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TAS2025-02-05

Coroner's Finding: Explosion, Glenorchy

Explosion caused by ignition and deflagration of acetylene leak from a cylinder …

This coronial finding concerns an explosion caused by improper storage and transportation of an acetylene gas cylinder in a work vehicle. Ryan Rayner was seriously injured when an acetylene cylinder stored on its side in…

proceduralsystem
VIChome2025-01-31

Finding into death of FCP

45y · Female·Drowning whilst inebriated (ethanol)

FCP, aged 45, died by drowning while inebriated on 11 April 2020 at her home in Kilmore East, Victoria. She had a complex history of mental illness (psychosis, depression, anxiety, PTSD), substance abuse, and was in a re…

psychiatryemergency medicinesystemcommunicationalcohol
VIChospital2025-01-28

Finding into death of Dustin Buckley

17y · Male·Gunshot wound to the head

Dustin Buckley, 17, died from a gunshot wound to the head at Royal Melbourne Hospital on 27 August 2017. The incident occurred during target shooting at Cat Track when KD fired a .22 rifle that discharged, striking Dusti…

trauma surgeryemergency medicinesystemproceduralmidazolam
VIChome2025-01-28

Finding into death of Edward Grant Harris

18y · Male·Heroin toxicity

Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a complex history of behavioural challenges,…

paediatricspsychiatrysystemheroin
VIChome2025-01-28

Finding into death of Mark Brian Lowther

56y · Male·head injuries

Mark Lowther, a 56-year-old plumber, died from head injuries when a tree he was felling with a chainsaw and excavator struck him. The excavator's Roll Over Protection (ROP) had been removed prior to the incident, contrar…

proceduralsystem
NSWaged care2025-01-28

Inquest into the Death of Robert Driver

89y · Male·Cervical spine trauma

Robert Driver, 89, died from cervical spine trauma sustained after being struck by another dementia-affected resident in an aged care facility. He was assessed overnight at the facility and transferred to hospital the fo…

emergency medicineneurosurgerydelaycommunicationrisperidone
NSWaged care2025-01-24

Inquest into the deaths at Newmarch House

Unknown·COVID-19 infection with various comorbidities as contributing factors

This inquest examined 19 COVID-19 deaths at Newmarch House residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical managem…

geriatric medicineinfectious diseasessystemdiagnosticmorphine
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…

orthopaedic surgerygeneral medicinesystemdelay
VIChome2025-01-20

Finding into death of Kim Marie Bartolo

47y · Female·Mixed drug toxicity (venlafaxine, duloxetine, mirtazapine, oxycodone, tapentadol…

Kim Bartolo, a 47-year-old woman with depression, anxiety, alcohol use disorder and chronic conditions, died from mixed drug toxicity involving multiple prescription medications. She was admitted to Brunswick Private Hos…

psychiatryorthopaedic surgerycommunicationmedicationvenlafaxine
NSWhome2025-01-17

Inquest into the death of MJ

0y · Unknown·fatal injuries from dog attack

A 5-week-old infant died from fatal injuries inflicted by the family pet, a dog (American Staffordshire Terrier) named Bully, who attacked him in the family home in early July 2021. About one month before the fatal attac…

systemcommunication
NSWhome2025-01-17

Inquest into the death of BG

0y · Male·Concussive brain injury

A 7-month-old boy died from concussive brain injury caused by intentional head trauma inflicted by his mother's partner in a domestic violence context. The child had multiple bruises, bite marks, and subdural haemorrhage…

forensic medicinepaediatricssystemcommunication
NSW2025-01-16

Inquest into the death of Tammy Michelle Shipley

47y · Female·hyponatraemia arising from primary polydipsia and complications of schizoaffecti…

Tammy Michelle Shipley, a 47-year-old Aboriginal woman with chronic schizoaffective disorder and bipolar disorder, died in custody on 20 December 2022 from hyponatraemia arising from primary polydipsia. She was arrested …

psychiatryemergency medicinediagnosticcommunicationbuprenorphine
NThospital2025-01-10

Inquest into the death of Mati Tamwoy

66y · Male·infectious complications of plasmablastic myeloma

Mati Tamwoy, a 66-year-old Aboriginal man, died in ICU from infectious complications of plasmablastic myeloma after 661 days on remand. He received excellent oncological care including chemotherapy and radiotherapy. Howe…

haematologyoncologysystemcommunicationchemotherapy agents
VIChospital2025-01-10

Finding into death of William Thomas Gourley

39y · Male·Effects of fire (self-immolation)

William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VIChome2025-01-09

Finding into death of C M

25y · Female·Neck compression secondary to hanging

CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family violence. She presented to hospital multiple ti…

emergency medicinepsychiatrydiagnosticsystemalprazolam
WA2025-01-08

Inquest into the Suspected Death of Tanghui HUANG

41y · Male·Unascertained - may have resulted from injuries sustained in fall from vessel or…

Tanghui Huang, a 41-year-old Chinese able seaman, disappeared from a bulk carrier vessel off Dampier, Western Australia on 21 April 2012. He was last seen painting the mooring winch at 11:30 am and was presumed to have f…

occupational and environmental healthpsychiatrysystemcommunicationtriazolam
WAprison2025-01-03

Inquest into the Death of Christopher John HILLSTEAD

59y · Male·ligature compression of the neck (hanging)

Christopher Hillstead, a 59-year-old prisoner serving a life sentence for wilful murder, died by suicide by hanging on 18 January 2021 at Acacia Prison, Western Australia. He had been pursuing tertiary education (master'…

psychiatrycorrectional healthcommunicationsystem
VIChospital2025-01-02

Finding into death of Sheila Marion Quairney

68y · Female·Acute myocardial infarction and coronary artery atherosclerosis

A 68-year-old woman presented to St Vincent's Hospital emergency department with upper abdominal and left-sided chest pain following a stationary bicycle fall. Clinicians attributed her symptoms to codeine adverse reacti…

emergency medicinecardiologydiagnosticsystemparacetamol
VIChome2025

Finding into death of CWQ

74y · Male·Unascertained

A 74-year-old man with a long-standing history of delusional disorder and social phobia died at his Melbourne home between August and December 2022; the cause of death was unascertained. He lived with his sister, who als…

psychiatrysystem
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone

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