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VIChome2026-03-16

Finding into death of John O'Grady

63y · Male·Effects of fire

A 63-year-old man with bipolar disorder, Crohn's disease, ADHD and HIV died in a residential fire at his apartment. He was found with evidence of unsafe smoking in bed, including numerous cigarette butts throughout his u…

general practicepsychiatrysystemrisperidone
WAcommunity2026-03-13

Inquest into the Suspected Death of PARBHAT

24y · Male·unknown cause

Parbhat was a 24-year-old Indian international student and worker who disappeared at The Gap in Torndirrup National Park, Albany, WA on 5 August 2024. After moving to Perth in 2021, his circumstances deteriorated followi…

alcohol
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…

cardiologyemergency medicinediagnosticcommunicationheparin
VIC2026-03-12

Finding into death of Fan Yang

29y · Male·Drowning in the setting of flash flooding

Fan Yang, 29, drowned during unprecedented flash flooding at Buchan Caves Reserve on 26 December 2023 while exiting with his partner after a cave tour. Over 60mm rain fell in 30 minutes, causing rapid water rise. The cou…

NSWhome2026-03-10

Inquest into the death of Judith Ingham

89y · Female·Burn wounds and the consequences thereof

Judy Ingham, aged 89, suffered severe burns from excessively hot water while bathing in her apartment on 26 August 2022, dying 26 days later from burn wound complications. A licensed plumber failed to install a required …

proceduralsystem
ACThome2026-03-10

Inquest into the death of [Redacted] Williams

Female·sodium nitrite poisoning

A 70-year-old school teacher and community advocate with motor neuron disease (MND) died by sodium nitrite ingestion on 27 April 2023. She had explicitly expressed wishes to end her life and explored available options. P…

palliative carepsychiatrysodium nitrite
WA2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease

Russell Graham Penny, 56, a Noongar man, died from advanced liver disease with hepatocellular carcinoma while in prison custody. With chronic hepatitis C from intravenous drug use, Russell had developed cirrhosis and was…

correctional healthgeneral medicinesystemcommunication
NSW2026-03-06

Inquest into the death of Gregory Merriman

58y · Male·acute myocardial infarction caused by ischaemic heart disease

Gregory Merriman, a 58-year-old Aboriginal man, died from acute myocardial infarction caused by advanced ischaemic heart disease while in custody at Metropolitan Reception and Remand Centre on 27 December 2022. He experi…

cardiologygeneral practicediagnosticcommunicationperindopril
QLDhospital2026-03-06

Non-inquest findings into the death of Ms B

35y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to vertebro…

A 35-year-old woman presented to a rural hospital with a three-day history of collapses, slurred speech, vomiting, and abnormal eye movements. A non-contrast CT head scan was normal, and she was discharged with a diagnos…

emergency medicinegeneral practicediagnosticcommunication
VICcommunity2026-03-05

Finding into death of Yuhan Jin

Female·Hypothermia

Two young Chinese international students died from hypothermia while hiking Mount Bogong in severe weather conditions. They were inexperienced hikers who underestimated the alpine environment's dangers. Despite carrying …

VICcommunity2026-03-05

Finding into death of Yewen Wang

Female·Hypothermia

Two young international students died from hypothermia while hiking Mount Bogong in severe weather conditions (temperatures -3.2 to 8.1°C, heavy snow, poor visibility, high winds). Despite possessing appropriate clothing…

NSWhome2026-03-04

Inquest into the death of BX

29y · Male·Gunshot wound to the head, self-inflicted

BX, aged 29, died from a self-inflicted gunshot wound to the head on 17 July 2023 during a police siege at Bowenfels, NSW. Following a domestic violence incident report, police arrived and BX refused entry, triggering a …

communicationsystem
VIChome2026-03-04

Finding into death of Marko Kelentric

73y · Male·Effects of fire

A 73-year-old man died in a residential fire in rural Victoria. He was found unresponsive in his bedroom and declared deceased after fire rescue and paramedic resuscitation attempts. Autopsy confirmed death from smoke in…

systemamitriptyline
VIChome2026-03-04

Finding into death of Ashleigh Peter Mills

57y · Male·Smoke inhalation

Ashleigh Peter Mills, aged 57, died from smoke inhalation in a house fire on 31 August 2020. The fire started from a discarded cigarette in an armchair where his housemate had been smoking and drinking. Multiple preventa…

emergency medicineforensic medicinesystemdelay
VIChome2026-03-04

Finding into death of Carol Fay Slade

54y · Female·Severe burns sustained in a house fire (palliated)

Carol Fay Slade, a 54-year-old woman with acquired brain injury from a 2003 motorcycle accident and mobility limitations, died from severe burns sustained in a house fire at her public housing property in Shepparton. The…

emergency medicineintensive caresystemmethadone
VICcommunity2026-03-04

Finding into death of Anthony Laurence Parisi

39y · Male·Multidrug toxicity (GHB, methylamphetamine, ketamine) in a setting of restraint …

Anthony Parisi, 39, died from multidrug toxicity (GHB, methamphetamine, ketamine) in a setting of police restraint and moderate coronary artery atherosclerosis. He consumed large quantities of GHB and methamphetamine on …

emergency medicineintensive caregamma-hydroxybutyrate
VIChome2026-03-03

Finding into death of Nigel Raymond Willoughby

74y · Male·Complications of burns sustained in a fire

Nigel Willoughby, 74, died from complications of burns sustained in a house fire on 2 September 2020. The fire was caused by a carelessly discarded cigarette igniting an armchair in the lounge room while he was smoking a…

system
VIChome2026-03-03

Finding into death of Rosendo Ortiz

70y · Male·Smoke inhalation

A 70-year-old man died from smoke inhalation in a residential fire at his public housing unit. He lived in severe hoarding and squalor, without electricity for over three years following a billing dispute. The fire likel…

systemclonazepam
NSWaged care2026-02-27

Inquest into the deaths of Dimosthenis Gesios and Maureen McGreevy

Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…

Two aged care residents died from choking on bread despite being prescribed minced and moist diets that prohibited regular bread. Mr Gesios was fed bread dipped in Milo by an inexperienced AIN without adequate supervisio…

speech pathologygeneral practicesystemcommunication
VIChospital2026-02-27

Finding into death of PDR

78y · Male·Acute pancreatitis

A 78-year-old man with a long history of mental illness and multiple chronic physical conditions died from acute pancreatitis on 12 May 2025, nine days after presenting with nausea and vomiting at Thomas Embling Hospital…

emergency medicinepsychiatryolanzapine
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