Coronial
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81 results

SA2026-06-02

Coroner's Finding: Taylor, Nathan James

40y · Male·Unascertained

Nathan James Taylor, aged 40, died in Port Lincoln Prison on 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspi…

cardiologygeneral medicinediagnosticsystempaliperidone
NSWcommunity2026-02-24

Inquest into the deaths of Jebriel Dandan and Seiffedine Malas

24y · Male·Multiple Traumatic Injuries sustained as a result of motor vehicle crash during …

Two young men aged 24 and 25 died in a motor vehicle crash during a police pursuit on the M4 Motorway. Police conducted a high-speed speed check (up to 232 kph in an 80 kph zone) for approximately 73 seconds without acti…

forensic medicinetoxicologyproceduralcommunicationcocaine
VIChospital2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
NSWhospital2025-11-17

Inquest into the death of Brooke Tiddy

32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…

A 32-year-old woman with Sponastrime Dysplasia (a rare genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinica…

bariatric surgeryanaesthesiadiagnosticcommunicationsevoflurane
VIChome2025-08-28

Finding into death of MJU & KJH

39y · Female·MJU: stab wounds to the neck and chest; KJH: stab wounds to the back

MJU (39) and her daughter KJH (6) were killed by MJU's husband CTH in a family violence homicide on 13-14 January 2022. CTH, who was using methylamphetamine and experiencing drug-induced psychosis with visual hallucinati…

psychiatryemergency medicinediagnosticcommunicationmethamphetamine
WA2025-07-31

Inquest into the Death of David Kalunda FLYNN

2y · Male·cardiorespiratory arrest in a young child with opioid (morphine) toxicity

David Flynn, a healthy 2 year 8 month old boy, died from cardiorespiratory arrest due to opioid (morphine) toxicity following an elective circumcision procedure performed under sedation in a general practice setting on 7…

general practiceanaesthesiamedicationproceduralmorphine
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…

speech pathologygeneral practicecommunicationsystemmorphine
VIC2025-06-13

Finding into death of Ian William McCulloch

63y · Male·Unascertained (natural causes) in a man with advanced myotonic dystrophy

Ian William McCulloch, aged 63, died of unascertained natural causes in the context of advanced myotonic dystrophy while residing in a disability accommodation facility. He was found unresponsive in his room on the eveni…

forensic medicineamiodarone
VIC2025-03-31

Finding into death of John David Hogarth

59y · Male·Injuries sustained in a motorcycle incident (rider)

A 59-year-old experienced motorcyclist died from injuries sustained when his motorcycle lost control on the Western Freeway near Ballan, Victoria. He was riding a roadworthy Harley Davidson when he lost balance after rid…

diazepam
VIChospital2025-01-28

Finding into death of Dustin Buckley

17y · Male·Gunshot wound to the head

Dustin Buckley, 17, died from a gunshot wound to the head at Royal Melbourne Hospital on 27 August 2017. The incident occurred during target shooting at Cat Track when KD fired a .22 rifle that discharged, striking Dusti…

trauma surgeryemergency medicinesystemproceduralmidazolam
VIChospital2024-12-02

Finding into death of Baby Patel

0y · Unknown·unascertained

A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was…

neonatologypaediatricsdiagnosticcommunicationcefotaxime
VIChospital2024-11-19

Finding into death of Daniel Surtees

36y · Male·Complications of thermal burn injuries

Daniel Surtees, aged 36, died from complications of extensive thermal burn injuries (>80% body surface area) sustained during a domestic violence incident. After consuming 14 cans of bourbon at a party, Daniel returned h…

plastic and reconstructive surgeryintensive caremorphine
VIC2024-08-12

Finding into death of Danielle Cadan

51y · Female·Methemoglobinemia in the context of lignocaine use

Danielle Cadan, 51, died from methemoglobinemia following a tooth extraction under lignocaine anaesthetic at a regional health service. The lignocaine was administered in normal therapeutic dose but triggered this rare l…

dentistryanaesthesiacommunicationsystemlidocaine
ACTcommunity2024-06-17

Inquest Into The Death Of Catherine Maree Broadbent

39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)

Catherine Broadbent, 39, died from multiple drug toxicity involving benzodiazepines (etizolam, carisoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with life…

psychiatryemergency medicineetizolam
VIC2024-06-17

Finding into death of Ryleigh James Pallot

28y · Male·Chest injuries following a cliff collapse

A 28-year-old man died from chest injuries (haemothorax, bilateral pneumothoraces, rib fractures) sustained in a cliff collapse at Addiscot Beach, Victoria on 31 December 2021. While sitting under cliffs with friends dur…

ondansetron
VIChospital2024-01-31

Finding into death of Terrence McCallion

55y · Male·drowning following assault

Terrence McCallion, aged 55, died by drowning in the Murray River on 1 May 2015 after being assaulted by Matthew Knight. McCallion was pulled from the river unconscious and died at Mildura Base Hospital. Autopsy revealed…

pathologyemergency medicinelidocaine
VICaged care2024-01-11

Finding into death of Phyllis Joan Porter

72y · Female·Large rectal prolapse and ischaemic bowel

A 72-year-old woman with intellectual disability residing in aged care presented with a large rectal prolapse and ischaemic bowel. She was found on the floor of her room with a prolapse containing approximately 80cm of n…

emergency medicinesurgeryfluoxetine
VIChospital2023-10-30

Finding into death of K K

40y · Male·Full thickness burns to body in the setting of self-immolation

A 40-year-old Tamil asylum seeker died from full thickness burns sustained during self-immolation on 20 August 2021. The death occurred three days after Victoria Police attended a family violence incident where KK assaul…

emergency medicineplastic and reconstructive surgerycommunicationsystemmorphine
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

Michele Valentino, 81, died from a head injury sustained in a fall on 20 December 2019, with death occurring on 24 December 2019. A CT angiogram at 3:45pm showed worsening intraventricular haemorrhage (IVH) that was not …

emergency medicineradiologydiagnosticcommunicationaspirin
VIChospital2023-07-06

Finding into death of Michael Alan Holmes

34y · Male·effects of burns

Michael Holmes, 34, died from severe burns sustained when he re-entered a burning house attempting to rescue his son. The fire originated from clothes and towels left drying on a rack in front of an unattended wood heate…

emergency medicinetrauma surgerysystemfentanyl

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