796 results
Unknown·Unknown for majority of cases; one case (Marrakai Plains, circa 1976) determined…
This consolidated inquest concerned 15 sets of unidentified skeletal remains discovered at various remote and rural locations across the Northern Territory, including Cartier Island, Marrakai Plains, Malay Bay, Katherine…
18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…
An 18-year-old woman died from hypoxic encephalopathy due to severe closed head injury sustained when she fell from a shade sail structure at a playground. While climbing on the sail with friends after consuming minimal …
69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…
Helena Czekajlo, aged 69, died from respiratory obstruction by aspirated food (Brussels sprout) at a nursing home. She had dementia and schizophrenia with a documented obsession about food and tendency to eat hurriedly. …
27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…
A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using a 27 French bougie, smalle…
37y · Male·Multiple injuries including lung lacerations and contusions, multiple rib fractu…
Andrew Grant Baulderstone, aged 37, died from multiple injuries when refractory material collapsed from the lining of a pellet kiln at BHP's Whyalla plant while he was jackhammering. The collapse resulted from failures i…
24y · Female·Immersion (drowning due to hypoxic brain injury)
Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…
80y · Male·bronchopneumonia complicated by morphine toxicity
An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administration error. A Graseby infusion pump was incorrectly set at 99mm/hour instead of …
61y · Male·Head injuries from forklift tipover
A 61-year-old licensed forklift driver died when a Crown 35 SC TT 240 forklift tipped while the mast was extended, crushing his head. He was not wearing a seatbelt. Although the coroner found the employer had exemplary s…
2y · Male·drowning
A 2-year-old Aboriginal boy drowned in an exposed septic tank at a remote community after plumbers removed concrete covers without installing replacements or notifying residents. The fibreglass lid's fastening screws had…
33y · Male·Postural asphyxia due to restraint (Posey Poncho vest)
A 33-year-old male admitted after drug overdose died from asphyxiation while restrained in a Posey Poncho vest. Successfully treated for overdose complications, he developed drug-induced delirium with agitation, promptin…
12y · Female·Head injury caused by high-velocity steel fragment missile, approximately 999 gr…
Katie Bender, aged 12, was struck fatally in the head by a 999-gram steel fragment while watching the controlled implosion of Royal Canberra Hospital on 13 July 1997. The fragment travelled 430 metres in 3.1 seconds at 1…
Male·smoke inhalation and burns
On 8 April 1996, a fire at Kew Residential Services killed nine intellectually disabled residents (aged 31–61) from smoke inhalation and burns when a resident used a cigarette lighter to ignite bedding. The coronial inqu…
21y · Male·Suffocation from hanging
Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…
39y · Male·neck injuries from being crushed between a hydraulic ram and hydraulically opera…
Kevin Gallagher-Green, 39, died from neck injuries when crushed between hydraulic machinery at BHP Western Port Steel Works while attempting to adjust a tilt table height. The coroner identified multiple system failures:…
69y · Female·Asthma
June Sylvia Long, aged 69, suffered an asthma attack at home on 28 June 1994 and was transported to Alfred Hospital. She deteriorated overnight in the hospital's Respiratory Ward despite initial improvement in Emergency …
Male·Suicide by cutting veins with razor blade
Anthony John Hayward, a prisoner at Berrimah Gaol, Northern Territory, died by suicide on 21 December 1992 by cutting his veins with a razor blade. The coroner's inquiry focused on prison administrative procedures rather…
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