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NThomeNew2026-09-04

Inquest into the death of Death of 80 year old (Ambulance delay)

80y · Male·Aspiration pneumonia on background of fall with head strike and long lie

An 80-year-old man with multiple comorbidities (COPD, diabetes, osteoporosis, recurrent falls) fell at home on 4 February 2026 with a head strike. His wife called emergency services at 8:12am but an ambulance did not arr…

emergency medicinegeneral medicinesystemdelay
NSWmental healthNew2026-08-31

Inquest into the death of Kate Manley

46y · Female·Pulmonary embolism (saddle embolus in pulmonary trunk)

Kate Manley, 46, died from a pulmonary embolism while an inpatient at Albury Base Hospital receiving psychiatric care for catatonia. She was not prescribed prophylactic anticoagulation despite risk factors including immo…

emergency medicinegeneral medicinemedicationproceduralquetiapine
VIChomeNew2026-08-31

Finding into death of Mitchell Dean Johns

28y · Male·Hypoglycaemia due to administration of exogenous insulin

Mitchell Johns, 28, died from hypoglycaemia following an intentional insulin overdose during a suicide attempt. He had Type 1 diabetes, depression, and chronic suicidal ideation. On 27 May 2021, he presented to Bendigo H…

emergency medicinepsychiatrycommunicationsystemnovorapid insulin aspart
SAcommunity2026-08-21

Coroner's Finding: Holden, Richard Arthur

74y · Male·Pulmonary thromboembolism due to right deep vein thrombosis

Richard Holden, aged 74, presented to his GP Dr C. multiple times in August 2020 with progressive shortness of breath and wheeziness. Dr C. diagnosed and treated asthma despite worsening symptoms and failure to respond t…

general practiceemergency medicinediagnosticdelaysalbutamol
NSWmental healthNew2026-08-21

Inquest into the death of Helen Frances Honey

70y · Female·Ruptured abdominal aortic aneurysm

Ms Honey was a 70-year-old woman admitted involuntarily to a mental health facility with acute psychosis. Six days before her death, an 8cm abdominal aortic aneurysm (AAA) was discovered incidentally on imaging, with vas…

psychiatrygeneral medicinediagnosticcommunication
NSWcustodyNew2026-08-20

Inquest into the death of Hugo Peter Diaz Knox

25y · Male·Cardiorespiratory arrest due to acute cocaine toxicity

Hugo Diaz Knox, 25, died from cardiorespiratory arrest due to acute cocaine toxicity following his arrest for a positive roadside drug test. The coroner found he ingested a massive, fatal dose of cocaine (35mg/L blood co…

paramedicineemergency medicinecommunicationsystemcocaine
VICcommunity2026-08-17

Finding into death of Guy Christian Mason

48y · Male·Pulmonary thromboembolism

Guy Christian Mason, 48, died from a saddle pulmonary embolism on 17 September 2023, three days after discharge from patellar tendon repair surgery. He had sustained a significant knee injury with multiple ligament ruptu…

emergency medicinegeneral surgerydiagnosticsystemenoxaparin
SAhome2026-08-12

Coroner's Finding: Sylvia, Kate Marie

32y · Female·cerebral venous sinus thrombosis complicated by right intracerebral haemorrhage

Kate Sylvia, 32, presented on 2 December 2021 with severe headache, vomiting, and neurological symptoms including slurred speech. Paramedics transported her to Sefton Park intermediate care instead of hospital. Dr H. mis…

paramedicinegeneral medicinediagnosticcommunicationoral contraceptive pill
VIChospitalNew2026-08-11

Finding into death of Belinda Ann Jones

40y · Female·Streptococcal and staphylococcal meningitis, endocarditis and septicaemia

Belinda Ann Jones, 40, died on 19 July 2023 from bacterial meningitis, endocarditis, and septicaemia secondary to osteomyelitis pubis. She presented to Maryborough District Health Service on 14 July with severe back pain…

emergency medicinegeneral practicediagnosticcommunicationmethamphetamine
NSW2026-08-07

Inquest into the death of Amanawel Ayai (460.0 KB ,PDF File)

23y · Male·complications of bowel obstruction by adhesions

A 23-year-old man in lawful custody at Parklea Correctional Centre presented on 7 January 2022 with severe chest pain, abdominal pain, vomiting, and dehydration, with a significant history of previous abdominal surgery a…

correctional healthgeneral practicediagnosticcommunicationmetoclopramide
ACThome2026-08-03

Inquest into the death of Felipe Esteban Alvarez (No 2)

Male·toxicity caused by a combination of methylamphetamine and morphine

Felipe Esteban Alvarez died on 30 March 2021 from toxicity caused by methylamphetamine and morphine (heroin) ingestion at his unit in Taylor, ACT. He collapsed after self-injecting heroin in the presence of others, inclu…

addiction medicineemergency medicinedelayproceduralheroin
VICaged care2026-07-29

Finding into death of Lynette Patricia McHarry

69y · Female·Exacerbation of chronic obstructive pulmonary disease and ischaemic heart diseas…

Lynette McHarry, aged 69, died on 15 August 2024 at Casey Hospital following complications from a preventable medication error at Mooraleigh Hostel residential aged care facility. On 4 August, she was mistakenly administ…

geriatric medicinegeneral practicemedicationsystemclozapine
VICaged care2026-07-29

Finding into death of Rosemary Elsie Harriet Jacoby

94y · Female·Drug toxicity (baclofen, gabapentin, oxycodone, pregabalin, zolpidem)

A 94-year-old residential aged-care resident died from drug toxicity after receiving another resident's medications. An agency nurse, unfamiliar with the patient and interrupted during medication preparation, failed to p…

general practiceemergency medicinemedicationcommunicationbaclofen
WAhome2026-07-28

Inquest into the Death of Travis John WALDER

32y · Male·multiple injuries

Travis Walder, 32, died by suicide on 24 August 2023 after being struck by a train. He had schizophrenia and opioid use disorder with prior suicide attempts. On 23 August, he became acutely agitated and psychotic at his …

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIChospital2026-07-27

Finding into death of Alan Gordon Wolstenholme

72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…

A 72-year-old man with metastatic squamous cell lung cancer and multiple serious comorbidities was admitted to Ballarat Hospital in July 2024 with lethargy, fatigue, and rapid atrial fibrillation. Due to medication chart…

cardiologyemergency medicinemedicationsystembuprenorphine
VIChospital2026-07-23

Finding into death of Vicki Karon Grigg

67y · Female·Pulmonary thrombo-embolism secondary to deep venous thrombosis, with contributin…

Vicki Grigg, 67, died from pulmonary embolism three days after discharge from Goulburn Valley Health. She had been admitted with influenza A exacerbating asthma and COPD, and received standard-dose anticoagulation prophy…

respiratory medicineemergency medicinemedicationcommunicationenoxaparin
NSW2026-07-10

Inquest into the death of CG

61y · Male·Exsanguination from sharp force injuries to both arms, dissecting the veins of t…

CG, aged 61, died in Parklea Correctional Centre on 18 May 2024 from hemorrhage due to self-inflicted sharp force injuries. The coroner found multiple clinical and system failures contributed substantially to the death. …

general practiceemergency medicinesystemcommunicationoxycodone
NSW2026-07-10

Inquest into the death of Fredrick Elrezz

32y · Male·Hanging (deliberately self-inflicted)

Fredrick Elrezz, 32, died by hanging in segregation at Parklea Correctional Centre on 25 September 2020. Arrested on 1-2 September after stabbing police in an apparent suicide-by-cop attempt, Fred explicitly stated his i…

correctional healthpsychiatrycommunicationsystem
VIChospital2026-07-01

Finding into death of HJW

69y · Female·Urosepsis secondary to anuric acute renal failure and corona radiata infarct; co…

A 69-year-old diabetic woman presented to Maroondah Hospital Emergency Department on 9 June 2024 with severe right-sided abdominal pain and vomiting. CT imaging at 10:00am confirmed emphysematous pyelitis (gas-forming ki…

emergency medicinegeneral medicinediagnosticdelayfentanyl
WAhome2026-06-29

Inquest into the Death of David William LAVARS

Male·phosphine toxicity in a man with atherosclerotic heart disease

Robert Lavars died on 6 September 2022 after deliberately ingesting aluminium phosphide tablets while under police arrest at his home in Shoalwater. He had serious health conditions including strokes, heart disease, and …

toxicologyparamedicineproceduralcommunicationaluminium phosphide
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