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NSW2023-05-23

Inquest into the death of JS

34y · Male·Plastic bag asphyxia

A 34-year-old man on remand died by plastic bag asphyxia at Shortland Correctional Centre on 5 May 2020, hours before his release on bail. He had disclosed anxiety and depression, made multiple self-referrals for mental …

psychiatrypsychologydiagnosticcommunication
NSW2023-05-11

Inquest into the death of David Winner

53y · Male·Metastatic Basaloid non-keratinising squamous cell carcinoma

David Winner, aged 53, died in Long Bay Correctional Centre from metastatic squamous cell carcinoma. He was on remand for domestic violence charges when diagnosed with terminal oropharyngeal cancer with extensive metasta…

palliative careoncology
NSWhospital2023-05-09

Inquest into the death of Harriet Ostler

1y · Female·sudden cardiac death on a background of rhinovirus infection

Harriet Ostler, a 19-month-old toddler, was admitted to Port Macquarie Base Hospital with viral respiratory symptoms and died from sudden cardiac death due to underlying myocarditis/cardiomyopathy precipitated by rhinovi…

paediatricsemergency medicinediagnosticcommunicationsalbutamol
NSW2023-05-05

Inquest into the death of John Cribb

67y · Male·Haemopericardium arising from a ruptured aorta (aortic dissection)

John Cribb, a 67-year-old man with known cardiac disease (coronary artery disease, aortic regurgitation, hypertension), died in custody from haemopericardium due to ruptured aortic dissection. He had signed a not-for-res…

cardiologypsychiatrysystem
NSW2023-04-28

Inquest into the disappearance and suspected death of Nadire Sensoy

72y · Female·Not determined - available evidence does not allow findings as to cause of death

Mrs Nadire Sensoy, aged 72, disappeared on or about 6 December 2018. She was an insulin-dependent diabetic with hypertension requiring daily medications. The coroner found she died on the stated date based on: abrupt ces…

insulin
NSWhome2023-04-26

Inquest into the death of Trudy Michelle Dreyer

49y · Female·Multiple shotgun wounds to the chest and back of head

Trudy Michelle Dreyer, 49, died from multiple shotgun wounds inflicted by her partner during a domestic incident on 19 September 2019. The couple had relationship difficulties and attended family support services in July…

NSWhome2023-04-26

Inquest into the death of AX

70y · Female·Cause of death could not be determined - available evidence does not allow a fin…

A 70-year-old woman died unexpectedly at home in August 2017. Initially certified as hypertensive heart disease without autopsy, the death was later investigated as a potential homicide following allegations by her forme…

forensic medicinecardiologysystemdelaycandesartan
NSWhome2023-04-19

Inquest into the death of Anthony Gilbert

41y · Male·complications of acute alcohol intoxication

Anthony Gilbert, a 41-year-old man with chronic alcohol dependence and depression, died from complications of acute alcohol intoxication after police returned him to his parents' home in an intoxicated state without chec…

forensic medicinetoxicologydiagnosticcommunicationalcohol
NSWcommunity2023-04-18

Inquest into the death of Gordon Copeland

22y · Male·presumed drowning

Gordon Copeland, a 22-year-old Gomeroi man, drowned in the Gwydir River after fleeing police during a vehicle check. A critical failure occurred in the initial police search: officers heard him in the water around 2:45am…

diagnosticcommunication
NSW2023-04-17

Inquest into the death of John Dodd

71y · Male·Ischaemic heart disease

John Charles Dodd, a 71-year-old man with known coronary ischaemic syndrome and hypertension, died of ischaemic heart disease while in custody at Geoffrey Pearce Correctional Centre. Autopsy revealed severe atherosclerot…

cardiologyforensic medicinemetoprolol
NSWhome2023-04-14

Inquest into the death of Stanley Leonard RUSSELL

45y · Male·gunshot wound to the chest with associated significant blood loss

Stanley Russell, a 45-year-old Aboriginal man with mild intellectual disability, was shot dead by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother d…

forensic medicineemergency medicinediagnosticcommunicationmethamphetamine
NSW2023-04-13

Inquest into the death of Trent Nathan Carter

30y · Male·Complications of multiple blunt force injuries

Trent Nathan Carter, aged 30, died from complications of multiple blunt force injuries sustained in a motorcycle collision on the M5 Motorway exit on 7 June 2021. Police officers attempted a traffic stop for observed dan…

methamphetamine
NSW2023-03-29

Inquest into the death of Lachlan Cairns

47y · Male·The evidence does not allow a finding as to the cause of death

A 47-year-old man died in bushland after his vehicle became bogged on an unsealed road. He called triple zero at 3:36am reporting he was stuck and unable to dig out. Police contacted him and arranged for his cousin to as…

methamphetamine
NSW2023-03-28

Inquest into the death of Paul Hannan

59y · Male·Hanging

Paul Hannan, a 59-year-old man with significant alcohol dependence and prior mental health issues including depression, died by hanging in custody at Metropolitan Remand Centre in September 2020. He was referred for cust…

psychiatrycorrectional healthsystemcommunicationdiazepam
NSWcommunity2023-03-28

Inquest into the disappearance and suspected death of Beilin Zhang

22y · Female·Unascertained

Beilin Zhang, a 22-year-old international student, disappeared on or about 20 August 2018 from Sydney. She was found to be deceased, though her body was never located. Clinical lessons include recognition of depression s…

psychiatrypsychology
NSWcommunity2023-03-24

Inquest into the disappearance and suspected death of Annemarie Jeffery

73y · Female·Unknown

Annemarie Jeffery, a 73-year-old woman with a history of epilepsy and mild cognitive impairment, disappeared from a campground near Brooms Head NSW on 25 August 2020. She had left the group to visit the toilet block and …

neurologygeneral practicelevetiracetam
NSW2023-03-23

Inquest into the death of LT

24y · Male·methylamphetamine toxicity

LT, a 24-year-old male prisoner, died from methylamphetamine toxicity after ingesting multiple drug-filled balloons that ruptured in his stomach. He had received a prison visit from two individuals with prior contraband-…

emergency medicinetoxicologysystemmethamphetamine
NSW2023-03-23

Inquest into the death of KT

27y · Male·Mixed drug (methylamphetamine and clozapine) toxicity

KT, a 27-year-old with treatment-resistant schizophrenia, died in custody from mixed drug toxicity (clozapine and methylamphetamine). He was prescribed appropriate clozapine treatment with adequate monitoring. Key failur…

psychiatrytoxicologycommunicationsystemclozapine
NSW2023-03-21

Inquest into the death of Antonio Hermiz

Unknown·Multiple gunshot wounds

Antonio Hermiz died on 23 December 2016 from multiple gunshot wounds sustained at Western Sydney Parklands, Abbotsbury NSW. The coroner found that his death resulted from homicide committed by a person or persons unknown…

NSWhospital2023-03-20

Inquest into the death of Heather Winchester - Decision

Female·Not definitively stated in judgment; death followed complications from initial s…

This judgment concerns a pre-inquest motion by the Christian Congregation of Jehovah's Witnesses challenging the scope of a coronial inquiry into Heather Winchester's death. Mrs Winchester died following emergency surger…

general surgerygynaecologycommunicationsystem
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