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SA2026-03-13

Coroner's Finding: Holding, Matthew Benjamin

44y · Male·unascertained

Matthew Benjamin Holding, aged 44, died suddenly in prison on 2 January 2023. He had schizophrenia managed with antipsychotics and severe obesity (BMI 41.6). In December 2022, he showed signs of significant deterioration…

psychiatrycorrectional healtholanzapine
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…

cardiologyemergency medicinediagnosticcommunicationheparin
VIChospital2026-03-12

Finding into death of Nicole Jennifer Kateiva

39y · Female·Respiratory failure in the setting of aspiration pneumonia in a woman with arthr…

Nicole Kateiva, a 39-year-old woman with arthrogryposis multiplex congenita, intellectual impairment, and epilepsy, died from respiratory failure due to aspiration pneumonia. She presented to hospital with two days of co…

general medicineintensive careceftriaxone
VIC2026-03-12

Finding into death of Fan Yang

29y · Male·Drowning in the setting of flash flooding

Fan Yang, 29, drowned during unprecedented flash flooding at Buchan Caves Reserve on 26 December 2023 while exiting with his partner after a cave tour. Over 60mm rain fell in 30 minutes, causing rapid water rise. The cou…

NSW2026-03-12

Inquest into the death of Evander Tuala

23y · Male·Blunt force head injury

A 23-year-old man died from blunt force head injury after being struck during a violent altercation outside a Sydney hotel. He fell backwards, striking the back of his head on concrete and suffered multiple intracranial …

emergency medicineneurosurgery
VIC2026-03-11

Finding into death of Gerald Francis Ridsdale

90y · Male·Ischaemic and valvular heart disease

Gerald Ridsdale, a 90-year-old man incarcerated at Port Phillip Prison, died from ischaemic and valvular heart disease following a period of palliative care. He had multiple chronic conditions including congestive cardia…

palliative carecorrectional health
ACThome2026-03-10

Inquest into the death of [Redacted] Williams

Female·sodium nitrite poisoning

A 70-year-old school teacher and community advocate with motor neuron disease (MND) died by sodium nitrite ingestion on 27 April 2023. She had explicitly expressed wishes to end her life and explored available options. P…

palliative carepsychiatrysodium nitrite
NSWhospital2026-03-10

Inquest into the death of Mustafa Kayirici

31y · Male·metastatic alveolar soft part sarcoma

31-year-old man serving a custodial sentence died of metastatic alveolar soft part sarcoma on 25 January 2022. Diagnosed April 2020, the ultra-rare cancer (1 in 10 million incidence) had already metastasised at discovery…

oncologypalliative caredelaypazopanib
NSWhome2026-03-10

Inquest into the death of Judith Ingham

89y · Female·Burn wounds and the consequences thereof

Judy Ingham, aged 89, suffered severe burns from excessively hot water while bathing in her apartment on 26 August 2022, dying 26 days later from burn wound complications. A licensed plumber failed to install a required …

proceduralsystem
WAhospital2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease (medical…

Russell Graham Penny, a 56-year-old Aboriginal man, died from complications of advanced chronic liver disease with hepatocellular carcinoma while imprisoned at Casuarina Prison. He had a long history of hepatitis C and c…

gastroenterologyhepatologycommunicationsystem
QLDhospital2026-03-06

Non-inquest findings into the death of Ms B

35y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to vertebro…

A 35-year-old woman presented to a rural hospital with a three-day history of collapses, slurred speech, vomiting, and abnormal eye movements. A non-contrast CT head scan was normal, and she was discharged with a diagnos…

emergency medicinegeneral practicediagnosticcommunication
NSW2026-03-06

Inquest into the death of Gregory Merriman

58y · Male·acute myocardial infarction caused by ischaemic heart disease

Gregory Merriman, a 58-year-old Aboriginal man, died from acute myocardial infarction caused by advanced ischaemic heart disease while in custody at Metropolitan Reception and Remand Centre on 27 December 2022. He experi…

cardiologygeneral practicediagnosticcommunicationperindopril
VICcommunity2026-03-05

Finding into death of Yewen Wang

Female·Hypothermia

Two young international students died from hypothermia while hiking Mount Bogong in severe weather conditions (temperatures -3.2 to 8.1°C, heavy snow, poor visibility, high winds). Despite possessing appropriate clothing…

VICcommunity2026-03-05

Finding into death of Yuhan Jin

Female·Hypothermia

Two young Chinese international students died from hypothermia while hiking Mount Bogong in severe weather conditions. They were inexperienced hikers who underestimated the alpine environment's dangers. Despite carrying …

VIC2026-03-05

Finding into death of Darryn Leslie Beaton

22y · Male·Unascertained

A 22-year-old male with schizophrenia disappeared on 28 November 1984 after ceasing prescribed medication approximately six months prior. He left home to withdraw money from a bank but was never seen again. His vehicle w…

psychiatry
VICcommunity2026-03-04

Finding into death of Anthony Laurence Parisi

39y · Male·Multidrug toxicity (GHB, methylamphetamine, ketamine) in a setting of restraint …

Anthony Parisi, 39, died from multidrug toxicity (GHB, methamphetamine, ketamine) in a setting of police restraint and moderate coronary artery atherosclerosis. He consumed large quantities of GHB and methamphetamine on …

emergency medicineintensive caregamma-hydroxybutyrate
VIChome2026-03-04

Finding into death of Carol Fay Slade

54y · Female·Severe burns sustained in a house fire (palliated)

Carol Fay Slade, a 54-year-old woman with acquired brain injury from a 2003 motorcycle accident and mobility limitations, died from severe burns sustained in a house fire at her public housing property in Shepparton. The…

emergency medicineintensive caresystemmethadone
VIChome2026-03-04

Finding into death of Marko Kelentric

73y · Male·Effects of fire

A 73-year-old man died in a residential fire in rural Victoria. He was found unresponsive in his bedroom and declared deceased after fire rescue and paramedic resuscitation attempts. Autopsy confirmed death from smoke in…

systemamitriptyline
NSW2026-03-04

Inquest into the death of BX

Unknown

This inquest examined the death of BX during circumstances involving a siege, police negotiations, possession of a firearm, and an unexecuted arrest warrant. This was a law enforcement-related death not involving clinica…

VIChome2026-03-04

Finding into death of Ashleigh Peter Mills

57y · Male·Smoke inhalation

Ashleigh Peter Mills, aged 57, died from smoke inhalation in a house fire on 31 August 2020. The fire started from a discarded cigarette in an armchair where his housemate had been smoking and drinking. Multiple preventa…

emergency medicineforensic medicinesystemdelay
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