Coronial
NTPodcast2025-10-24

Inquest into the death of Ebony Thompson

1y · Female·hypoxic brain injury caused by pressure to the neck from entrapment on a loop-to…

Ebony Thompson, aged 22 months, died from hypoxic brain injury caused by neck entrapment in a loop-topped chickencoop gate at a childcare centre. She became trapped while standing on a tricycle…

paediatricsemergency medicinesystemcommunication
QLD2011-11-03

Robinson, Ian

47y · Male·drowning

…nts tailored to each rapid's specific hazards, particularly for high-risk rapids like Wet n Moisty where entrapment points exist and cover positions are limited.

system
VIChome2013-12-05

Finding into death of AVA

2y · Female·Positional asphyxia

…ssons include: adult beds marketed for toddlers require safety scrutiny; gaps between 95-230mm pose head entrapment hazards per Australian standards for cots and bunk beds; retailers must respond promptly to safety conce…

system
QLDcommunity2012-06-29

Robinson, Ian; Charlesworth, Natarsha; Hatzidimitriadis; Park, Sang Won; Choi Seongeun

Unknown·Drowning due to entrapment in white-water rapids

…ve deaths occurred in white-water rafting accidents in North Queensland between 2007-2009, all involving entrapment and drowning. The coroner examined the adequacy of safety risk management by operators and the regulator…

systemdelay
VIChome2016-10-06

Finding into death of Martha Alice Fraser

0y · Female·Intrapartum hypoxia due to breech delivery with head entrapment and associated c…

…ood, went into spontaneous labour at home but did not reach hospital in time. The delivery involved head entrapment and cord compression leading to intrapartum hypoxia and death. The coroner found that adequate advice wa…

obstetricsneonatologycommunicationdelayadrenaline
QLD2011-11-03

Hatzidimitriadis, Georgina

51y · Female·drowning

…ht group management at rapid entries, conduct formal risk assessments specific to each rapid identifying entrapment hazards and required control measures, and assess rafter proficiency against defined criteria before all…

systemcommunication
SAaged care2010-05-14

Coroner's Finding: HUTTON Arthur John

87y · Male·asphyxia due to neck entrapment between bedpole and mattress

…hecks by listening for snoring rather than visually sighting the resident. The coroner found the risk of entrapment was objectively foreseeable given the resident's known fall history, cognitive impairment, and the gap b…

geriatric medicineoccupational therapysystemprocedural
QLDcommunity2011-11-03

Charlesworth, Natarsha

22y · Female·cardio-respiratory arrest as a consequence of drowning in freshwater

Natasha Charlesworth, 22, died from drowning following entrapment in the Tully River during a white water rafting tour with Raging Thunder. The raft capsized while naviga…

emergency medicineintensive caresystemdelay
TAShome2023-05-05

Coroner's Finding: Mayes, Luke Callum

33y · Male·positional and mechanical asphyxia as a result of entrapment under a kitchen ben…

Luke Callum Mayes, a 33-year-old man with T5 tetraplegia from a motor vehicle crash at age 16, died from positional and mechanical asphyxia after becoming trapped under his kitchen bench while in his electric wheelchair.…

WAhomePodcast2013

Inquest into the Death of Murphy, Sean Gordan Peter

3y · Male·Entrapment in an airtight environment (washing machine drum) resulting in suffoc…

… front-loading washing machine at his home in Hilton, Western Australia. He died from suffocation due to entrapment in the airtight drum. The coroner was unable to definitively establish whether Sean became trapped throu…

emergency medicinepathologysystemoxycodone
NSWhome2026-06-01

Inquest into the death of AN

3y · Male·Hyperthermia due to environmental heat exposure due to vehicular entrapment

…ts regarding critical matters, not just conscious risk-taking; national data collection on child vehicle entrapment is essential to assess scale and inform evidence-based prevention; child presence detection technology w…

QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

…oshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hospital for gastroenteritis. T…

paediatricsemergency medicinecommunicationsystembaclofen
VICcommunity2004-04-02

Wheelchair Pedestrian Railway Crossing Inquests

Unknown·Multiple injuries from being struck by trains at railway pedestrian crossings

A joint inquest examined two deaths of wheelchair users at Melbourne railway pedestrian crossings in 2001. Christopher Jones (aged 50), with athetoid cerebral palsy causing involuntary limb movements, was struck by a tra…

systemdelay
TASaged care2016-12-19

Coroner's Finding: Cobham, David Alexander

84y · Male·aspiration pneumonia following rhabdomyolysis due to entrapment of his right arm…

…h dementia, died on 23 April 2015 from aspiration pneumonia following rhabdomyolysis caused by prolonged entrapment of his right arm in a bathroom hand rail at The Lodge aged care facility. His documented care plan speci…

geriatric medicinegeneral medicinecommunicationsystem
TAScommunity2018-10-18

Coroner's Finding: Sheehan, Leon Dennis

Male·Positional asphyxia following traumatic injuries sustained in a single motor veh…

Leon Dennis Sheehan died from positional asphyxia after a single-vehicle motor accident. He was trapped upside down in his vehicle by the seat belt for at least 20 minutes before extrication. The crash occurred while he …

alcohol
QLD2014-08-04

A Sailing Competitor - Non-inquest findings

23y · Male·drowning

A 23-year-old experienced sailor died from drowning after becoming entrapped in his trapeze harness during an 18-foot skiff sailing competition. When the boat capsized, his harness hook caught on the trampoline mesh, tra…

systemcommunication
TAScommunity2025-06-04

Coroner's Finding: Mead, Dion Charles

45y · Male·thermal burns sustained in a motor vehicle fire

A 45-year-old man with a history of poor mental health died from thermal burns following a deliberate single-vehicle crash into a brick wall. He had experienced recent workplace stress and significant grief from his brot…

forensic medicinepsychiatry
TASaged care2016-09-01

Coroner's Finding: Westcott, Barbara

84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…

…, should have been removed following a June 2010 coronial alert from South Australia documenting similar entrapment deaths. Despite developing comprehensive policies requiring risk assessment and removal of bed poles, th…

geriatric medicinegeneral practicesystemdelay
VIChome2026-01-22

Finding into death of Mr B

80y · Male·Consequences of mechanical restraint following ride on mower incident

…ar, operation on slopes near embankments carries known rollover risk. A ROPS device could have prevented entrapment or allowed access to his emergency Spot Tracker device. No mechanical faults with the mower were identif…

VICcommunity2019-01-31

Finding into death of Pauline Mary Riordan

61y · Female·injuries sustained in a motor vehicle collision as a passenger

…a. She was trapped in her vehicle for approximately 90 minutes with severe crush injuries and lower limb entrapment. While paramedics provided appropriate field care including fluids and analgesia, the extended extricati…

emergency medicinetrauma surgerydelaymorphine

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