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WAhome

Inquest into the Death of Baby AM

0y · Male·severe hypoxic ischaemic encephalopathy secondary to uterine rupture

Baby AM died from severe hypoxic ischaemic encephalopathy secondary to uterine rupture during a planned home vaginal birth after caesarean (VBAC). The mother, Ms M, was 40 weeks and 5 days pregnant, attended by a private…

obstetricsmidwiferydiagnosticcommunication
WAcommunity

Inquest into the Deaths of Amy-Lee ARMSTRONG and Kyrone Terrance EADES and Ashley Scott DE AGRELA

Multiple injuries (Armstrong and Eades); complications of head injury (De Agrela…

Three young people died in a high-speed motor vehicle crash on 2-4 December 2015 in Western Australia. The driver, Matthew Conduit, was under the influence of alcohol and methylamphetamine, and was speeding at over twice…

alcohol
WApolice custody_and_home

Inquest into the Death of Desmond Richard KICKETT

34y · Male·multiple organ failure following cardiorespiratory arrest in a man with focal co…

A 34-year-old man died from cardiorespiratory arrest with multiple organ failure after methylamphetamine use combined with underlying focal coronary arteriosclerosis. He became unresponsive in police custody while being …

emergency medicinecardiologymethamphetamine
WA

Inquest into the Death of Anthony John BILICK

34y · Male·Severe chest injury with fractures to ribs and sternum, internal bleeding, lacer…

A 34-year-old male motorcyclist died from severe chest injuries after crashing into a Toyota Tarago at high speed. He was riding a stolen, high-performance Ducati motorcycle with a false number plate, intoxicated with me…

emergency medicinetrauma surgeryamphetamine
WAcommunity

Inquest into the Death of Kim Martin FRANKER

36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…

A 36-year-old man with schizoaffective disorder, substance abuse issues, and undiagnosed cardiomyopathy died from combined toxicity of benzhexol (prescribed by his GP for tardive dyskinesia), amphetamine-type stimulants,…

psychiatrygeneral practicecommunicationsystembenzhexol
WAmental health

Inquest into the Death of David GRIEVE

45y · Male·Coronary Atherosclerosis

David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Grayla…

psychiatrycardiologysystemcommunicationhaloperidol
WA

Inquest into the Death of Jarrod Arthur HAMPTON

22y · Male·drowning secondary to incapacitation from air embolism

A 22-year-old skilled and experienced pearl shell drift diver with over 600 logged dives died from drowning secondary to air embolism and cerebral arterial gas embolism while diving for Paspaley Pearling Company off Broo…

diving medicineoccupational and environmental healthsystemdelay
WAcommunity

Inquest into the Death of Radwan KANAWATI

41y · Male·atropine toxicity

A 41-year-old man with schizoaffective disorder, intellectual disability and sexual offending history died from atropine toxicity after ingesting 6-8ml of atropine liquid prescribed for hyper-salivation. He had been disc…

psychiatrycommunicationsystematropine
WAmental health

Inquest into the Death of Vincent Tavita Tolai SCHWENKE

24y · Male·complications of ligature compression of the neck (hanging)

Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement …

psychiatryneurologyescitalopram
WA

Inquest into the Death of Matthias Ashley BACHE

25y · Male·Drowning

A 25-year-old experienced swimmer and rock jumper died by drowning after jumping into ocean water at Wyadup Rocks, Western Australia. Despite strong swell conditions and his friend's warning against jumping, the deceased…

WAcommunity

Inquest into the Death of Sean Duncan BARRETT

Multiple injuries resulting from motor vehicle collisions following police pursu…

This inquest examined six deaths following police pursuits/intercepts in Western Australia between October 2012 and December 2014. Four of five drivers fleeing police were severely methylamphetamine-intoxicated, signific…

methamphetamine
WAhome

Inquest into the death of Nicole Emily BICKNELL

18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration

An 18-year-old female, a naive drinker, consumed approximately 19-21 standard drinks over a few hours at her birthday party, including vodka cruisers, a full-strength Midori drinking game, and Polmos (95% alcohol). She r…

toxicologyemergency medicinedelaysystemalcohol
WAcommunity

Inquest into the Death of Gavin Wayne FRYER

Unknown·Multiple injuries sustained in motor vehicle collisions

This complex coronial finding examined six deaths arising from police pursuits in Western Australia between 2012-2014. The deceased included taxi driver Kuldeep Singh and passenger Dr D. (killed in a collision with a sto…

emergency medicinetoxicologysystemmethamphetamine
WAhome

Inquest into the Death of Satwant KAUR

57y · Female·Multiple penetrating (stab) injuries to the body and neck

Satwant Kaur, aged 57, was murdered by her stepson in her home on 5 December 2013 after he made multiple threats to kill her while in custody. Critical failures in intelligence sharing between the Department of Correctiv…

communicationsystemmethamphetamine
WA

Inquest into the Death of Nigel Paradine KITCHEN and Andrew Trevor HINDS

Male·Drowning following capsizing and disintegration of recreational fishing vessel i…

Two experienced recreational fishermen, aged 50 and 57, died in a boating accident near Coral Bay, Western Australia on 29 May 2016. Their vessel Centrefold, an 8.2-metre recreational boat equipped with safety equipment …

WAhome

Inquest into the Death of Reef Jason Bruce KITE

21y · Male·crush asphyxia

Reef Kite, a healthy 21-month-old boy, died from crush asphyxia after a chest of drawers toppled onto him in his bedroom while he napped. He was unresponsive when found and died despite emergency resuscitation at Princes…

emergency medicinepaediatrics
WAhospital

Inquest into the Death of June Valerie LOBBAN

69y · Female·Intra-abdominal sepsis and shock with multi-organ failure following intestinal p…

A 69-year-old woman died from intra-abdominal sepsis and multi-organ failure following a perforated caecum that occurred after lumbar spine surgery. Post-operatively, she developed abdominal distension and pain initially…

neurosurgerygeneral surgerydiagnosticdelayfentanyl
WA

Inquest into the Death of Damien Mark MILLS

35y · Male·drowning (immersion)

Damien Mills, a 35-year-old mortgage broker, drowned in the Indian Ocean after falling off a charter boat returning from Rottnest Island on 31 October 2014. While intoxicated, he was likely knocked overboard during rough…

systemcommunication
WA

Inquest into the Deaths of the Police Pursuits

Multiple injuries (all six deceased); underlying drivers intoxicated with methyl…

Six deaths following police pursuits and vehicle intercepts in Western Australia between 2012-2014. Deaths resulted from collisions during or shortly after police operations, with drivers evading police significantly int…

methamphetamine
WAcommunity

Inquest into the Death of Jordan Damon RUNDELL

Unknown·Multiple injuries sustained in motor vehicle collisions

These linked inquests examined six deaths following police pursuits and intercepts in Western Australia between 2012-2014. All deaths resulted from motor vehicle collisions. In five cases, fleeing drivers were substantia…

forensic medicinetoxicologymethamphetamine

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