Coronial

30 results for prone positioning

VIC2015-03-27

Finding into death of Anthony William Dunning

40y · Male·Global ischaemic brain injury following cardiorespiratory arrest during prone re…

Anthony Dunning, a 40-year-old male, suffered cardiac arrest while being restrained prone on the floor at Crown Casino with pressure applied to his neck. He was held in this position for approxima…

forensic medicineemergency medicineproceduralcommunicationalcohol
NSWcommunity2024-07-08

Finding into death of Jesse Lee Christopher EDWARDS

20y · Male·Prone restraint asphyxia in the setting of alcohol intoxication and centripetal …

Jesse Edwards, a 20-year-old Yorta Yorta and Mutthi Mutthi man, died from prone restraint asphyxia following a physical altercation outside a nightclub in Swan Hill. He was restrained fa…

forensic medicineemergency medicineproceduralalcohol
QLDcommunity2015-06-09

Reading, Neville Royston

37y · Male·Cardiac dysrhythmia during restraint against a background of significant alcohol…

…ffed him, his condition deteriorated rapidly. The coroner identified that continuing physical restraint in prone position after immobilisation with cable ties was unnecessary and should have been replaced with recovery …

forensic medicineemergency medicineproceduralcommunicationalcohol
QLDmental health2004-09-30

Cif Lee Ja 20040930

23y · Male·compression of the neck, secondary to coronary arteriosclerosis

…ve behavior, he was restrained by multiple staff members, handcuffed without medical authorization, placed prone on the floor, and subjected to physical pressure on his back. Intravenous psychiatric medications were adm…

psychiatryemergency medicineproceduralcommunicationdroperidol
NSWcommunity2026-03-25

Inquest into the death of Jesse Riley

31y · Male·Status epilepsy secondary to cerebral cavernoma

…ed 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 cardiac arrest. The cor…

paramedicineemergency medicinecommunicationsystemdroperidol
WAhome2014-12-19

Inquest into the Death of Baby W

9y · Male·Sudden infant death in a boy with bronchitis and otitis media (cause unascertain…

…d mild respiratory infections (bronchitis, otitis media, metapneumovirus) and evidence the baby was placed prone (face-down) when put to sleep. The coroner identified multiple recognised SUID risk factors including mate…

paediatricsforensic medicinecommunicationparacetamol
VIChome2017-02-21

Finding into death of Livinia Rose Kenna

0y · Female·Sudden Infant Death Syndrome (SIDS Category I)

…tegory I) on 16 April 2016. She was placed to sleep in a bassinet with multiple unsafe sleeping practices: prone positioning, multiple layers of blankets tightly tucked in, additional mattresses creating gaps, and bumpe…

paediatricsobstetricssystemcommunicationdesvenlafaxine
QLDcommunity2018-09-11

Giorgio, Pasquale

54y · Male·Ischaemic cardiomyopathy following a period of restraint on a background of morb…

…sness, and morbid obesity was arrested for wilful exposure and disorderly conduct. During restraint in the prone position with handcuffs, he struggled for several minutes. Although officers recognised positional asphyxi…

emergency medicineforensic medicinediagnosticcommunicationflupenthixol
QLDcommunity2011-09-07

Grillo, Carl Antony

42y · Male·Combined effects of moderately severe physical exertion; a lateral vascular neck…

…he coroner found Mr Grillo was not placed in recovery position as promptly as training dictated, remaining prone for several minutes post-restraint. Medical evidence established that death resulted from combined factors…

emergency medicineintensive careproceduraldelaymethamphetamine
QLDhospital2018-01-29

Osborne, Warren Andrew

45y · Male·The effects of restraint and drugs

…ity doors and entered Ward 2A. Following failed persuasion, nursing and security staff restrained him in a prone position for over 10 minutes. The restraint combined with amphetamine-induced cardiac effects caused sudde…

emergency medicinepsychiatryproceduralsystemmethamphetamine
NT2016-03-18

Inquest into the death of Styles Isaac King

30y · Male·traumatic asphyxiation

… lacked knowledge of positional asphyxia risks, headlock dangers, and the lethal consequences of prolonged prone restraint. The coroner emphasized improved training and clear safety guidelines were essential to prevent …

emergency medicineparamedicineproceduralsystemalcohol
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

…y or medical emergency existing. During the forceful cell transfer, David was repeatedly restrained in the prone position, complained he could not breathe, and was administered midazolam whilst restrained. He collapsed …

psychiatryemergency medicineproceduralcommunicationmidazolam
NSWmental health2019-02-12

Inquest into the death of Kevin O’Halloran

55y · Male·positional asphyxia, with sedation as an underlying risk factor

… to request medical review, obtain vital signs, or escalate care despite clear sedation. He was positioned prone on a mattress, and then left unobserved for over an hour despite a care level 2 observation requirement (1…

emergency medicinepsychiatrycommunicationproceduralmidazolam
NSWhome2024-11-28

Inquest into the death of Michael Peachey

27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…

…ice attempted restraint outside his father's home when he appeared agitated; this escalated to a prolonged prone restraint in a neighbour's house lasting 40+ minutes. Paramedics administered sedation without adequate mo…

emergency medicinepsychiatryproceduralcommunicationdroperidol
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…

…oongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becoming violently a…

emergency medicineintensive caremethamphetamine
NSWcommunity2015-06-26

Inquest into the death of Jason William REA

38y · Male·The combined effect of Methylamphetamine Toxicity and prolonged restraint in a p…

Jason Rea, a 38-year-old chronic methamphetamine user, died following a high-speed collision on the M1 Freeway while driving under the influence. After the crash, he became aggressive and agitated, requiring restraint by…

emergency medicinecardiologymethamphetamine
QLD2018-08-10

Harmer, Jay Maree

38y · Female·Complications of decompensated liver failure due to cirrhosis secondary to Hepat…

…n 28 June 2016 and returned to the prison. She died four days later, likely from respiratory arrest due to prone positioning combined with altered consciousness from hepatic encephalopathy, opioid use, and multiple medi…

gastroenterologypalliative carecommunicationdelaybuprenorphine
QLDcommunity2015-03-11

Kumar, Amit

34y · Male·The combined effects of restraint, coronary artery atherosclerosis and centripet…

…ng force for the final five minutes, believing he could still breathe because he was speaking. He was held prone with pressure to his head and neck. A doctor present (Dr Y.) should have recognized the danger earlier giv…

forensic medicineemergency medicineproceduralcommunicationmethadone
NSWpolice custody2026-03-20

Inquest into the death of Phillip Walton

48y · Male·cardiac arrhythmia which occurred in the context of physical exertion and hypoxi…

…en Phillip became agitated in custody and self-harmed, police removed him from the dock and restrained him prone for 100 seconds. He lost consciousness and suffered cardiac arrest. Autopsy revealed chronic coronary arte…

emergency medicineparamedicinediagnosticcommunicationclozapine
VIChome2014-11-28

Finding into death of Hailey Holmes

5y · Female·Sudden Infant Death Syndrome Category II

A 5-month-old infant died from Sudden Infant Death Syndrome (SIDS II) after being placed prone to sleep in a portable cot with additional bedding including thick blankets, a foam couch mattress, and ro…

paediatricsemergency medicinecommunicationsystem

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