Coronial
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NThospital2000-09-06

Inquest into the death of Francis Kamaranga

28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…

A 28-year-old Aboriginal male died from anaphylactoid reaction to Haemaccel, a plasma volume expander administered pre-hospital following a severe laceration to the radial artery. Initial management was appropriate, but …

emergency medicineintensive carediagnosticdelayhaemaccel
NT2000-06-14

Inquest into the death of Robert Hodgkinson

23y · Male·Incineration from motor vehicle accident (collision with tree)

A 23-year-old man who had experienced multiple suicide attempts and depression deliberately drove his stolen vehicle into a tree after police attempted to intercept him. He died from incineration. The coroner concluded t…

general practicepsychiatrysertraline
NThome2000-06-01

Inquest into the death of Trevor Parkyn

37y · Male·Traumatic intracranial haemorrhages/brain damage and fractured skull

A 37-year-old male died from traumatic intracranial haemorrhage and skull fracture after being punched and falling onto concrete. The critical clinical lesson is that head injuries may be completely undetectable on exter…

forensic medicineemergency medicinediagnosticalcohol
NThospital2000-04-10

Inquest into the death of Baby J

<1y · Female·premature delivery; extreme prematurity

A 19-week pregnant woman was admitted for pregnancy termination due to maternal psychological concerns. Labour was induced with misoprostol, expecting foetal death in utero or delivery of non-viable remains. Instead, a l…

obstetricsmidwiferycommunicationsystemmisoprostol
NTcommunity1999-11-24

Inquest into the death of Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto

Unknown·Four deaths: three by self-inflicted hanging, one by multiple injuries from fall

Four Aboriginal Tiwi Islanders died in 1998 from suicide by hanging (three cases) and by falling from a power pole (one case). The inquest identified widespread alcohol and cannabis abuse, domestic violence, cultural dis…

alcohol
NThome1999-06

Inquest into the death of Clinton Leslie Kingsley

2y · Male·drowning

A 2-year-old Aboriginal boy drowned in an exposed septic tank at a remote community after plumbers removed concrete covers without installing replacements or notifying residents. The fibreglass lid's fastening screws had…

proceduralcommunication
NTcommunity1998-09-02

Inquest into the death of Esky Muller

14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)

A 14-year-old Aboriginal petrol sniffer brought to a remote outstation (Ilpurla) without pre-arrangement died from massive haemorrhage following a self-inflicted laceration to his arm. Clinical lessons: petrol sniffers i…

emergency medicineaddiction medicinediagnosticsystempetrol
NTcommunity1995-12-13

Inquest into the death of Azaria Chantel Loren Chamberlain

<1y · Female·unknown

This coronial finding concerns the death of Azaria Chamberlain, a 9-week-old infant who disappeared from a tent at Ayers Rock on 17 August 1980. After her parents were convicted of murder and accessory after the fact (la…

pathologyforensic medicine
NT1994-12-20

Inquest into the death of T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run)

Male·Kabe and Okano: blunt head injury (head-to-head collision of occupants within ve…

On 24 May 1994, Ferrari F40 driver Akihiro Kabe entered a checkpoint lay-by at excessive speed (>100 kph, possibly 150 kph) following the 87.3 km mark where he mistakenly believed the checkpoint was located. The Ferrari …

emergency medicineforensic medicinedriver errorsystem error
NTNew1994-05-27

Inquest into the death of Anthony John Hayward

Male·Suicide by cutting veins with razor blade

Anthony John Hayward, a prisoner at Berrimah Gaol, Northern Territory, died by suicide on 21 December 1992 by cutting his veins with a razor blade. The coroner's inquiry focused on prison administrative procedures rather…

systemcommunication
NTcommunity1991-06-03

Inquest into the death of Ganamu Garrawurra

48y · Male·shotgun wound to the head

A 48-year-old Yolngu man with chronic mental illness (schizophrenia) died from a shotgun wound to the head on Elcho Island, NT in April 1990. After spearing two people with a fishing spear, police Task Force was called t…

psychiatryforensic medicinesystemcommunicationmelleril
NT1985-11-26

Inquest into the death of Patricia Slinn, Lesley Ramsay, David James Send, Adrian Martin Durnin and Helen Fuller

Unknown·Multiple deaths caused by blunt head injury, multiple crush injuries, and trauma…

This inquest concerns five deaths resulting from a prime mover driven by an intoxicated driver crashing into a bar at Ayers Rock on 18 August 1983. The driver, Douglas Crabbe, had consumed significant alcohol at multiple…

forensic medicinealcohol
NT1984-07-10

Inquest into the death of Azaria Chantel Loren Chamberlain

<1y · Female·extensive wounding to the child's neck

This is a historical coronial finding from 1984 concerning the death of Azaria Chantel Loren Chamberlain, a 9-week-old infant who died on 17 August 1980 at Ayers Rock. The cause of death was extensive wounding to the nec…

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…

A 20-year-old Aboriginal man died from retroperitoneal and intra-peritoneal haemorrhage caused by perforation of the left internal iliac artery from a gunshot wound to the abdomen, inflicted by Constable Lawrence John Cl…

systemcommunication
NT1981-02-20

Inquest into the death of Azaria Chantel Loren Chamberlain

<1y · Female·Fatal attack by wild dingo; severe crushing injuries to base of skull and neck, …

A nine-week-old infant was fatally attacked by a wild dingo while sleeping in a tent at Ayers Rock in August 1980. The coroner found the death resulted from severe crushing injuries to the base of skull and neck, along w…

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