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NSW2016-08-30

Inquest into the discovery of unidentified human remains located at Randwick

Female·Unable to determine - coroner made no finding

In August 2016, 12 human bones were discovered during excavation of a construction site in Randwick, NSW, buried alongside the backpack and boots of Lyndsay Van Blanken, who was murdered in 2003. Lyndsay's body had been …

forensic medicine
NSW2017-12-22

Inquest into the death of John Lennard Erbacher

55y · Male·Multiple injuries, in particular blunt force injuries to his pelvis and abdomen

John Erbacher, aged 55, died from multiple blunt force injuries to his pelvis and abdomen after falling from a three-wheeled mobile elevated work platform (MEWP) on a terraced avocado farm. He had been assigned to use an…

proceduralsystem
NSWhospital2017-12-22

Inquest into the death of Colin Parker

41y · Male·Complications of blunt force injuries of the head

Colin Parker, aged 41, suffered an unwitnessed fall with head injury while experiencing syncope from atrial fibrillation in early May 2014. He was admitted to Campbelltown Hospital but his serious intracranial pathology …

cardiologyemergency medicinediagnosticcommunicationenoxaparin
NSWhospital2017-12-21

Inquest into the death of Errol Handog

34y · Male·Hanging

Errol Handog, a 34-year-old man presenting with anxiety, was assessed by psychiatry on two consecutive days at Nepean Hospital and discharged to community care despite suicidal ideation. A key clinical lesson is that inc…

psychiatrycommunicationdiagnosticquetiapine
NSWhome2017-12-21

Inquest into the death of Barry John Lowe

66y · Male·blunt force injuries to the head and chest

This case involved the murder of Barry Lowe, a 66-year-old grazier found dead in his home from blunt force injuries to the head and chest on 7 November 2012. Forensic evidence suggests he was assaulted with a metal or he…

forensic medicine
NSWhome2017-12-20

Inquest into the death of Bodo Cazimir

64y · Male·undetermined due to advanced decomposition

Bodo Cazimir, a 64-year-old man, died alone at home between May and July 2015. He was found in an advanced state of decomposition, making autopsy inconclusive. A bladder tumour had been identified by his GP in January 20…

general practicepathology
NSWhome2017-12-05

Inquest into the death of Matthew John Leveson

20y · Male·Undetermined - evidence does not support a finding as to cause of death

Matthew John Leveson, a 20-year-old gay man, died on 23 September 2007 in Sydney while in a de facto relationship with Michael Atkins, who was 25 years his senior. Leveson disappeared after leaving the ARQ nightclub earl…

forensic medicinetoxicologyMDMA
NSWPodcast2017-12-04

Inquest into the death of Nicholas Banfield

23y · Male·carbon monoxide poisoning

Nicholas Banfield, 23, died from carbon monoxide poisoning while on his moored yacht after using an LPG cooker in a sealed cabin. Fire testing showed dangerous CO levels accumulated within 98-152 minutes. A functioning a…

occupational and environmental healthforensic medicinesystem
NSWhospital2017-12-01

Inquest into the death of Carey Alexander

13y · Male·borderline myocarditis, most likely due to influenza A virus infection

A 13-year-old previously healthy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was disc…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
NSWhome2017-12-01

Inquest into the death of AF

3y · Female·peritonitis caused by small bowel perforation due to blunt force trauma

A 3-year-old girl died from peritonitis caused by small bowel perforation. Expert evidence established the perforation resulted from blunt force trauma, not natural disease or accidental mechanisms. The manner of injury …

paediatric surgerypaediatricscommunicationsystemparacetamol
NSW2017-11-28

Inquest into the suspected death of missing person Nikolce Veljanovski

28y · Male·The available evidence does not allow a finding as to the cause of death

Nikolce Veljanovski, 28, was last seen on 11 June 2014 at the Royal National Park, NSW, after going missing under unclear circumstances. He had financial difficulties including significant gambling debts totalling over $…

NSW2017-11-28

Inquest into the death of Robert Elan Peihopa

42y · Male·Fatal cardiac arrhythmia

A 42-year-old male with undiagnosed chronic coronary artery disease died of fatal cardiac arrhythmia at an immigration detention centre. Key contributing factors were: ingestion of methamphetamine (toxic levels) in the h…

emergency medicinecardiologycommunicationsystemmethamphetamine
NSWcommunity2017-11-22

Inquest into the death of R P

Unknown·Hanging

RP died by hanging at Turrella Reserve, Earlwood, NSW on 28 April 2016 during a police operation. Police attended his property to execute a search warrant. He left the property, proceeded to the nearby reserve, and delib…

NSW2017-11-22

Inquest into the death of Roger Josef Davies

42y · Male·Unknown

Roger Josef Davies, a 42-year-old homeless man with a history of drug dependence, epilepsy, mental illness and amputation, died in an abandoned house in Granville NSW shortly after 28 March 2012. His skeletal remains wer…

pathologyemergency medicine
NSW2017-11-20

Inquest into the death of Glennon Johnstone

87y · Male·Complications of acute subdural haematoma

An 87-year-old prisoner died from complications of acute subdural haematoma sustained in a fall at Kirkconnell Correctional Centre. He fell while walking in the common area and struck his head on metal fittings. Though p…

neurosurgerygeriatric medicinesystemdelay
NSW2017-11-16

Inquest into the death of Garry Weigand

56y · Male·fatal cardiac arrhythmia due to complications from acute bronchopneumonia and ar…

Garry Weigand, a 56-year-old man with a history of brain injury and intellectual impairment, died in custody 17 days after arrest. He died from a fatal cardiac arrhythmia resulting from acute bronchopneumonia combined wi…

respiratory medicinepsychiatrymetoclopramide
NSWhome2017-11-16

Inquest into the death of Sandra Deacon

59y · Female·blunt force head trauma

Sandra Deacon, aged 59, died from blunt force head trauma inflicted by multiple axe blows to the head by Garry Weigand on 30 September or 1 October 2014 at Budgewoi, NSW. This was a homicide case. Key clinical and system…

forensic medicinepsychiatrysystemantipsychotic medication
NSW2017-11-10

Inquest into the death of P

42y · Male·hanging

A 42-year-old male prisoner died by hanging in a standard cell at Parklea Correctional Centre after receiving news that his relationship was ending. Although he had a 2001 history of depression and a prior suicide attemp…

correctional healthpsychiatrysystemcommunication
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

David Veech, aged 35, died of accidental Fentanyl toxicity while residing at Tarlo Intensive Residential Support Service. He extracted Fentanyl from prescribed transdermal patches and injected it intravenously. Despite b…

general practicepsychiatrysystemcommunicationfentanyl
NSW2017-11-06

Inquest into the death of Edward Haenga

37y · Male·cardiac arrhythmia

A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…

psychiatrygeneral practicemedicationproceduralescitalopram
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