Inquest into the death of Andrew Stubbs

Case Number: 2020/253013

Findings Date: 11 August 2023

Magistrate: David O'Neil

CORONIAL LAW | monitoring of blood lithium levels by General Practitioner; lithium toxicity; decision to commence Intermittent Haemodialysis; complications of dialysis treatment; factors contributing to dialysis disequilibrium syndrome and cerebral oedema

Responses

Recommendations

South Western Sydney Local Health District

I recommend that the South Western Sydney Local Health District (SWSLHD) give consideration to whether the SWSLHD’s current Lithium Carbonate Guideline, or a separate guidance document adapted from that guideline, can be provided to General Practitioners when a patient who is prescribed lithium is planned to be discharged from the Community Mental Health Service into the care of a General Practitioner.

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