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NThome2024

Inquest into the death of Toddler K

1y · Male·Accidental hanging (entrapment in looped window blind cord)

A 19-month-old toddler died from accidental asphyxiation after becoming entrapped in a looped window blind cord in the parents' bedroom. The child, known to be active and a climber, accessed the cord via a bedside table …

system
NT2024

Inquest into the death of Road Deaths 5,6,7 and 8 of 2024

Multiple blunt force injuries sustained in single motor vehicle rollover collisi…

Four Aboriginal adults died in a single-vehicle rollover on Roper Highway, NT, on 3 February 2024. The 53-year-old driver was heavily intoxicated (BAC 0.28%) and driving at 159 km/h in a 110 km/h zone on a rural road. No…

forensic medicineemergency medicinesystemalcohol
NTcommunity2024

Inquest into the death of Domestic violence victim (Bush Camp, Karama)

47y · Female·Multiple blunt force injuries

A 47-year-old Aboriginal woman died from multiple blunt force injuries sustained during a prolonged violent attack by her domestic partner at a bush camp in Karama, NT on 17 January 2022. She had a documented history of …

forensic medicineemergency medicinecommunicationsystemalcohol
NTcommunity2024

Inquest into the death of Domestic violence victim (Jingili Water Gardens)

20y · Female·Stab wound to the left mid-anterior of the chest in the context of multiple othe…

A 20-year-old Aboriginal woman was fatally stabbed by her intimate partner during an escalating domestic violence relationship. She sustained a stab wound to the chest perforating her heart, causing cardiac tamponade and…

forensic medicineemergency medicinecommunicationsystem
NTcommunity2024

Inquest into the death of Road Death 28 of 2024

61y · Male·Multiple blunt force injuries sustained in motor vehicle versus cyclist collisio…

A 61-year-old experienced cyclist was struck by a Toyota Landcruiser at a Stuart Highway intersection in Darwin at 5:54 am while riding on the road in dark conditions. Multiple factors compromised visibility: a malfuncti…

forensic medicineemergency medicinesystem
NTcommunity2024

Inquest into the death of Road Death 4 of 2024

34y · Male·Multiple blunt force injuries from motor vehicle crash (pedestrian struck)

A 34-year-old Indigenous male with schizophrenia and psychosis living in 24/7 supported care wandered from his care home on 3 February 2024 and was struck by a motor vehicle on Stuart Highway while walking in poor light …

psychiatrysystemcommunication
NTcommunity2024

Inquest into the death of Road Death 13 of 2024

77y · Male·Blunt force head and chest injuries from motor vehicle collision

A 77-year-old male with a history of seizures (2017, 2023) died from blunt force head and chest injuries sustained in a motor vehicle collision on 10 March 2024. The vehicle travelled at 157 km/h approaching a red traffi…

neurologycardiologysystemlamotrigine
VICcommunity2024

Finding into death of E K

43y · Male·multiple injuries in a train incident

A 43-year-old man died by suicide after being notified by police of sexual assault allegations via telephone. He placed himself in front of a train 20 minutes before his scheduled police interview. He had no prior mental…

communicationsystem
VIChome2024

Finding into death of S R

29y · Female·Effects of fire

SR, a 29-year-old who died in a residential house fire in Werribee, Victoria on 26 November 2022. The fire originated from an electrical device (likely a vape or iPad) or smouldering cigarette in an upstairs bedroom. Whi…

systemalcohol
VIC2024

Finding into death of W B

59y · Male·Gunshot wound of head

A 59-year-old police officer with 40 years service died by self-inflicted gunshot wound at his police station following severe financial stress related to property investment losses. He had received counselling and GP ma…

general practicepsychiatrycommunicationsystemdiazepam
VIChome2024

Finding into death of Baby E

1y · Female·Neonatal pneumonia, meconium aspiration and chorioamnionitis secondary to prolon…

Baby E died at home one day after birth at 40+ weeks gestation following a prolonged labour in a hired plastic birthing pool. The mother had no antenatal care, no midwifery support, and her Group B Streptococcus status w…

obstetricsneonatologydiagnosticsystem
WAhospitalAugust 2023

Inquest into the Death of Justin DOBSON

46y · Male·sepsis following haemorrhoidectomy

46-year-old Justin Mark Dobson died from sepsis following a routine haemorrhoidectomy on 17 July 2019. He was discharged to the ward overnight but deteriorated significantly from 11:00 am on 18 July, showing hypotension,…

general surgerycolorectal surgerydiagnosticcommunicationmetronidazole
SAaged care2023-12-22

Coroner's Finding: LENS, Christopher

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…

geriatric medicinespeech pathologysystemcommunication
WA2023-12-21

Inquest into the Death of Shane Nathan ROBERTS

41y · Male·Ligature compression of the neck (hanging)

Shane Nathan Roberts, aged 41, died by ligature compression (hanging) in Hakea Prison on 24 June 2019. He had pre-existing depression and anxiety treated with citalopram. A prison doctor referred him to the Mental Health…

correctional healthgeneral practicesystemdelaycitalopram
QLDcommunity2023-12-21

GREER, Tina

32y · Female·Unknown

Tina Louise Greer, 32, disappeared on 18 January 2012 and is presumed deceased, killed by her partner Leslie Sharman who was involved in her coercive and controlling relationship, including domestic violence. The coroner…

paediatricsaddiction medicinediagnosticcommunication
VICcommunity2023-12-20

Finding into death of Lachlan McMahon Cook

16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis

A 16-year-old with Type 1 Diabetes died from diabetic ketoacidosis (DKA) precipitated by acute gastroenteritis acquired while on a school trip to Vietnam. Despite reporting vomiting at 8am on 26 September 2019, Lachlan w…

endocrinologygeneral practicediagnosticcommunicationinsulin
TASaged care2023-12-18

Coroner's Finding: Reeve, Aubrey Charles

98y · Male·comminuted pertrochanteric fracture of left hip sustained in mechanical fall

A 98-year-old man with osteoporosis, dementia, and ischaemic heart disease sustained a comminuted pertrochanteric hip fracture in a fall at his residential aged care facility on 24 July 2023, dying four days later. He ha…

geriatric medicineemergency medicinesystemcommunication
VIChome2023-12-18

Finding into death of Vivianne May Rodger

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…

proceduralcommunication
VICcommunity2023-12-15

Finding into death of Elly Rose Warren

20y · Female·Aspiration of sand; cause of sand aspiration not determined

Elly Warren, a 20-year-old Australian volunteer worker, died in Mozambique on 9 November 2016 from aspiration of sand. The coroner found the cause of death was sand obstruction of her airways, though the precise circumst…

forensic medicinetoxicologydiagnosticsystem
NSWmental health2023-12-15

Inquest into the death of CC

33y · Male·Hanging

CC, a 33-year-old First Nations man with methamphetamine-induced bipolar disorder and psychosis, was admitted to the High Dependency Unit at Nepean Hospital on 7 June 2022 under involuntary mental health detention. Over …

psychiatryaddiction medicinecommunicationsystemmethamphetamine

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