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WAcommunity

Inquest into the Death of Kuldeep SINGH

Unknown·Multiple injuries sustained in motor vehicle collisions

This multi-case coronial inquest examined six deaths following police pursuits and vehicle intercepts in Western Australia between 2012-2014. All were motor vehicle collisions: two innocent civilians (taxi driver Singh a…

emergency medicinetoxicologymethamphetamine
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

A 56-year-old woman with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat at her remote home on 24 Ma…

psychiatryrespiratory medicinedelaysystemolanzapine
WAcommunity

Inquest into the Death of Samir Joseph Abraham

30y · Male·Drowning

A 30-year-old male musician and plasterer died by drowning at Yanchep Lagoon while attempting to swim to a reef marker after consuming alcohol. Despite appearing initially healthy and a competent swimmer, he developed di…

WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …

general practiceemergency medicinediagnosticcommunicationmetoclopramide
WAcommunity

Inquest into the Death of Keannita SAMSON

13y · Female·Chest and Head Injuries sustained in motor vehicle crash

A 13-year-old Aboriginal girl was a passenger in a stolen vehicle that was pursued by Western Australian police. The vehicle driver, also aged 13 and inexperienced, lost control during the pursuit, causing the vehicle to…

system
NSW

Inquest into the death of Ali Antoni EL HAFIANE

19y · Male·Gunshot wound inflicted by NSW police officer during armed robbery

Ali Antoni El Hafiane, aged 19, was fatally shot by NSW Police during an armed robbery at the High Flyer Inn on 22 November 2010. The coroner found that while police acted courageously, the operation was poorly planned a…

systemcommunication
VIC

Finding into death of YJ

6y · Unknown·Head injuries sustained from impact by a large falling branch from a gum tree

A 6-year-old boy died from catastrophic head injuries sustained when struck by a large falling gum tree branch while camping on private property in rural Victoria. The branch fell from approximately 30 metres during fine…

VIChome

Finding into death of E H

51y · Male·Complications of chronic ethanol use

EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November 2022 whilst waiting for an ambulance. He had self-discharged from St Vincent…

emergency medicineorthopaedic surgerysystemdelayalcohol
VIChome

Finding into death of Veeda

35y · Unknown·effects of fire

A 35-year-old died in a house fire on 26 November 2022 after inhaling smoke and toxic fire products. The fire originated in an upstairs bedroom, likely from an electrical device (vape or iPad) or smouldering cigarette. S…

systemalcohol
VIChome

Finding into death of Master L

8y · Male·Multiple injuries sustained in a motor vehicle incident

A child aged approximately 8 years died from multiple injuries sustained in a motor vehicle incident at a residential property. While reversing a stationary vehicle after receiving a phone call, the driver was unaware th…

VIChome

Finding into death of Mrs K

Female·injuries sustained during assault by spouse

Mrs K died from injuries sustained during a fatal assault by her husband, Mr K, in a domestic violence context. The case illustrates the serious risk of intimate partner homicide in controlling relationships characterise…

VICmental health

Finding into death of GM

52y · Male·Unascertained

GM, a 52-year-old man with bipolar affective disorder, died of unascertained causes after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a suspected manic…

psychiatryemergency medicinesystemcommunicationpholcodine
VIC

Finding into death of Ze Cheng (Tony) Guan

Male·drowning

Tony Guan died by drowning at Ascot Vale Leisure Centre in 2014. The coronal inquiry identified that three staff members were present but failed to notice the incident, highlighting systemic failures in pool supervision.…

systemcommunication
VICcommunity

Finding into death of Alfred Norman Avage

79y · Male·head injuries sustained in a fall from a bicycle

A 79-year-old man died from head injuries sustained in a bicycle fall on a rural road. While riding at approximately 40 km/h on a descent, he swerved to avoid mud and debris on the road surface, struck another cyclist's …

neurosurgeryemergency medicinecommunicationsystem
VIChome

Finding into death of Ross Malcolm Campbell

40y · Male·neck compression consequent upon hanging

Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a fami…

general practicepsychiatrycommunicationsystemalcohol
VIChospital

Finding into death of Sydney Hugh Kennedy

66y · Male·Complications of chronic lithium therapy

Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…

psychiatrygeneral practicediagnosticcommunicationlithium
VIChome

Finding into death of Aaron James McDonald

22y · Male·Asphyxia from recreational use of nitrous oxide

Aaron McDonald, 22, died from asphyxia while using nitrous oxide recreationally alone at home, breathing the gas through apparatus connected to a canister. He had sourced knowledge and equipment from the internet and ret…

forensic medicinenitrous oxide
VIChome

Finding into death of Georgia Griffin Wilson

8y · Female·Effects of fire

Two children, Georgia (8) and Kaden (3), died in a house fire caused by inadequate wood heater flue installation. The flue was installed without proper air gap between the pipe and chimney wall, contrary to AS/NZ 2918:20…

system
VIC

Finding into death of Kaye D Ward

60y · Female·Consistent with drowning

Kaye Ward, 60, drowned in Belfast Bay, Port Fairy after her fishing boat's motor failed to start due to corroded battery cable. With an undersized anchor that dragged ineffectively, the boat drifted into breaking waves a…

system
VICcommunity

Finding into death of Elaine O'Driscoll

28y · Female·Motor vehicle accident related chest injuries

Elaine O'Driscoll, a 28-year-old Irish working holiday maker, died from chest injuries sustained in a motor vehicle rollover on a rural road near Swan Hill, Victoria. The vehicle she was travelling in collided with a B-d…

system

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