Inquest into the Death of Ellie Marlene HARE
25y · Female·complications of opioid toxicity
Ellie Marlene Hare, 25, died from opioid toxicity after injecting methadone on two consecutive nights with Matthew Drake. She was opioid-naïve, hav…
279 results for “opioid overdose”
25y · Female·complications of opioid toxicity
Ellie Marlene Hare, 25, died from opioid toxicity after injecting methadone on two consecutive nights with Matthew Drake. She was opioid-naïve, hav…
56y · Male·Complications of intravenous drug use
Ross James Davis, aged 56, died from complications of intravenous opioid use. He had severe chronic obstructive pulmonary disease exacerbated by heavy smoking, chronic pain, and o…
36y · Female·Mixed drug toxicity
…d drug toxicity after being discharged from Maroondah Hospital on 8 March 2017. She had been admitted with opioid withdrawal, depression, and suicidal ideation. Hospital discharge planning included community follow-up, a…
54y · Male·Methadone use in a man with asthma and sarcoidosis of the lungs
…methadone dispensation in Victoria—the drug was diverted, likely obtained illicitly. He had a longstanding opioid use disorder progressing from prescribed morphine to buprenorphine patches, then oxycodone, heroin, and me…
44y · Female·Heroin toxicity
…d her care was clinically sound. On 16 December, during approved leave, she used heroin intravenously and overdosed. Critical learning: her lowered opioid tolerance from three years of abstinence meant she did not adjust…
34y · Male·heroin toxicity with possible contribution from coronary atherosclerosis
…rug management plans and rehabilitation programs. He injected heroin in his cell and died from accidental overdose. The coroner found that prison staff responded appropriately to the emergency; however, systemic failures…
27y · Female·Combined drug toxicity
… from combined drug toxicity on 21–22 December 2016 at a friend's house in Melbourne. She had a history of opioid use, depression, and anxiety following a violent crime. She was enrolled in rehabilitation but relapsed fo…
22y · Male·Combined drug toxicity (methadone and benzodiazepines)
…nowledge or consent. The coroner identified that takeaway methadone dispensing created unsecured access to opioids, and that recent prison release substantially elevated overdose risk due to loss of opioid tolerance duri…
38y · Male·Toxicity to heroin
…une 2018, dying on 1-2 July 2018. Key clinical lesson: recently released prisoners face markedly elevated overdose risk due to reduced opioid tolerance after enforced abstinence, combined with access to more potent drugs…
23y · Male·mixed prescription drug toxicity (tramadol and alprazolam)
…madol and alprazolam) at a camping site. He had a history of depression, anxiety, self-harm, and previous overdose attempts. His mother provided unprescribed tramadol in a first-aid kit, instructing him to take it for fo…
54y · Male·metastatic lung cancer with terminal palliative care
…ner at Casuarina Prison, died from metastatic lung cancer. He collapsed on 17 February 2023 with suspected opioid overdose but was not transferred to hospital for approximately 10 hours. While not definitively an opioid …
34y · Male·Methadone toxicity, with coronary artery atherosclerosis as a significant contri…
…ethadone was not prescribed to him and was most likely obtained through diversion by another inmate in the opioid substitution treatment program. The coroner found that Ivan likely died 2+ hours before being discovered, …
Unknown·Toxicity to protonitazene
…gesting illicitly purchased drugs they believed to be MDMA and cocaine. Protonitazene is a novel synthetic opioid approximately 100 times more potent than heroin, never approved for clinical use. The deaths highlight cri…
32y · Male·Multiple drug toxicity (including heroin)
Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after relea…
40y · Male·Mixed drug toxicity
…endence and incarceration, died from mixed drug toxicity five days after being found unconscious following opioid injection. He had been released from prison on 6 December 2017 on a Drug Treatment Order, and died on 12 D…
32y · Female·Combined drug (alprazolam and methadone) toxicity
…have been reasonably prevented. Clinical lessons emphasise the challenges of managing severe, longstanding opioid use disorder and the limited ability to prevent overdose death when patients supplement prescribed methado…
Unknown·Toxicity to protonitazene
…ty after purchasing drugs believed to be MDMA and cocaine in Melbourne. Protonitazene is a novel synthetic opioid 100 times more potent than heroin that has contaminated illicit drug supplies. All four deceased ingested …
39y · Male·Hypoxic ischaemic brain injury
David Leslie Chapman, age 39, collapsed from a suspected heroin overdose in Richmond on 9 June 2016 and died from hypoxic ischaemic brain injury on 17 June 2016. He had a lengthy…
37y · Male·Morphine toxicity from accidental overdose of crushed Kapanol (slow-release morp…
A 37-year-old male subject to home detention bail died from morphine toxicity due to accidental overdose of crushed Kapanol (slow-release morphine capsules). He had a long history of polysubstance abuse, enceph…
52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)
A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzod…
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