Coronial
Filters:

1,232 results

Export CSV (1,232)
NSWhospital2010-07-22

Finding helanisirianni257 08 dscmitchell

Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…

Helani Sirianni, born 8 February 2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum extract…

obstetricsmidwiferydiagnosticcommunication
NSWcommunity2010-07-02

Findingandrecommendations mcleanjulia415 08

Female·Acute Necrotising Pulmonary Disease, probably Goodpasture's Syndrome

Julia McLean died of Acute Necrotising Pulmonary Disease, probably Goodpasture's Syndrome, while working as a shearing hand in rural Walgett, NSW. The coroner found no clinical error but identified gaps in occupational e…

occupational and environmental health
NSWhospital2010-05-31

Coroner's Finding: Isaraelu Pele

8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…

Eight-year-old Isaraelu Pele died of bacterial meningitis missed by multiple clinicians despite three hospital presentations and two GP visits between 14–17 December 2007. Critical failures included: inadequate different…

general practiceemergency medicinediagnosticdelayparacetamol
NSWhome2010-04-30

Infantpooldrowningfindings dscmacmahon30april2010

drowning

This joint inquest examined eight deaths of children aged 14 months to 3 years who drowned in home swimming pools in NSW between June 2006 and January 2009. The coroner concluded all deaths were preventable. Contributing…

systemcommunication
NSWhome2010-04-29

Revisedschweitzerfindings29 4 2010

81y · Female·Strangulation by person(s) unknown

Katherine Schweitzer, 81 years old, was found strangled in a garbage bin in her Bellevue Hill apartment on 27 December 2006. The coroner found that she was murdered by strangulation by person(s) unknown. Evidence suggest…

NSW2010-02-23

Inquest into the deaths of Alan BLINN, James ENGERT, Morgan INNES and Simone MOORE

14y · Female·Multiple injuries and drowning as a result of collision between ferry Pam Burrid…

On 28 March 2007, the ferry Pam Burridge collided with the motor cruiser Merinda in Sydney Harbour, killing four people: Dr B., James Engert, Morgan Innes (aged 14), and Simone Moore. The collision occurred at 10:50pm ne…

proceduralsystem
NSW2010-02-16

Coroner's Finding: Shannon Abby-Rose Rankin

11y · Female·Drowning following entrapment on the active main drain of the spa pool

An 11-year-old girl drowned in a spa pool at a residential apartment complex after becoming entrapped on an active main drain filter. The drain had been completely blocked during construction by cement, aggregate, and ot…

intensive careretrieval medicineproceduralsystem
NSW2009-12-08

Inquest into the death of rebekah lawrence

34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…

Rebekah Anne Lawrence, a 34-year-old woman, died on 20 December 2005 after jumping from a second-floor window at her workplace (Royal Australian College of Physicians) in Sydney. Two days after attending an intensive sel…

psychiatrysystemcommunication
NSWaged care2009-09-25

Finding&recommendation donaldianfairbairn

Unknown·Severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease

Donald Ian Fairbairn, a resident of Yagoona Nursing Home, died at Bankstown Hospital on 23 September 2006 from severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease. The coroner's inquest identifie…

communicationsystem
NSW2009-08-25

Findings colinpay

Male·Drowning following closed head and neck injury sustained when aircraft crashed i…

Colin Pay died on 7 December 2007 when the experimental aircraft he was testing crashed into Lake Liddell, Muswellbrook while conducting trials of a water extraction process for fire bombing operations. The crash caused …

NSWcommunity2009-08-25

Coroner's Finding: Peter Gordon Wilson

Male·Multiple injuries inflicted when struck by a motor vehicle on the F3 freeway nea…

Senior Constable Peter Gordon Wilson, a NSW highway patrol officer, was struck by a motor vehicle while conducting stationary speed enforcement on the F3 freeway near Somersby on 11 November 2006 and died from multiple i…

systemcommunication
NSWhospital2009-06-12

Coroner's Finding: Rebecca Murray

29y · Female·Multisystem organ failure following postpartum haemorrhage due to atonic uterus

Rebecca Murray, 29, died from multisystem organ failure following postpartum haemorrhage after an emergency caesarean section at Bathurst Base Hospital on 24–25 June 2007. The coroner found her death preventable. Key cli…

obstetricsanaesthesiasystemcommunicationoxytocin
NSWcommunity2009-05-28

Coroner's Finding: Sarah Anne Rawson

25y · Female·Multiple injuries sustained from accidental fall from cliff edge

Sarah Anne Rawson, a 25-year-old woman recovering from a serious road traffic accident that had left her with restricted mobility, died when she fell approximately 70 metres from a cliff edge at Hargraves Lookout in the …

occupational therapypharmacologysertraline
NSWcommunity2009-05-07

Coroner's Finding: David Balthazar Iredale

Male·Dehydration

A 17-year-old final year high school student died from dehydration on 11 December 2006 during a bushwalk in the Blue Mountains National Park undertaking what he believed was a Duke of Edinburgh Award expedition. After be…

communicationsystem
NSW2009-03-06

Coroner's Finding: Michelle Loraine Bright

17y · Female·Homicidal violence of undetermined aetiology

Michelle Loraine Bright, a 17-year-old schoolgirl, was found dead on 2 March 1999 near Barney's Reef Road in Gulgong, NSW, having been missing since 26–27 February 1999. The forensic pathologist determined the cause of d…

NSWcommunity2009-02-27

02anonfinding

54y · Male·Died by hanging while suffering from the effects of Post-traumatic Stress Disord…

A 54-year-old NSW police officer died by suicide while suffering from PTSD and Bipolar Disorder. He had witnessed multiple traumatic incidents during his 25-year career and was diagnosed with Bipolar Disorder in 2003. Fr…

general practicepsychiatrylithium
NSW2009-01-19

Coroner's Finding: Thomas Hwee Sen Lee

Male·Multiple injuries occasioned when his motor vehicle fell from the second level o…

Thomas Lee died from multiple injuries when his Toyota Camry fell nine metres from the second level of Sydney's Carlton Crest car park (Haymarket) after striking and passing through a defective wheel stop and steel safet…

system
NSWcommunity2008-12-22

Coroner's Finding: Caroline Reilly

25y · Female·Multiple injuries from motor vehicle accident

Caroline Reilly, 25, an Irish visitor to Australia, was struck and killed by a motor vehicle driven by Zhi Ying Fu while crossing Parramatta Road in Burwood at 4:30 AM on 23 July 2006. The coroner found that the driver's…

NSWcommunity2008-10-24

Coroner's Finding: Amarni Dirani

8y · Female·Drowning

8-year-old Amarni Dirani drowned at Glenbrook Public Swimming Pool on 15 December 2006 during a school-organised celebration day excursion. The coroner found her death was preventable and resulted from multiple systemic …

systemcommunication
NSWcommunity2008-09-18

Coroner's Finding: Adam Holt, Roslyn Bragg, Travis Bragg, Madison Holt, Jasmine Holt

Unknown·Drowning resulting from motor vehicle collision with floodwaters caused by road …

Five people—Adam Holt (driver), his partner Roslyn Bragg, and three children (Madison, Jasmine, Travis)—drowned on 8 June 2007 when their vehicle plunged through a void created by Old Pacific Highway collapse at Piles Cr…

systemalcohol

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.