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Beale, Tracy Ann

Deceased

Tracy Ann Beale

Demographics

female

Date of death

2013-01-21

Finding date

2018-03-28

Cause of death

neck compression (asphyxia) with likely vasovagal reflex attack

AI-generated summary

Tracy Ann Beale died from neck compression (asphyxia) with likely vasovagal reflex triggered during a domestic violence incident. Her husband applied a chokehold for seconds using mild-to-moderate force, but this brief restraint proved fatal due to her underlying dilated cardiomyopathy and significant alcohol intoxication. Key clinical lessons: neck compression can cause sudden, fatal consequences from multiple physiological mechanisms beyond simple asphyxia; vasovagal reflex triggered by neck pressure can be lethal in vulnerable individuals; alcohol intoxication and cardiac disease increase susceptibility to fatal outcomes from brief neck restraint. The coroner highlighted that appropriate legislative recognition of vasovagal reflex mechanisms and public education about neck compression dangers are needed to prevent similar deaths.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • domestic violence - chokehold restraint by husband
  • underlying dilated cardiomyopathy
  • alcohol intoxication (vitreous alcohol concentration 0.208%)
  • brief but firm neck compression applied by significantly larger person
  • husband maintained restraint after victim lost consciousness

Coroner's recommendations

  1. That the Attorney-General, after allowing submissions from appropriate interested parties, review Criminal Code s.315A to determine if it is adequate to deal with the incidence of so-called vasovagal reflex, and whether the types of neck compression specified in the provision should be defined in the legislation
  2. That the Attorney-General determine if an appropriate public awareness campaign should be conducted to educate of the dangers of neck compression (of whatsoever type) in the domestic violence setting, similar to 'one punch can kill' campaign
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