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SAhome2023-12-06

Coroner's Finding: Cullen, Jason Mark

37y · Male·mixed drug toxicity with fentanyl as the principal agent

37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…

neurosurgerypsychiatrycommunicationsystemfentanyl
SA2019-06-07

Coroner's Finding: AZAPARTI Wyatt William

45y · Male·mixed drug toxicity (methadone and pregabalin) with possible contributing factor…

A 45-year-old man died in prison from mixed drug toxicity involving methadone and pregabalin, with possible contribution from morbid obesity. He had a history of opioid use and chronic pain from a foot injury. Despite re…

correctional healthpain medicinemethadone
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating…

general practiceemergency medicinediagnosticdelaymorphine sulphate
SAhospital2018-10-10

Coroner's Finding: ATKINS Stephen Robert

53y · Male·fentanyl and oxycodone toxicity

Stephen Robert Atkins, 53, died from fentanyl and oxycodone toxicity after admission to Flinders Medical Centre for investigation of Horner's syndrome and radiculopathy. Over three days, escalating opioid doses were pres…

neurologyemergency medicinediagnosticmedicationfentanyl
SAhospital2015-08-27

Coroner's Finding: JONES John David

65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids

A 65-year-old man with multiple chronic conditions (COPD, cardiac failure, diabetes, obesity) was admitted with pneumonia and severe ischaemic right leg pain. Opioid analgesia for the leg pain precipitated delirium, requ…

emergency medicinerespiratory medicineopioids
SAhospital2013-03-08

Coroner's Finding: PAULEY Cynthia Joy

72y · Female·Intrathecal toxicity of bupivacaine and morphine

A 72-year-old woman with terminal metastatic parotid cancer died from intrathecal toxicity of bupivacaine and morphine. She was admitted to Ashford Hospital for pain management of pathological pelvic fractures. An intrat…

palliative careoncologymedicationproceduralmorphine
SAhome2010-06-04

Coroner's Finding: ARBUCKLE Claudia Anna Maria

44y · Female·mixed drug toxicity with aspiration of gastric contents

A 44-year-old woman with chronic back pain and depression died from mixed drug toxicity with aspiration of gastric contents. She had been prescribed multiple medications including amitriptyline, diazepam, codeine, and lo…

general practicepain medicineamitriptyline
SAmental health2010-05-07

Coroner's Finding: DOBRIJEVIC Sofija

73y · Female·neck compression by ligature

Sofija Dobrijevic, a 73-year-old woman detained under the Mental Health Act, died by ligature strangulation in a closed psychiatric ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histr…

psychiatrygeriatric medicinecommunicationdiagnosticrisperidone

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