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NSWcommunityPodcast2016-03-15

Inquest into the death of Tommy NGO

19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…

Tommy Ngo, 19, died from ischaemic brain injury following cardiac arrest caused by blunt force neck injuries sustained during Chinese lion dancing training. He was propelled into a steel pole when his partner missed a ju…

emergency medicineintensive caresupervisionsystem
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

Michael David John Nolan, aged 30, died in prison from exsanguination following a self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developme…

psychiatrycorrectional healthmethadone
NSWhospital2016-03-11

Inquest into the death of Christopher Luke O'SULLIVAN

0y · Male·head injury of undetermined aetiology

Christopher O'Sullivan died aged 29 days from head injury of undetermined aetiology. He presented on 15 September 1993 with fixed pupils, cyanosis, and seizure-like activity, progressing to cardiac arrest. Autopsy reveal…

forensic medicinepaediatricsdiagnosticdelay
NSWhospital2016-03-11

Inquest into the death of Elsie COGHILL

0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…

Elsie Coghill, a newborn, died from hypoxic ischaemic encephalopathy due to multiple factors including an underlying lung abnormality from antenatal distress, an undetected apnoeic episode during transfer, and undiagnose…

obstetricsneonatologycommunicationsystemoxytocin
NSW2016-03-09

Inquest into the death of To Minh TU

25y · Male·multiple firearm injuries

TO Minh TU, a 25-year-old male, was shot and killed in Fairfield Park, NSW on 21 February 2013. He sustained four gunshot wounds including to the shoulder, hand, and head, with at least one round penetrating the brain. T…

NSW2016-03-08

Inquest into the death of David FLEMING

61y · Male·pulmonary thromboembolus

David Fleming, a 61-year-old man with multiple comorbidities including above-knee amputation, ischaemic heart disease, emphysema, and recent laryngeal cancer surgery, died in Long Bay Correctional Hospital from pulmonary…

forensic medicinecardiology
NSW2016-03-08

Inquest into the death of Allen BURKE

50y · Male·acute myocardial infarction due to coronary atherosclerosis

Allen Burke, a 50-year-old Aboriginal man in custody, died from acute myocardial infarction due to severe coronary atherosclerosis. On the morning of his death, he reported headache, vomiting, and sore throat. Nurse asse…

forensic medicineemergency medicinesalbutamol
NSW2016-03-06

Inquest into the death of Laurence Bede O Connor

73y · Male·Combined effects of ischaemic heart disease and chronic obstructive pulmonary di…

A 73-year-old man in prison custody died from combined ischaemic heart disease and chronic obstructive pulmonary disease. He had a significant cardiac history including aortic repair and endocarditis, plus severe COPD wi…

cardiothoracic surgeryrespiratory medicinewarfarin
NSWcommunity2016-03-04

Inquest into the death of Matthew Thomas Richell

41y · Male·drowning

Matthew Richell, a 41-year-old experienced recreational surfer, died by drowning at Tamarama Beach in July 2014 after being swept against rocks during challenging surf conditions. He suffered head injuries when waves cra…

emergency medicineparamedicinesystem
NSWhospital2016-02-26

Inquest into the death of Rhyan Dickson

23y · Male·complications of blunt force head injuries

Rhyan Dickson, aged 22, died on 4 January 2013 at Canterbury Hospital from complications of blunt force head injuries sustained on 16 October 2011 when he was unprovoked and punched by Darryl John Stacey, causing him to …

neurosurgeryintensive care
NSW2016-02-18

Inquest into the disappearance and suspected death of KH

84y · Male·The precise medical cause of death cannot be ascertained

An 84-year-old man deliberately jumped from a cruise ship balcony into the Tasman Sea, resulting in death. He had expressed longstanding concerns about aging and becoming dependent, had previously discussed suicide with …

NSW2016-02-10

Inquest into the death of unidentified baby, Lily Grace

Female·unknown – unable to be determined from available evidence

An unidentified full-term baby girl, named 'Lily Grace', was discovered buried in sand at Maroubra Beach in November 2014. Despite extensive police investigation, her identity, date and place of death, and cause of death…

forensic medicinepaediatrics
NSWmental health2016-02-05

Inquest into the death of SS

48y · Male·hanging, intentionally self-inflicted

SS, a 48-year-old male with treatment-resistant depression and chronic suicidal ideation, died by hanging in Boronia Park, NSW in June 2014. He was admitted to Gosford Hospital Mental Health Unit in late May 2014 as an i…

psychiatrycommunicationsystemlithium
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…

emergency medicineintensive carediagnosticmedicationceftriaxone
NSWhome2016-01-20

Inquest into the death of Leonie Margaret Philpott

47y · Female·unascertained - natural causes

Leonie Margaret Philpott, a 47-year-old bush regeneration worker, was found deceased in bed on Christmas Day 2014. Despite a thorough three-cavity autopsy and comprehensive investigations including microscopic tissue exa…

pathologygeneral practiceibuprofen
NSW2016-01-18

Inquiry into Multiple Fires - 10 Railway St Lidcombe, 20 Bennelong Crescent Bellevue Hill, 38-42 Seville St Fairfield East

Coronial inquiry into four deliberately lit fires at Sydney properties (Fairfield 2006-2009, Bellevue Hill 2009, Lidcombe 2010). Each fire involved stolen vehicles loaded with accelerants driven through building entrance…

NSWcommunity2015-12-30

Inquest into the death of Chayce KELLY

5y · Male·Drowning at Pearl Beach, northern end, when swept out past the shore break into …

Five-year-old Chayce Kelly drowned at Pearl Beach, NSW after being swept into the ocean during play in the whitewash zone at the beach's northern end. The beach has extremely hazardous wave and hydrodynamic conditions, f…

public healthemergency medicinesystemcommunication
NSW2015-12-18

Inquest into the death of Officer A

43y · Female·External neck compression due to self-inflicted hanging

A 43-year-old NSW Police officer died by suicide on duty while suffering from work-related Major Depressive Disorder and PTSD. She had a suicide attempt in November 2012 that was not formally investigated as a new incide…

psychiatrypsychologydiagnosticsystemprescription medication
NSW2015-12-15

Inquest into the death of GM

58y · Unknown·combined effects of blunt force injury of the chest and immersion

A 58-year-old man died by suicide at The Gap Park, Watsons Bay, after deliberately jumping from a cliff. The cause of death was blunt force injury to the chest and immersion. The coroner found that NSW Police Force polic…

NSW2015-12-15

Inquiry into the fire at 3/40 Bowman Street, Richmond

Fire – deliberate pouring and igniting of accelerant by unknown person

An inquiry into a deliberately-lit fire at Planet X, an indoor trampoline park at Unit 3/40 Bowman Street, Richmond, NSW, on 5 July 2013. The Deputy State Coroner determined that an unknown person deliberately poured ker…

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