Finding into death of Jonathan Paul Tozer
Deceased
Jonathan Paul Tozer
Demographics
48y, male
Date of death
2011-12-17
Finding date
2013-03-12
Cause of death
Multiple injuries in a pedestrian struck by a bus
AI-generated summary
Jonathan Tozer, a 48-year-old man with intellectual disability and a documented history of absconding, was struck by a bus while at his day service facility. Despite close supervision by staff, he absconded from the Witt Street facility and ran into traffic on Whitehorse Road. He sustained severe injuries including traumatic subarachnoid haemorrhage, spinal injury with paraplegia, ruptured tricuspid valve, and multiple rib fractures. He underwent open heart surgery but developed cardiogenic shock and died the following day. The coroner found the care and supervision provided by Nadrasca was reasonable and appropriate. The death resulted directly from his documented absconding behaviours associated with his intellectual disability, not from any failure in care or supervision.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- intellectual disability
- documented history of absconding behaviour
- specific attraction to transport-related locations
- pedestrian struck by bus at low evasion time
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