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ACTaged careNew2026-06-11

Inquest into the death of Peter Wallace

76y · Male·congestive cardiac failure complicated by type 2 respiratory failure

Peter Vernon Wallace was a 76-year-old man with schizophrenia subject to a Psychiatric Treatment Order, living in aged care. He had serious physical comorbidities including congestive cardiac failure, type 2 respiratory …

psychiatrygeriatric medicinezuclopenthixol
ACTcommunityNew2026-06-05

Inquest into the death of Alexis Saaghy

16y · Female·head injuries sustained in a motor vehicle accident

A 16-year-old girl died from head injuries sustained in a motor vehicle crash on a residential street in Canberra. The driver, a P-plate driver with less than 12 months experience, was driving a 2011 Nissan Navara ute in…

ACTcommunity2026-05-26

Inquest into the death of Donald Morley

93y · Male·Complications of invasive squamous cell carcinoma of the scalp

Donald Morley, aged 93, died at Claire Holland House hospice on 12 July 2024 while serving a nine-year sentence for murder. He was under 24/7 custodial supervision. The cause of death was complications of invasive squamo…

palliative carepsychiatry
ACThospital2026-05-12

Inquest into the death of Mr Deleman

69y · Male·peritonitis due to perforated bowel

Mr Deleman was a 69-year-old man with untreated schizophrenia, advanced liver cirrhosis, and hepatitis C, presenting to hospital on 1 April 2024 with abdominal swelling. He was admitted to The Canberra Hospital and place…

emergency medicinegastroenterologypaliperidone
ACTcommunity2026-04-08

Inquest into the death of MK

18y · Male·drowning in a motor vehicle accident

MK, 18 years old, died by drowning after his car entered Isabella Pond following a motor vehicle accident. Witnesses observed him inhaling from a balloon-shaped object while driving through a roundabout. A large nitrous …

forensic medicinetoxicologysystemdelaynitrous oxide
ACTcommunity2026-03-20

Inquest into the death of Paul Edward Storey

71y · Male·Multiple injuries sustained in a cycling accident caused by impact with a tree b…

Paul Storey, a 71-year-old active cyclist, died from multiple injuries sustained when his head struck a large tree branch hanging across a bicycle path on Black Mountain Peninsula, ACT. A public report of the hazardous t…

systemcommunication
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
ACT2026-02-12

Inquest Into The Death Of David Wood

62y · Male·cardiac arrest caused by hypothermia following prolonged exposure to extreme col…

Captain David Wood, an experienced helicopter pilot, fell into a concealed crevasse on the West Ice Shelf in Antarctica while conducting fuel cache operations. He was exposed to extreme cold (-14°C) and remained in the c…

aviation medicineemergency medicinediagnosticsystem
ACT2025-12-04

Inquest Into The Death Of Joseph Junior Suwedi

44y · Male·multiple injuries sustained in a motor vehicle accident

Joseph Junior Suwedi, aged 44, died in a single-vehicle motor accident on 21 February 2023 after losing control of his car on Antill Street, Watson, ACT. He had consumed approximately eight pints of beer over several hou…

ACThospital2025-12-02

Inquest Into The Death Of Bk

52y · Male·Multiple injuries sustained in a motor vehicle accident

A 52-year-old man died from multiple injuries sustained in a motorcycle accident after losing control on a residential street. Critical contributing factors included: riding while significantly intoxicated (blood alcohol…

alcohol
ACT2025-11-21

Inquest into the death of Alistair Urquhart

45y · Male·multiple injuries sustained in a motor vehicle accident at the intersection of t…

A 45-year-old man died from catastrophic injuries sustained in a motor vehicle collision at an intersection in Canberra when a truck driver ran a red light at approximately 79 km/h. The truck driver had been inattentive …

cannabis
ACThospital2025-11-05

Inquest Into The Death Of Ms Tl A Pseudonym

19y · Female·multiple injuries sustained in a motor vehicle collision

A 19-year-old woman died from multiple injuries sustained in a motor vehicle collision on Black Mountain Drive, Canberra on 4 June 2022. She was driving a 1986 Toyota sedan at approximately 80 km/h when she lost control …

emergency medicinetrauma surgery
ACTcommunity2025-10-24

Inquest Into The Death Of Mohammad Sarowar Kawsir Rony, Sultana Razia, Mohammad Shahidullah

Unknown·Multiple injuries sustained in a motor vehicle accident. For Mohammad Shahidulla…

This is a road traffic accident involving a red Toyota Yaris driven by Anwar Jahid that collided head-on with a Toyota HiAce on John Gorton Drive, Whitlam, ACT on 16 October 2022. Three passengers—Mohammad Shahidullah, S…

forensic medicineinsulin
ACTcommunity2025-08-12

Inquest into the death of Stanley McIntyre

63y · Male·pulmonary emphysema

Stanley McIntyre, a 63-year-old man with severe treatment-resistant schizophrenia, died from pulmonary emphasema on 23 June 2021 while subject to a Psychiatric Treatment Order. He had advanced COAD diagnosed only one mon…

psychiatrygeneral practicehaloperidol
ACTPodcast2025-06-13

Inquiry Into The Orroral Valley Fire

On 27 January 2020, an ADF MRH-90 Taipan helicopter ignited a fire in Namadgi National Park, ACT, during Defence Assistance to the Civil Community operations. The crew made an unplanned landing in the high-danger Orroral…

communicationsystem
ACT2025-04-30

Inquest into the death of Nathan Booth

40y · Male·hypothermia

Nathan Booth, a 40-year-old Aboriginal man with opioid addiction, was reported missing on 2 September 2019 after last being seen on 27 June 2019 when he obtained his methadone dose at Canberra Hospital. His body was foun…

forensic medicinetoxicologycommunicationdelaymethadone
ACThospital2025-04-09

Inquest Into The Death Of Peter Hanisch

69y · Male·thoracic aortic aneurysm with dissection

Peter Hanisch, a 69-year-old man, died from thoracic aortic aneurysm with dissection on 22 August 2021. He presented to Calvary Hospital on 19 August 2021 with sudden chest discomfort and neurological symptoms. A CT angi…

radiologyemergency medicinediagnosticsystem
ACThospital2025-02-26

Inquest Into The Death Of Jessica Hilary Bovill

43y · Female·Severe diffuse hypoxic brain injury caused by administration of supratherapeutic…

A 43-year-old woman died from severe diffuse hypoxic brain injury caused by excessive sodium bicarbonate administration during treatment of amitriptyline overdose. The treating ED consultant prescribed sodium bicarbonate…

emergency medicinetoxicologymedicationcommunicationamitriptyline
ACThospital2024-12-06

Inquest Into The Death Of Rozalia Spadafora

5y · Female·myocarditis

A five-year-old girl died from fulminant myocarditis caused by influenza A on 5 July 2022 at Canberra Hospital. The diagnosis was delayed over 7 hours from initial presentation. Critical failures included: ED triage Cate…

emergency medicinepaediatricsdiagnosticcommunication
ACT2024-10-30

Inquest Into The Death Of Nathan Allen Mugridge

21y · Male·severe head injuries sustained in a motor vehicle accident

A 21-year-old male died from severe head injuries sustained in a single-vehicle motor accident while driving a high-performance Subaru Impreza WRX at excessive speed (123–138 km/h in a 70 km/h zone). Nathan was unlicense…

alcohol

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