finding into death of Justin John Fraser

35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…

Justin Fraser, a 35-year-old man with first-episode psychosis admitted to Frankston Hospital psychiatric unit, was found attempting suicide by hanging and subsequently became agitated. Security and AMT staff physically r…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

…ital, he became agitated and was restrained prone for over 30 minutes while receiving two rapid doses of olanzapine (contrary to guidelines requiring 2-hour intervals) and later midazolam. Combined effects of prolonged r…

psychiatryemergency medicinediagnosticmedicationolanzapine
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…

psychiatryemergency medicinemedicationcommunicationhaloperidol
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

Bradley Karl Coolwell, a 39-year-old Indigenous Australian with schizo-affective disorder and significant comorbidities (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concernin…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
VIChospital2023-05-16

Finding into death of Mathew James Luttrell

43y · Male·Hanging

…11 November 2018. He was placed on an Assessment Order, secluded, physically restrained and sedated with olanzapine after escalating behaviour at lunchtime. He was discharged the following afternoon with limited discharg…

psychiatryemergency medicinecommunicationdelayolanzapine

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