Coronial
TAScommunity2026-03-27

Coroner's Finding: Pashen, Dennis Robert

74y · Male·drowning

…from his entry point, the coroner determined he died from drowning with hypothermia and exercise-induced exhaustion as contributing factors. An acute coronary event could not be excluded. A rescue helicopter arrived with…

WAcommunityPodcast2016-08-22

Inquest into the Death of Ewan Louis WILLIAMSON

14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis

…immediately dispatch an ambulance when the father called at 2:03pm reporting a collapsed child with heat exhaustion—the critical gap. Although paramedics arrived by 3:30pm, the boy was already in cardiac arrest after thr…

emergency medicineparamedicinecommunicationdelay
NSWcommunity2019-12-13

Inquest into the suspected death of missing person Elizabeth O’PRAY

76y · Female·dehydration, hypothermia and exhaustion

…er found alive. The coroner concluded she died between 8-10 March 2016 from dehydration, hypothermia and exhaustion. A critical issue emerged: mobile phone location technology (the Osprey system) provided inaccurate dire…

systemdelay
SAcommunity2009-06-30

Coroner's Finding: SALAGARAS Steven

56y · Male·effects of heat exhaustion

Steven Salagaras, a 56-year-old charity collector, died from heat exhaustion on 22 January 2006 after working in extreme heat (40.8°C) during a heatwave. He was observed appearing p…

occupational and environmental healthforensic medicinesystemdelay
TAScommunityNew2026-06-12

Coroner's Finding: De Ornelas, Joao

76y · Male·Unable to be determined; expert opinion suggests likely hypothermia, exhaustion …

…ultiple agencies, no trace was found. Medical expert opinion attributed his likely death to hypothermia, exhaustion and dehydration, exacerbated by early dementia, poor vision (blind in one eye), restricted left arm move…

WAcommunity2020-06-03

Inquest into the Suspected Death of Wilfred Arthur BARRETT

81y · Male·Open finding - unable to determine whether natural causes, exhaustion and disori…

…Mr. Barrett was ever found. The coroner concluded he died in early May 1984, likely from natural causes, exhaustion, or accidental fall into a mineshaft while prospecting in bush terrain. His body was never recovered due…

WAcommunity2015-10-23

Inquest into the Death of Paul Gregory CLIFTON

49y · Male·Complications arising from immersion (drowning)

Paul Clifton, an experienced 49-year-old skipper, died from complications of immersion (drowning) after his recreational fishing boat sank unexpectedly in open water near Lancelin, Western Australia on 2 June 2013. The b…

systemdelay
TAShospital2017-06-16

Coroner's Finding: Baldock, Andrea Eileen

46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…

…ficiency. The case illustrates that weight reduction surgery carries non-trivial risks and should follow exhaustion of non-invasive options.

general surgerygastroenterologysystemdelay
QLDPodcast2025-07-31

Inquest into the Cause and Circumstances surrounding the death of RICKIE JAMES MAKIN

44y · Male·Drowning due to head injury due to impact with yacht

Rickie James Makin, 44, fell overboard from the 44.7-foot racing yacht Lady Helena in heavy seas during a competitive yacht race on Moreton Bay, Queensland, on 7 March 2020. He was not wearing a personal flotation device…

systemdelaytemazepam
WAcommunity2019-02-06

Inquest into the Death of Torran Jake THOMAS

15y · Male·Multiple organ failure associated with hyperthermia (heat stroke)

…e cooling measures (ice water immersion, strip-soak-fan). They relied instead on treating presumed 'heat exhaustion' with light cooling. The ambulance was called 15 minutes after the athlete lay down unresponsive. While …

emergency medicineintensive carediagnosticdelay
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…

diagnosticdelaymethamphetamine
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

…0 hours onwards. The locum obstetrician contacted the on-call registrar at 0410 hours regarding maternal exhaustion; the registrar was off-site, 30 minutes away. At 0418 hours a significant bradycardia to 60 bpm prompted…

obstetricsneonatologycommunicationsystemadrenaline
NSW2012-10-04

Inquest into the death of Marcus WILSON

19y · Male·Complications arising from hyperthermia, including total organ failure, rhabdomy…

Marcus Wilson, a 19-year-old roofing insulator, died from hyperthermia-induced organ failure, rhabdomyolysis and coagulopathy after working in a roof space during extreme heat (40°C+) without adequate hydration. He consu…

emergency medicineoccupational and environmental healthsystemcommunication
QLD2012-08-08

Barnett-Lonergan, Patrick Hugo

22y · Male·Drowning in circumstances of exposure to the elements at sea

… search over five days found no trace of him. The coroner found he most likely drowned from exposure and exhaustion, though the precise mechanism of falling overboard could not be determined. While initial search efforts…

alcohol
WA

Inquest into the Suspected Death of Hajime NAGAI

23y · Male·Drowning

Hajime Nagai, a 23-year-old Japanese tourist, drowned at Salmon Beach, Esperance, Western Australia on 11 March 1995 after slipping from rocks into the sea. Despite multiple attempts to climb back onto rocks, he was repe…

WAcommunity2005-07

Inquest into the Death of Kevin Leslie Charles Bellchambers

31y · Male·Gunshot wound to the head

Kevin Leslie Charles Bellchambers, aged 31, died on 1 March 2003 from a self-inflicted gunshot wound to the head. After committing an armed robbery at a service station in Busselton, he and his female companion fled in a…

heroin
NSWcommunity2018-05-29

Inquest into the disappearance and suspected deaths of Yue Ping Wang and Jilin Du

Male·Unable to determine; death by misadventure in the ocean near Black Rock, Steamer…

…pert opinion indicated survival time in the water would have been less than 12 hours due to hypothermia, exhaustion and dehydration, with death likely occurring within minutes if beaten against rocks without lifejackets.…

WA2022-02-09

Inquest into the Suspected Death of Fuh Jinn YANG

26y · Male·drowning in the Indian Ocean

This case involves the drowning death of Fuh Jinn Yang, a Taiwanese fisherman who died on 4 August 1984 while attempting a heroic rescue of a colleague who had fallen overboard from a fishing vessel off Broome, Western A…

NSWcommunity2018-04-11

Inquest into the death of Brendan Vickery

20y · Male·drowning

…al injuries from the jump impact (pneumothorax or internal bleeding) that could have caused weakness and exhaustion. The inquest did not identify clinically preventable factors, though it focused on environmental safety …

emergency medicinepathology
QLD2024-12-12

Inquest into the passing of Robert George Kenneth Malayta

18y · Male·Drowning

An 18-year-old First Nations male died by drowning in the Ross River after fleeing from police following deployment of a tyre deflation device on a stolen vehicle. The deceased was a passenger in a car driven by his olde…

methamphetamine

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