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ACThospital1989-12-22

Inquest Into The Circumstances Surrounding The Death Of Alex Nicholas Mersiades

3y · Male·cerebral oedema which caused coning at the base of the brain, caused by post-ope…

A 3-year-old boy died from cerebral oedema caused by post-operative hyponatraemia following scoliosis correction surgery. The operation was successful, but severe hyponatraemia developed in the early hours of 24 April 19…

surgeryanaesthesiadiagnosticdelay
NT1987

Inquest into the death of Azaria Chantel Chamberlain - Appendix A

0y · Female·unknown - death circumstances unresolved; Crown alleged murder by throat-cutting…

This Royal Commission into the Chamberlain convictions found serious doubts about the trial evidence supporting murder convictions of Alice and Michael Chamberlain for their daughter Azaria's 1980 death at Ayers Rock. Cr…

diagnosticsystem
NT1985-11-26

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

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

0y · 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

0y · 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…

NSW1980-12-19

Inquest into the deaths from the Appin Mine Disaster

Unknown·Explosion injuries and carbon monoxide poisoning from methane gas ignition in un…

On 24 July 1979, an explosion in Appin Colliery (NSW) killed 14 miners. The coroner determined the explosion resulted from ignition of methane gas in an unventilated B heading stub during a planned ventilation system cha…

communicationsystem
NSW1979-09-03

Inquiry into the fire and deaths at Luna Park

Unknown·Carbon monoxide poisoning and burns (or burns only in one case), accidentally su…

Seven children and teenagers died in the Luna Park Ghost Train fire on 9 June 1979 when the timber-framed building became engulfed in dense smoke and flames. The fire likely originated from a carelessly discarded cigaret…

systemdelay
WA28 Mar 24

Inquest into the Death of Suzzanne Denise DAVIS

47y · Female·ligature compression of the neck (hanging)

A 47-year-old woman remanded in custody at Melaleuca Women's Prison died by ligature compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior…

psychiatryemergency medicinecommunicationsystemmethadone
WAaged care

Inquest into the Death of Nola Inez DANIEL

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

Mrs Nola Inez Daniel, an 83-year-old with chronic lung disease, osteoporosis, and cardiac disease, was admitted to Regis Forrest Gardens for respite care on 24 December 2009. She sustained three falls on Christmas Day, w…

orthopaedic surgeryemergency medicinediagnosticcommunicationfentanyl
QLDhome

Naidu, Alvin

15y · Male·Hypoxic ischaemic brain injury, due to hanging

A 15-year-old boy died from hypoxic-ischaemic brain injury following a hanging attempt on 10 November 2004. The death occurred hours after his parents were informed by the school that he had been absent for seven consecu…

systemcommunicationvibra-tabs
QLDhospital

Death of a Baby - Non-inquest findings

0y · Female·Subdural and subarachnoid haemorrhages due to late onset vitamin K deficiency bl…

A 33-day-old exclusively breastfed baby died from subdural and subarachnoid haemorrhages caused by late-onset vitamin K deficiency bleeding (VKDB). The parents, exercising informed choice based on spiritual beliefs, decl…

neonatologypaediatricsdiagnosticphytomenadione
VIChome

Finding into death of Jarrad John Ford

24y · Male·Aspiration pneumonia secondary to drug abuse and overdose of multiple drugs

A 24-year-old man with schizophrenia died from aspiration pneumonia following overdose of multiple drugs including diazepam, tramadol, morphine, and others. The day before death, he took excess diazepam to manage auditor…

psychiatryemergency medicinediagnosticsystemdiazepam
VICmental health

Finding into death of Rosemary Haldane

56y · Female·Combined drug toxicity

A 56-year-old woman with a long history of depression and recurrent suicide attempts died from combined drug toxicity while an inpatient at a private psychiatric hospital. She had been admitted following suicidal ideatio…

psychiatrygeneral practicealprazolam
VIChospital

Finding into death of Glenn Richard Altmann

50y · Male·aspiration pneumonia (with Down syndrome as contributing condition)

Glenn Altmann, a 50-year-old man with Down syndrome, epilepsy, cognitive impairment and oropharyngeal dysphagia, died from aspiration pneumonia. He was under palliative care in the community following a January 2014 diag…

palliative caregeneral practiceaugmentin duo
VICmental health

Finding into death of GM

52y · Male·Unascertained

GM, a 52-year-old man with bipolar affective disorder, died of unascertained causes after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a suspected manic…

psychiatryemergency medicinesystemcommunicationpholcodine
VIChome

Finding into death of Veeda

35y · Unknown·effects of fire

A 35-year-old died in a house fire on 26 November 2022 after inhaling smoke and toxic fire products. The fire originated in an upstairs bedroom, likely from an electrical device (vape or iPad) or smouldering cigarette. S…

systemalcohol
VIChome

Finding into death of E H

51y · Male·Complications of chronic ethanol use

EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November 2022 whilst waiting for an ambulance. He had self-discharged from St Vincent…

emergency medicineorthopaedic surgerysystemdelayalcohol
WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …

general practiceemergency medicinediagnosticcommunicationmetoclopramide
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

A 56-year-old woman with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat at her remote home on 24 Ma…

psychiatryrespiratory medicinedelaysystemolanzapine

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