Coronial
VIC2023-08-30

Finding into death of Baby A

0y · Female·Sudden infant death syndrome (SIDS) category 2

Baby A, born on 6 August 2018 to a mother in remand custody at Dame Phyllis Frost Centre, died of SIDS category 2 on 18 August 2018 aged 12 days. She was born with neonatal abstinence syndrome due to maternal methadone u…

neonatologypaediatricssystemcommunicationmethadone
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

Twin infant died of head injuries inflicted by her mother, a previously well-functioning woman suffering unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weigh…

general practicepaediatricsdiagnosticcommunication
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
QLD2012-05-22

S

10y · Female·injuries sustained from being struck by a car

…had been placed at Lifestyle Solutions despite being outside the facility's service agreement, following exhaustion of foster care options. The placement proceeded without adequate risk assessment, particularly regarding…

diagnosticsystem
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…

psychiatrygeneral practicesystemdelayhaloperidol
VICcommunity2020-05-14

Finding into death of Leonie Maree Hanson

40y · Female·Drowning

Leonie Hanson, an experienced diving instructor, drowned at Mornington Pier while attempting to rescue a student, Logan Saminathan, who surfaced unconscious during an open water training dive. The student likely panicked…

diving medicineoccupational and environmental healthdiagnosticcommunication
WAhome2018-09-21

Inquest into the Death of Pamella Leslie REES

63y · Female·disseminated metastatic carcinoma of unknown primary in a woman with multiple sc…

Pamella Rees, a 63-year-old woman with longstanding multiple sclerosis, died on 30 June 2014 from disseminated metastatic carcinoma of unknown primary. Her cancer went undiagnosed despite regular GP contact. In her final…

general practiceneurologydiagnosticcommunicationcodeine
NThospital2017-04-07

Inquest into the death of Gabby Wanambi

11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle

An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

… not harm him, despite his opposition, minimal improvement over 200+ treatments, and lack of alternative exhaustion; (2) inadequate risk assessment on 7 November when his suicide risk was downgraded to 'low' by a nurse u…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
NSWcommunity2022-10-21

Inquest into the death of Rachel Martin

28y · Female·Multiple injuries sustained when struck by a truck on the M1 Pacific Motorway

Rachel Martin, a 28-year-old SNAP support worker and pregnant woman, died attempting to prevent harm to a high-needs child (Riley) during respite care transport. While driving Riley home on the M1 Motorway, Riley exited …

social workpaediatricscommunicationsystem
VIC2019-07-05

Finding into death of Hizir Ferman

35y · Male·Cardiorespiratory arrest in the setting of acute agitation and physical and chem…

Hizir Ferman, aged 35, died at Middleton Prison following forcible extraction from his room by SESG officers using CS gas and physical restraint. He was held prone with hands cuffed behind him, a shield on his back, and …

correctional healthemergency medicinecommunicationsystem

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