3,490 results
48y · Female·Neck and chest injuries sustained in the incident with the cherry picker. Mechan…
Ms Peuckert, a 48-year-old farm worker with 12 years experience, died from crush injuries to her neck and chest while operating an Afron HAS-650 cherry picker on her employer's farm. She was directed to use the machine a…
19y · Male·Hanging (self-inflicted)
Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his weekly pay…
66y · Male·Complications of chronic lithium therapy
Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…
40y · Male·neck compression consequent upon hanging
Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a fami…
79y · Male·head injuries sustained in a fall from a bicycle
A 79-year-old man died from head injuries sustained in a bicycle fall on a rural road. While riding at approximately 40 km/h on a descent, he swerved to avoid mud and debris on the road surface, struck another cyclist's …
Male·drowning
Tony Guan died by drowning at Ascot Vale Leisure Centre in 2014. The coronal inquiry identified that three staff members were present but failed to notice the incident, highlighting systemic failures in pool supervision.…
52y · Male·Unascertained
GM, a 52-year-old man with bipolar affective disorder, died of unascertained causes after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a suspected manic…
19y · Male·Gunshot wound inflicted by NSW police officer during armed robbery
Ali Antoni El Hafiane, aged 19, was fatally shot by NSW Police during an armed robbery at the High Flyer Inn on 22 November 2010. The coroner found that while police acted courageously, the operation was poorly planned a…
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
Mrs Nola Inez Daniel, an 83-year-old with chronic lung disease, osteoporosis, and cardiac disease, was admitted to Regis Forrest Gardens for respite care on 24 December 2009. She sustained three falls on Christmas Day, w…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …
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