28 results
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…
42y · Male·Multiple organ failure due to iatrogenic phenol overdose due to metastatic pancr…
A 42-year-old man with metastatic pancreatic cancer died from multiple organ failure caused by iatrogenic phenol overdose during a celiac plexus block for pain management. The radiologist administered 40ml of 80% phenol …
27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…
Michael Peachey, a 27-year-old First Nations man, died in custody following a police-initiated restraint during an acute psychotic episode. Over preceding days, his family repeatedly sought mental health intervention. On…
43y · Female·asphyxia due to hanging
Helen Bird, aged 43, was found hanging in her garage in July 2010. While initially ruled suicide, a reopened coronial investigation found the coroner believes she was killed by her husband Mark Bird. Evidence showed Hele…
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…
27y · Male·Multiple injuries sustained as a pedestrian struck by a motor vehicle; specifica…
Jari Wise, aged 27, died on 29 February 2020 when struck by a vehicle driven by Melissa Oates at Huonville, Tasmania. Mr Wise was intoxicated (BAC 0.220%, THC present), wearing dark clothing, and standing in the centre o…
Unknown·Multiple blunt force injuries and immersion secondary to seaplane crash caused b…
On 31 December 2017, a de Havilland DHC-2 Beaver seaplane crashed into Jerusalem Bay, Sydney, killing all six occupants. The coroner found the crash was caused by pilot impairment due to carbon monoxide (CO) exposure. Pr…
70y · Female·Cause of death could not be determined - available evidence does not allow a fin…
A 70-year-old woman died unexpectedly at home in August 2017. Initially certified as hypertensive heart disease without autopsy, the death was later investigated as a potential homicide following allegations by her forme…
31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…
Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…
32y · Female·Cerebral destruction caused by a self-inflicted bullet wound to the head
Gwen Lorraine Grover, aged 32, died by self-inflicted gunshot wound on 14 October 1983, with a blood alcohol level of 0.15% (over three times the legal driving limit). She was experiencing significant situational crisis:…
31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…
Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…
43y · Male·Undetermined — available evidence does not allow determination due to limitation…
Peter Allen died in a house fire on 26 November 2000 at Lismore, NSW. Due to significant deficiencies in the postmortem examination and fire investigation, the coroner could not determine the cause or manner of death. Th…
35y · Male·Multiple injuries from motor vehicle collision, with significant contributing co…
A 35-year-old man died following a motor vehicle collision that occurred during a police pursuit initiated at a random breath testing site. He was driving under the influence of methylamphetamine and morphine, which sign…
37y · Male·cardiac arrhythmia
A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…
45y · Male·undetermined in a man in correctional services custody with a chronic history of…
Leister John Ross, a 45-year-old Aboriginal prisoner, died in Port Phillip Prison on 10 July 2014 from an undetermined cause in a man with chronic illicit drug use. Forensic pathology revealed pulmonary oedema, hepatic c…
37y · Male·Combination of methylamphetamine toxicity and restraint leading to physiological…
A 37-year-old man died after being physically removed and restrained by NSW TrainLink staff at Cootamundra Station. He was displaying erratic, agitated behaviour consistent with methylamphetamine intoxication and possibl…
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…
34y · Male·Multiple injuries sustained in a fall from a height
Gregory Caulfield, aged 34, died from multiple injuries sustained falling from a ninth-floor balcony while attempting to escape police attempting to arrest him for burglary. During the arrest attempt in a confined flat, …
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal management. Death re…
87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …
An 87-year-old woman with dementia, heart disease, and hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical …
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.