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NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

A 45-year-old Aboriginal man with severe cognitive impairment (6.5-year-old equivalent English comprehension), traumatic brain injury, epilepsy and multiple medical conditions died from environmental exposure and dehydra…

geriatric medicinepsychiatrycommunicationsystem
NTcommunity2025-04-04

Inquest into the death of Kailab

15y · Male·multiple injuries caused by a motor vehicle accident

Kailab Moir, a 15-year-old Aboriginal boy with FASD, complex trauma, and ADHD, died in a single-vehicle rollover while a passenger in a stolen vehicle. He had been in out-of-home care since age 5 with approximately 35 di…

paediatricspsychiatrydiagnosticsystemalcohol
NTcommunity2024

Inquest into the death of Road Death 13 of 2024

77y · Male·Blunt force head and chest injuries from motor vehicle collision

A 77-year-old male with a history of seizures (2017, 2023) died from blunt force head and chest injuries sustained in a motor vehicle collision on 10 March 2024. The vehicle travelled at 157 km/h approaching a red traffi…

neurologycardiologysystemlamotrigine
NThospital2023-03-31

Inquest into the death of Kumanjayi Holmes

15y · Female·complications of Batten disease (CLN3)

Damilia Kelly Holmes, a 15-year-old Aboriginal girl, died from complications of Batten disease (CLN3) while in palliative care. She was in out-of-home care under the Territory Families and Housing (TFHC) and was loved an…

palliative carepaediatrics
NT2020-08-18

Inquest into the death of David Loader

58y · Male·carcinomatosis from unknown primary

David Kevin Loader, a 58-year-old life prisoner, died from metastatic cancer of unknown primary in January 2020. He presented with multiple episodes of back, abdominal, shoulder and rib pain between July and November 201…

general practiceoncologysodium valporate
NThospital2019-11-22

Inquest into the death of Lebron Douglas Martin

4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …

Lebron Martin was a 4-year-old Aboriginal child with Niemann-Pick Type C disease, a progressive neurodegenerative disorder. He died from respiratory failure secondary to pneumonia in December 2017. Four months prior to h…

paediatricsneurologysystemcommunicationamoxicillin
NThospital2017-01-13

Inquest into the death of Michael Smedley

0y · Male·Traumatic head injury

A five-month-old boy died from traumatic head injury. Initial medical disagreement about whether injuries were from accidental fall or non-accidental trauma delayed investigation. The child presented with extensive bruis…

paediatricsforensic medicinediagnosticcommunication
NThospital2016-09-02

Inquest into the death of Christopher Murrungun

53y · Male·Left intra cerebral and left subdural haemorrhage

Christopher Wurrmerli Murrungun, a 53-year-old Aboriginal man, died from intracerebral and subdural haemorrhage at Royal Darwin Hospital on 12 February 2015. He was found intoxicated on a public footpath in Parap, Darwin…

emergency medicineneurologysystemcommunicationalcohol
NThome2016-06-22

Inquest into the death of Richard Kunia

6y · Male·respiratory failure due to pneumonia

Richard Ted Kunia was a 6-year-old Aboriginal child with multiple serious congenital conditions including cerebral palsy, epilepsy, severe developmental delay, aspiration syndrome, and microcephaly. He was in state care …

paediatricsintensive caremorphine
NT2015-08-14

Inquest into the death of Virginia Brown

46y · Female·Cardiac arrest of unknown origin

Virginia Brown, a 46-year-old Aboriginal woman, died of cardiac arrest of unknown origin on 31 October 2014 while detained under a Mandatory Residential Treatment (MRT) order at CAAAPU (Central Australian Aboriginal Alco…

emergency medicineaddiction medicinediagnosticcommunicationsodium_valproate
NTcommunity2014-05-27

Inquest into the death of Benjamin Wilton

29y · Male·severe burns sustained in motor vehicle fire following collision

29-year-old Benjamin Wilton was killed in a horrific car fire following a rear-end collision with a vehicle driven by 67-year-old Robert Spencer on a Darwin highway. Spencer had suffered a stroke in 2003 with residual co…

neurologycardiologydiagnosticsystem
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex medical needs including PEG feeding, …

paediatricsintensive caresystemanti-epileptic medication
NTcommunity2012-07-13

Inquest into the death of Master C

5y · Male·extensive skull fracturing and traumatic brain injury from pedestrian strike by …

A 5-year-old boy with significant disabilities from pneumococcal meningitis and stroke (right hemiparesis, hearing loss, epilepsy) was temporarily placed in care by the Department of Children and Families for medication …

paediatricsneurologysodium valproate
NThospital2008-12-18

Inquest into the death of Paulo Melo

29y · Male·Blunt head and neck injuries sustained in an unintentional motor vehicle acciden…

A 29-year-old man sustained severe blunt head and cervical spinal cord injuries in a motor vehicle accident. He remained unconscious with high intracranial pressure and C5 spinal cord transection. After 12 days with no i…

intensive caretrauma surgerycommunicationmorphine
NThospital2008-09-04

Inquest into the death of Margaret Winter

64y · Female·acute subdural haemorrhage sustained after a fall on Ward 4A

Margaret Winter, 64, died from acute subdural haemorrhage following a fall on Ward 4A on 13 December 2006. She had been admitted with decompensated liver disease. Her falls risk was misclassified as low when it should ha…

general medicineneurologydiagnosticcommunication
NThome2008-06-03

Inquest into the death of Lee Shaun Wurramarrba

15y · Male·bronchopneumonia secondary to chronic chest dysmorphology caused by congenital b…

Lee Shaun Wurramarrba was a 15-year-old severely disabled boy with cerebral palsy, global developmental delay, kyphoscoliosis, epilepsy, and chronic chest anatomical distortion who died from bronchopneumonia. He was in s…

paediatricsneurologylamotrigine
NThospital2006-10-02

Inquest into the death of Freddie Peterson

30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis

Freddie Peterson, a 30-year-old Aboriginal man from Papunya, died in custody from bacterial endocarditis complicated by diffuse alveolar damage. He was imprisoned for nine months and presented to the prison medical centr…

cardiologyinfectious diseasesranatidine
NThospital2006-05-04

Inquest into the death of Alena Rankine

2y · Female·Chronic organic brain damage as a consequence of Murray Valley encephalitis

A 2-year-old Aboriginal girl with severe brain damage from Murray Valley encephalitis died in hospital from chronic organic brain damage. She had been in state care since August 2004 due to her profound medical needs inc…

paediatricsinfectious diseasespromethazine
NThome2005-06-06

Inquest into the death of Alison Woods

5y · Female·chronic hydrocephalus

Alison Rose Woods, a 5-year-old girl with severe congenital brain damage, spastic quadriplegia, and chronic hydrocephalus since birth, died at home in Katherine on 2 July 2004. She required constant medication and full-t…

paediatricsneurologyanti-epileptic medications
NT2004-03-19

Inquest into the death of Mansur La ibu

20y · Male·Undetermined cause (seizure-like episode with rapid death, epilepsy ruled out on…

Mansur La Ibu, a 20-year-old Indonesian fisherman, died suddenly on 26 February 2003 while detained on the fishing vessel Yamdena moored at Darwin Harbour. He experienced a seizure-like episode while confined in a small …

paramedicineemergency medicinesystemcommunication

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