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VIChome2015-10-28

Finding into death of Hannah Rachel Charles

17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)

Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid replacement ther…

addiction medicineforensic medicinediagnosticsystemheroin
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
WAcommunity2015-10-23

Inquest into the Death of Paul Gregory CLIFTON

49y · Male·Complications arising from immersion (drowning)

Paul Clifton, an experienced 49-year-old skipper, died from complications of immersion (drowning) after his recreational fishing boat sank unexpectedly in open water near Lancelin, Western Australia on 2 June 2013. The b…

systemdelay
QLDhome2015-10-23

Robertson, Elsie May

39y · Female·Blunt force trauma to the head, on a background of alcohol and cannabis toxicity

Elsie May Robertson, 39, died from blunt force trauma to the head sustained during domestic violence by her partner James Grannigan on 6 March 2013. She had consumed alcohol and cannabis. Police response was delayed appr…

systemdelayalcohol
QLD2015-10-23

Wade, Kingsley Rex

47y · Male·Carbon monoxide toxicity against a background of coronary artery atheroma

Kingsley Rex Wade, a 47-year-old painter and sandblaster, died from carbon monoxide toxicity on 27 October 2011 while operating a diesel-powered air compressor that supplied breathing air to his protective helmet. The co…

systemdelay
NSWhome2015-10-23

Inquest into the death of Christine Drinnan

45y · Female·Multi-drug toxicity

Christine Drinnan, aged 45, died from multi-drug toxicity involving lethal morphine levels combined with pethidine, quetiapine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of …

general practicepsychiatrydiagnosticmedicationmorphine
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

Scott Clements, a 36-year-old man with longstanding mental illness, depression, substance use disorder and multiple suicide attempts, was found dead at his home between 19 August and 14 October 2014. His body was in adva…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIChospital2015-10-20

Finding into death of THI DIEP ANH LU

36y · Female·Haemorrhage complicating elective caesarean section (placenta praevia accreta)

Ms. Thi Lu, aged 36, died from massive hemorrhage following caesarean section for placenta praevia with underlying placenta accreta. Although imaging could not definitively exclude accreta preoperatively, high-risk prepa…

obstetricsanaesthesiadelayprocedural
NT2015-10-16

Inquest into the death of John Angeles

79y · Male·Ischaemic heart disease

John Angeles, aged 79, died of ischaemic heart disease while serving a life sentence for murder. He had severe triple-vessel coronary disease, chronic lung disease, and was on maximal medical therapy. The coroner found h…

cardiologypalliative caredelaymorphine
QLD2015-10-09

(P) a thirteen year old girl

13y · Female·Multiple injuries due to motor vehicle accident

A 13-year-old Aboriginal girl in residential care absconded with a vehicle after an extended violent altercation with youth workers and died in a high-speed motor vehicle crash. She had extensive trauma history, PTSD, re…

paediatricspsychiatrysystemdelay
VICcommunity2015-10-09

Finding into death of Paul Robert Washington

36y · Male·Drowning

Paul Washington, 36, drowned while kayaking on Port Phillip Bay on 29 November 2011. His modified recreational kayak lacked proper seaworthiness assessment despite being registered as a powered vessel. Critical failures …

systemdelay
VIC2015-10-09

Finding into death of Kevin John Caithness

40y · Male·Drowning

Kevin Caithness, a 40-year-old man with poor swimming ability, drowned in Port Phillip Bay after his modified kayak filled with water. He had recently purchased a kayak and attached an electric motor via holes drilled th…

systemdelay
VIChome2015-10-08

Finding into death of Bruce Desmond Andrews

60y · Male·medication overdose

Bruce Andrews, a 60-year-old man with major depression and anxiety, died from medication overdose following relationship breakdown and acute alcohol intoxication. He fell from his porch, called his granddaughter reportin…

psychiatryemergency medicinecommunicationdiagnosticclonazepam
VIC2015-10-05

Finding into death of Catherine Jane Bernard

17y · Female·multiple injuries due to impact by train

A 17-year-old girl with major depressive disorder, a history of self-harm and overdoses, parent-child conflict, and a disclosed history of childhood sexual abuse died by suicide on her first day of Year 12. Critical clin…

emergency medicinepsychiatrycommunicationsystemtemazepam
VICcommunity2015-09-29

Finding into death of Martin Yim

70y · Male·Multiple injuries from motor vehicle impact with tram

Martin Yim, a 70-year-old man, died from multiple injuries sustained when struck by a tram at a pedestrian crossing in Melbourne. The coroner found that Mr Yim's death resulted primarily from his own failure to comply wi…

systemdelay
VIC2015-09-28

Finding into death of Luke Geoffrey Batty

11y · Male·Craniocervical trauma

This coronial finding concerns the death of Luke Geoffrey Batty, age 11, killed by his father Gregory Anderson on 12 February 2014 during a cricket practice. Luke was struck with a cricket bat and stabbed with a knife. T…

forensic medicinepaediatricssystemcommunication
NSW2015-09-28

Inquest into fire at Wambelong Camp Ground, Warrumbungles National Park, New South Wales

No death occurred; inquiry conducted under s 30(3) of Coroners Act into cause an…

On 12 January 2013, a catastrophic bushfire broke out at Wambelong Camp Ground in Warrumbungle National Park, NSW, burning 56,280 hectares (95% of the park), destroying 53 houses and 113 other buildings, and damaging the…

communicationsystem
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 42-year-old male with a long history of schizophrenia and dissocial personality disorder was released from prison in August 2011 without parole conditions. Despite police and forensic mental health concerns about his r…

psychiatryemergency medicinesystemdelaycannabis
VIC2015-09-24

Finding into death of Jason Govan

26y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

Jason Govan, 26-year-old fitter and turner, was killed in a high-speed head-on collision on the Princes Freeway when the opposing driver, suffering untreated schizophrenia and other mental health conditions, drove the wr…

psychiatryemergency medicinediagnosticsystem
QLD2015-09-22

Martin, James Thomas; Poate, Robert Hugh Frederick; Milosevic, Stjepan Rick

21y · Male·Multiple gunshot wounds deliberately inflicted by member of Afghan National Army

Three Australian soldiers died in an insider attack at Patrol Base Wahab, Afghanistan on 29 August 2012. An Afghan soldier, Hekmatullah, fired approximately 30 rounds killing Sapper James Martin and Private Robert Poate …

paramedicinecommunicationsystem

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