Coronial

39 results for mechanical restraint

VIC2021-04-29

Finding into death of Spiros Boursinos

45y · Male·coronary artery disease and mechanical asphyxia in a man using cocaine

…psychosis, cocaine use, and underlying coronary artery disease died in police custody following physical restraint at a licensed bar. After consuming cocaine, he experienced acute paranoia and agitation, screaming that …

emergency medicinepsychiatrycocaine
VICcommunity2015-07-14

Finding into death of David Allan Ronald Sinclair

23y · Male·Mechanical asphyxia

A 23-year-old man with intellectual disability died from mechanical asphyxia after being restrained prone on the ground for 10-15 minutes by a hotel guest who believed he w…

forensic medicine
VICmental health2017

Finding into death of Trevor William Brown

49y · Male·Hypoxic brain injury following cardiac arrest due to myocardial infarction with …

…pital on 13 January 2017 following escalating mental health crisis and aggressive behaviour. He required mechanical restraint due to combative presentation and was appropriately monitored per Mental Health Act requiremen…

psychiatryemergency medicinedroperidol
NSWcommunity2026-03-25

Inquest into the death of Jesse Riley

31y · Male·Status epilepsy secondary to cerebral cavernoma

…elirium, he was perceived as aggressive/intoxicated. Police and paramedics responded, using physical and mechanical restraints in prone position followed by 5mg droperidol sedation. He deteriorated rapidly and suffered c…

paramedicineemergency medicinecommunicationsystemdroperidol
VIChome2026-01-22

Finding into death of Mr B

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

…wn in a position that compromised circulation and increased intracranial pressure, leading to death from mechanical restraint. The mower was not fitted with roll-over protective structures (ROPS), which were available as…

VIC2014-05-26

Finding into death of Raymond Jeffrey Durran

56y · Male·Head injuries - struck by heavy log off truck

…unloading sites; and absence of a formal requirement for the unloader operator to restrain the load with mechanical grabs before straps were removed. The coroner found these were causal factors in the death. Key clinical…

occupational and environmental healthsystemcommunication
NSWcommunity2016-08-11

Inquest into the death of Afif Fakhouri

37y · Male·Combination of methylamphetamine toxicity and restraint leading to physiological…

…own on the platform and became unresponsive. Death resulted from combined methylamphetamine toxicity and restraint-induced physiological stress causing cardiac arrhythmia. The coroner found the staff lacked training in …

emergency medicineforensic medicineproceduralcommunicationmethamphetamine
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
VIChospital2023-07-31

Finding into death of Michael Stankic

29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis

…patient remained in ICU (rather than transferring to psychiatric unit due to bed unavailability) and was mechanically restrained, limiting mobility. DVT developed early in admission, likely before enoxaparin cessation. E…

intensive carepsychiatrysystemdelayenoxaparin
QLD2025-10-29

Inquest into the death of Selesa Tafaifa

44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…

… heritage, died in custody at Townsville Women's Correctional Centre on 30 November 2021 during physical restraint by correctional officers, including application of a safety hood. She suffered cardiac arrest attributed…

forensic medicineemergency medicineproceduralsystemmixtard 30/70 insulin
VIChospital2013-02-22

Finding into death of Domenico Chiodo

33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…

…3-year-old man with schizophrenia and a forensic history suffered cardio-respiratory arrest during prone restraint in a busy emergency department after his mental health community treatment order was revoked. He was adm…

emergency medicinepsychiatrydiagnosticmedicationolanzapine
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

…imising back pressure. Key clinical lessons: excited delirium carries high cardiac arrest risk; physical restraint intensifies physiological stress; indicators of positional asphyxia overlap with delirium signs, creatin…

emergency medicineintensive caremethamphetamine
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

Two deaths resulted from police restraint in prone positions. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disea…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
WAhome2025-07-11

Inquest into the Death of Monique Jacinta GOMEZ

48y · Female·intracerebral haemorrhage on a background of anticoagulation therapy for a recen…

…ctive disorder. An initial ischaemic stroke resulted from non-compliance with warfarin (required for her mechanical aortic valve). During rehabilitation at Fiona Stanley Hospital, she refused both anticoagulant and antip…

general medicineneurologywarfarin
VIC2015-08-19

Finding into death of Tara Jones

9y · Female·Multiple injuries sustained in a motor vehicle incident (passenger)

…t neither adult wore seatbelts and the two young children in the sleeping cabin were unrestrained. While mechanical issues contributed minimally, the primary failure was the parents' inadequate restraint of child passeng…

VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

…contribution to her death. The coroner found the escalation by one woman (throwing coffee, then physical restraint) was disproportionate and unreasonable. No clinical management failures were identified in hospital care…

emergency medicineintensive carecommunicationrisperidone
WAhospital2021-07-30

Inquest into the Death of Chad RILEY

39y · Male·Cardiac arrhythmia following violent exertion necessitating physical restraint i…

39-year-old Chad Riley died from cardiac arrhythmia following violent exertion during physical restraint. He presented to hospital intoxicated with methylamphetamine, exhibiting drug-induced psychosis with agi…

emergency medicinepsychiatrysystemmethamphetamine
QLDcommunity2016-11-01

Ms D - Non-inquest findings

47y · Female·Cardiorespiratory failure precipitated by multiple rib fractures rendering the c…

…th ratchet position instead of the 7th) and left the automatic transmission in neutral rather than Park. Mechanical inspection found the handbrake required engagement at the 7th ratchet for full effectiveness. The corone…

NT2023

Inquest into the death of Pine Creek Fatalities

34y · Unknown·Motor vehicle collision resulting in combination of mechanical trauma and subseq…

…road train, resulting in catastrophic impact and post-crash fire. Five family members died from combined mechanical trauma and exposure to fire; the youngest child (ejected) died from multiple fractures. The driver was d…

forensic medicinealcohol
NT2024

Inquest into the death of Road Death 58 of 2024

28y · Male·Blunt force head injury from motor vehicle crash (passenger ejected from rolling…

…ith multiple contributing factors (wet road conditions, driver intoxication and lack of licence, vehicle mechanical defects), the clinical lessons centre on recognising that passenger safety depends entirely on driver co…

emergency medicinetrauma surgeryalcohol

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