Coronial

324 results for forensic examination

NTcommunity1981-12-17

Inquest into the death of John Ross Jabanardi

20y · Male·Retro-peritoneal and intra-peritoneal haemorrhage due to perforation of the left…

…le was charged with murder but acquitted. The coroner extensively criticised the police investigation and forensic examination, identifying numerous deficiencies: failure to follow up assault allegations when first repor…

systemcommunication
VIC2012-03-16

Finding into death of Unknown Remains Comprising Human Mandible

25y · Male·UNKNOWN CAUSE

…re discovered on 15 September 2011 washed up on 90 Mile Beach at Seaspray, Victoria, near Merriman Creek. Forensic anthropological examination by Dr B. of the Victorian Institute of Forensic Medicine determined the mandi…

forensic medicine
NSWhome2025-08-26

Inquest into the death of Valmai Jane Birch

34y · Female·Unascertained (possibilities: positional asphyxia, drowning, neck compression, d…

…ace-down in a wheelie bin with restraints around her ankle and waist, submerged in water. A post-mortem examination could not determine the precise cause of death, with possibilities including positional asphyxia, drown…

forensic medicinemorphine
NT2006-03-03

Inquest into the death of Muhammad Heri

37y · Male·Coronary Atherosclerosis

…d in Darwin Harbour on 28 April 2005. He had been held on his fishing vessel for 7 days without medical examination following apprehension for illegal fishing. He collapsed after complaining of back pain and vomiting, d…

forensic medicineemergency medicinesystemdelay
VICaged care2017-10-31

Finding into death of Baher Kondos

33y · Male·Sudden Unexplained Death in Epilepsy (SUDEP)

…tion facility. He was found unresponsive in bed and despite CPR, could not be resuscitated. Post-mortem examination initially found the cause unascertained, but after consideration of his medical history, the forensic p…

neurologypsychiatryclozapine
NSW2021-10-18

Inquest into the discovery of unidentified skeletal remains located at St Albans

Male·Unknown - cause of death could not be determined

…letal remains were discovered in bushland on the eastern bank of the Macdonald River near St Albans, NSW. Forensic examination determined the skeleton belonged to a male, estimated aged 25-45 years, possibly of mixed anc…

pathologyforensic medicine
WA2018-05-02

Inquest into the Deaths of Chantelle Jane McDOUGALL, Leela McDOUGALL, Antonio Konstantin POPIC and Gary FELTON

Female·not established beyond reasonable doubt

… activities, Simon's history of assuming false identities, reported sightings, and the lack of definitive forensic evidence). The finding highlights significant investigative failures, including failure to conduct early …

delaysystemdiazepam
TAShome2024-10-29

Coroner's Finding: Bird, Helen Frances

43y · Female·asphyxia due to hanging

… the scene to appear as suicide. Critical investigative failures occurred: initial police did not examine forensic evidence properly, no measurements or testing were done on the rope/knots/ladder, and the investigation w…

general practicepsychiatrydiagnosticprocedural
NThome2018-10-10

Inquest into the death of Matthew Rosewarne

45y · Male·gunshot wound to the neck

… as suicide, the coroner found the investigation fundamentally flawed due to investigative bias. Critical forensic gaps included failure to test alcohol bottles, examine the gun safe, or exclude third-party involvement. …

emergency medicinepsychiatrydiagnosticsystemalcohol
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…

…al causes remaining reasonably open. Key lessons include: the importance of proper scene investigation by forensic specialists rather than general police, the need for contemporaneous note-taking when interviewing key wi…

forensic medicinecardiologysystemdelaycandesartan
NSW2025-09-02

Inquest into the death of Robert Muir

64y · Male·Unascertained

… in the cave in December 2020 and July 2021, finding evidence of habitation both times. The post-mortem examination could not determine a cause of death due to advanced decomposition. No evidence of trauma, foul play, o…

forensic medicinepublic health
ACThome2018-09-25

Inquiry Into A Residential House Fire In Bonner And Inquests Into Deaths Arising From The Fire Interim Findings Anne Muhoro, Ezvin Mugera And Furaha Muhoro

Anne Wachera Muhoro: effects of fire (inhalation of products of combustion and b…

…was deliberate, not accidental. Anne died from inhalation of combustion products and burns. Post-mortem examination could not determine the cause of death for the two children, though forensic pathology strongly suggest…

NSWhospital2018-06-22

Inquest into the death of Manusiu Amone

0y · Female·ischaemic hypoxic encephalopathy secondary to factors associated with the sudden…

…ed; (2) the 150mg dose was excessive and based on guesswork rather than validated dosing methodology; (3) forensic pathologists' initial interpretation of autopsy findings (particularly squames in lungs) required special…

obstetricsneonatologymedicationcommunicationpethidine
VIC2011-10-26

Finding into unidentified skeletal remains from anatomical specimens at Port Melbourne (case 326611)

Unknown·unknown

…kely donated to the Victorian Archaeological Survey in the 1970s–1980s by a retired medical practitioner. Forensic anthropologist examination could not determine identity, cause of death, or time since death, but evidenc…

WAhome2014-10-27

Inquest into the Death of Baby Xavier

Unknown·unascertained

An 8-week-old infant in out-of-home care died suddenly while asleep in a porta cot. Post-mortem examination revealed no infectious disease, injury, or toxicological abnormality. The cause remained unascertained …

paediatricspathologyomeprazole
QLD2008-06-17

Bock, Kristian

53y · Male·bilateral pneumothorax due to motor vehicle accident

… locked—could not be definitively resolved because the vehicle was repaired rather than seized for proper forensic examination. The coroner found insufficient evidence to commit Bennett for trial but made strong recommen…

system
VICmental health2011-04-20

Finding into death of Nigel Delaney

51y · Male·unascertained

…isorder. He was found unresponsive during night observations and could not be resuscitated. Post-mortem examination, including toxicology, failed to determine a cause of death. The coroner found medication levels were t…

psychiatryforensic medicineolanzapine
NSW2025-02-06

Inquest into the death of unidentified human remains found at Sutherland

Male·unknown

… strongly suggestive of homicide. An extensive six-year investigation involved detailed anthropological examination (identifying a male, estimated age 25-46, of East/South-East Asian ancestry), comprehensive DNA analysi…

forensic medicine
NTcommunity2004-02-10

Inquest into the death of Sarah Johnson

33y · Female·Drowning contributed to by high level of intoxication (blood alcohol 0.192%)

Sarah Johnson, 33-year-old Aboriginal woman, was found dead on Lameroo Beach on 1 January 2002 after drowning. She had a blood alcohol level of 0.192% and was intoxicated. Evidence indicates she was at the Hippe Club on …

forensic medicinetoxicologyalcohol
VIC2011-05-23

Finding into death of Remains Unknown Skeleton

Male·unknown

…purchased them from the Mentone Education Centre in 1984 as a teaching aid for her fine arts instruction. Forensic anthropological examination by Dr B. confirmed the skeleton was human, of Caucasian origin, likely from t…

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