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VIChome2026-03-04

Finding into death of Ashleigh Peter Mills

57y · Male·Smoke inhalation

Ashleigh Peter Mills, aged 57, died from smoke inhalation in a house fire on 31 August 2020. The fire started from a discarded cigarette in an armchair where his housemate had been smoking and drinking. Multiple preventa…

emergency medicineforensic medicinesystemdelay
VIChome2026-02-27

Finding into death of Maryam Hamka

36y · Female·Unascertained

Maryam Hamka, 36, was killed by her intimate partner Toby Loughnane on 11 April 2021. The coroner found cause of death unascertained due to skeletal remains. Critical systemic failures included: Victoria Police's risk as…

systemcommunication
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …

oncologygeneral medicinesystemdelay
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
VIChospital2026-02-20

Finding into death of Brian Robert Dean

44y · Male·Sepsis due to Streptococcus pyogenes (Group A Streptococcus) septicaemia complic…

Brian Dean, a 44-year-old with obesity, presented to hospital on 1 July 2023 with influenza A and signs of shock (tachycardia, hypotension, elevated lactate). He was treated with fluids and discharged the next morning ap…

emergency medicineinfectious diseasesdiagnosticdelayondansetron
VICcommunity2026-02-19

Finding into death of Kathleen Smith

53y · Female·Unascertained (presumed drowned)

Kathleen Smith, a 53-year-old podiatrist, disappeared on 15 July 2024 and is presumed to have drowned at Sorrento Back Beach. She was experiencing severe anxiety about upcoming foot surgery due to severe flatfoot deformi…

general practiceorthopaedic surgerycommunicationdelaysertraline
WAcommunity2026-02-19

Inquest into the Suspected Death of Barry John PODMORE

73y · Male·Unascertained

Barry Podmore, aged 73, disappeared on 6 December 2024 while prospecting in remote bushland near Karroun Hill Nature Reserve in Western Australia. He left his home with metal detectors but without his mobile phone or Per…

delay
QLDhospital2026-02-18

Non-inquest findings into the death of Mr C

62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…

A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma on biopsy but found at autopsy to be metastatic clear cell renal cell carcin…

urologygeneral surgerydiagnosticcommunicationmetaraminol
QLDaged care2026-02-17

Non-inquest findings into the death of Mr G

84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…

An 84-year-old man with Alzheimer's disease and dementia-related behaviours developed a urinary tract infection causing acute delirium, atrial fibrillation, and multiple falls. After presenting to the emergency departmen…

geriatric medicineemergency medicinediagnosticcommunicationdonepezil
ACT2026-02-12

Inquest Into The Death Of David Wood

62y · Male·cardiac arrest caused by hypothermia following prolonged exposure to extreme col…

Captain David Wood, an experienced helicopter pilot, fell into a concealed crevasse on the West Ice Shelf in Antarctica while conducting fuel cache operations. He was exposed to extreme cold (-14°C) and remained in the c…

aviation medicineemergency medicinediagnosticsystem
SAaged care2026-02-12

Coroner's Finding: D Angelo, Adelina

88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…

An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatra…

general practicegeriatric medicinediagnosticcommunicationfurosemide
NThospital2026-02-10

Inquest into the death of Martin Leach

67y · Male·Congestive cardiac failure

Martin Leach, a 67-year-old man serving a life sentence, died from congestive cardiac failure with atrial fibrillation and dilated cardiomyopathy. He had consistently refused life-prolonging medical treatments and comple…

emergency medicinecardiologysystemcommunicationmorphine
VIChospital2026-02-05

Finding into death of Max Peter McKenzie

15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…

Max McKenzie, a 15-year-old with asthma and food allergies, died from cardiorespiratory arrest complicating hypoxic ischaemic encephalopathy after severe refractory anaphylaxis. After eating apple crumble containing nuts…

emergency medicineparamedicinedelaycommunicationadrenaline
NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Volume 2

Female, male·Stab wounds inflicted by Joel Cauchi

Joel Cauchi, suffering a psychotic relapse of chronic schizophrenia, carried out a rapid active armed offender (AAO) attack at Westfield Bondi Junction shopping center on 13 April 2024. Within three minutes, he fatally s…

emergency medicinepublic healthcommunicationsystem
NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Volume 3

Multiple penetrating knife wounds with hemorrhagic shock and traumatic cardiac a…

On 13 April 2024, Joel Cauchi, with inadequately managed treatment-resistant schizophrenia, stabbed six people to death and injured ten others at Westfield Bondi Junction shopping centre in Sydney. The coroner found Cauc…

emergency medicineparamedicinesystemcommunication
NSWmental health2026-02-05

Inquest into the deaths at Westfield Bondi Junction Executive Summary

41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…

On 13 April 2024, Joel Cauchi stabbed 16 people at Westfield Bondi Junction, NSW, fatally wounding six: Dawn Singleton, Jade Young, Yixuan Cheng, Ashlee Good, Faraz Tahir, and Pikria Darchia. Cauchi was shot and killed b…

psychiatrygeneral practicediagnosticcommunicationclozapine
QLDhome2026-02-03

Inquest into the death of Bridie Gilligan

42y · Female·Hypoxic brain injury due to choking on food, in a person with Cornelia de Lange …

Bridie Gilligan, aged 42 with Cornelia de Lange Syndrome, profound intellectual disability and dysphagia, died from hypoxic brain injury after choking on a Yumbo burger at her SIL home on 29 April 2021. Her support worke…

speech pathologydieteticscommunicationsystem
VIChome2026-02-03

Finding into death of Jeffrey Thomas Wilson

76y · Male·Effects of fire due to home oxygen ignition in the setting of smoking; lung canc…

A 76-year-old man with lung cancer and mesothelioma died from thermal injuries sustained when his home oxygen ignited while smoking. He had been discharged on self-funded home oxygen despite a recent smoking history, aft…

respiratory medicinepalliative caresystemdelay
WA2026-02-02

Inquest into the Death of Joshua Fredrik VAN MALSSEN

24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…

Joshua Fredrik Van Malssen, a 24-year-old man with Sotos syndrome, complex cardiac disease, asthma, and obesity, died from cardiac arrest after being restrained in the prone position during a lawful arrest by Public Tran…

cardiologyrespiratory medicinecommunicationsystemloratadine

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