785 results
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accesse…
systemic inquiry into 2019-2020 NSW bushfire season deaths - no single death exa…
Volume 2 of a comprehensive coronial inquiry into systemic issues arising from the 2019-2020 NSW bushfire season. The State Coroner examined 41 fires through Stage 1 hearings and conducted Stage 2 representative case stu…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
70-year-old Sean Thomas Montgomery died from severe metabolic acidosis and multi-organ failure following a thoracoscopic repair of a chronic right diaphragmatic hernia. The coroner identified multiple significant failing…
41y · Female·salt water drowning
Ms Ardebby Chua, a 41-year-old woman with no snorkelling experience, died from salt water drowning during a guided snorkelling tour near Blyth Island, South Australia. She aspirated water triggering laryngospasm and beca…
64y · Male·hypoxic-ischaemic encephalopathy and its complications following cardiac arrest …
Christopher Lens, a 64-year-old man with schizophrenia under guardianship at a nursing home, died from hypoxic-ischaemic encephalopathy following cardiac arrest due to upper airway obstruction after choking on a peanut b…
54y · Female·Effects of fire in a woman with past right middle cerebral artery territory stro…
A 54-year-old woman with left-sided paralysis from a prior stroke died in a house fire started by smoking in bed. She called emergency services at 2:42am reporting her blanket was on fire, but firefighters attended the w…
19y · Male·Electrocution
Ali El-Sayed, a 19-year-old apprentice electrician, was electrocuted while connecting an air conditioning unit to power without isolating the electrical supply. He was directed by a non-qualified site manager (family mem…
27y · Male·unascertained
William Mainprize, a 27-year-old stockman, died when the livestock carrier Gulf Livestock 1 sank during Typhoon Maysak on 2 September 2020 off Japan. The vessel, which had experienced multiple safety breaches in the prec…
36y · Female·Blunt force injuries to the neck due to a motor vehicle accident
Delvene Thompson, 36, died in a motor vehicle crash on Trower Road, Darwin, after the driver (Peter Lynch) evaded police during a traffic stop and pursued at extreme speed through red lights. The coroner found the crash …
80y · Female·multiple injuries in the setting of a fall
Catherine Mary Reid, aged 80, died from multiple fractures sustained in a fall during a mechanical hoist transfer at a disability care facility. While being transferred from wheelchair to bed using an overhead ceiling ho…
6y · Male·Complications of Head Injury following a fall from a Fairground Ride
Six-year-old Eugene Mahauariki was ejected from the Cha Cha ride at a carnival in Rye, Victoria on 17 April 2017 and died from head injuries four days later. The coroner found the death was preventable due to three criti…
71y · Male·Chest and neck injuries and mechanical asphyxia from being crushed under a bus
Raymond Henry Millington, a 71-year-old semi-retired bus operator, died from mechanical asphyxia after being crushed under a bus while attempting to remove the gearbox. He had activated the park brake but fatally failed …
66y · Male·Cardiac arrhythmia in a man with arteriosclerotic cardiovascular disease, pulmon…
Bradley Stinson, a 66-year-old prisoner with a long history of heavy smoking and alcohol use, died from cardiac arrhythmia in the setting of arteriosclerotic cardiovascular disease, pulmonary thromboembolism, and metasta…
20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…
Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged…
74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…
Ms Papanastasiou, a 74-year-old aged care resident confined to a wheelchair, died from bilateral femoral fractures sustained when she fell from her wheelchair during sudden bus braking. The wheelchair was secured using o…
76y · Male·Bronchopneumonia with multiple organ failure in the setting of advanced metastat…
John Henry Waterfall, a 76-year-old prisoner at Acacia Prison, died from bronchopneumonia with multiple organ failure secondary to advanced metastatic prostate cancer. He received generally appropriate medical care durin…
66y · Male·unascertained (differential diagnosis: chronic alcoholism with alcohol withdrawa…
Colin Norman, a 66-year-old man with significant disability from traumatic brain injury, chronic alcoholism and liver cirrhosis, died at home after failing to receive essential disability support services over a weekend.…
79y · Female·multiple organ failure sustained from injuries received when struck by a truck a…
Mrs Pamela Bernice Gee, aged 79, died from multiple organ failure following severe injuries sustained in a motor vehicle accident. She was struck by a refuse truck driven by Eric Flight as she crossed Cattley Street on a…
28y · Male·Hanging
Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.