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NSW2026-03-12

Inquest into the death of Evander Tuala

23y · Male·Blunt force head injury

A 23-year-old man died from blunt force head injury after being struck during a violent altercation outside a Sydney hotel. He fell backwards, striking the back of his head on concrete and suffered multiple intracranial …

emergency medicineneurosurgery
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

Trina McGrady, a 43-year-old Goomeroi woman, died from subarachnoid haemorrhage due to a ruptured berry aneurysm on 15 September 2020. She had been admitted to John Hunter Hospital following incidental discovery of two l…

neurosurgeryradiologycommunicationdiagnosticaspirin
NSWhome2025-09-11

Inquest into the death of H GM

0y · Female·Unascertained

A 9-month-old girl died suddenly on 23 July 2018 following multiple head injuries from blunt force trauma sustained shortly before death. She had presented to medical practitioners multiple times in the preceding weeks w…

paediatricsemergency medicinediagnostic
NSWaged care2025-01-28

Inquest into the Death of Robert Driver

89y · Male·Cervical spine trauma

Robert Driver, 89, died from cervical spine trauma sustained after being struck by another dementia-affected resident in an aged care facility. He was assessed overnight at the facility and transferred to hospital the fo…

emergency medicineneurosurgerydelaycommunicationrisperidone
NSWhome2025-01-17

Inquest into the death of BG

0y · Male·Concussive brain injury

A 7-month-old boy died from concussive brain injury caused by intentional head trauma inflicted by his mother's partner in a domestic violence context. The child had multiple bruises, bite marks, and subdural haemorrhage…

forensic medicinepaediatricssystemcommunication
NSWcommunity2023-12-14

Inquest into the disappearance and suspected death of XA

36y · Male·Unascertained

A 36-year-old male psychiatrist disappeared on 25 January 2023 and is presumed deceased. He had treatment-resistant depression, was in significant pain from a recent back injury, and was prescribed opioids (Lyrica, Endon…

psychiatrygeneral practicepregabalin
NSWhospital2023-06-23

Inquest into the death of Baylen Pendergast

21y · Male·Complications of blunt head injury resulting from at least two separate acts of …

Baylen Pendergast, 21 months old, died from complications of blunt head injury sustained in two separate traumatic incidents (17 and 28 November 2013). The coroner found injuries were non-accidental and resulted from sig…

paediatricsemergency medicinediagnosticcommunication
NSWhospital2022-12-21

Inquest into death of Andrea LESTER

49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…

Andrea Lester, age 49, suffered a subarachnoid haemorrhage from a PICA aneurysm in March 2018 with delayed diagnosis. Following complex neurosurgery causing Wallenberg syndrome, she required tracheostomy for bulbar dysfu…

neurosurgeryintensive carediagnosticcommunicationtramadol
NSWhospital2022-12-01

Inquest into death of RW

64y · Male·Pulmonary thromboembolus as a result of bilateral deep vein thrombosis which dev…

RW, a 64-year-old with chronic ischaemic heart disease, suffered traumatic brain injury from an intentional motorcycle collision and underwent emergency neurosurgery. He was subsequently treated with unfractionated hepar…

neurosurgeryintensive carecommunicationpossibly preventive managementunfractionated heparin
NSW2022-11-22

Inquest into the death of Kai McEwan

25y · Male·Ruptured berry aneurysm and sequelae resulting in catastrophic subarachnoid and …

A 25-year-old Aboriginal man on remand in custody collapsed during a shower and was found to have suffered a catastrophic ruptured berry aneurysm causing massive subarachnoid and intracerebral haemorrhage with brain deat…

neurosurgeryintensive careaspirin
NSWhospital2022-06-07

Inquest into the deaths of A D and Aleksander STEFANOVIC

Unknown·Gunshot wound to the head (AD); gunshot wound to the chest (Aleksander Stefanovi…

This inquest examined two deaths resulting from gunshot wounds on 4 September 2020. AD, who had a history of mental health struggles including depression and suicidal ideation, shot and fatally injured Aleksander Stefano…

general practiceintensive carealprazolam
NSW2022-03-18

Inquest into the death of Jeffrey Ellington

32y · Male·Subarachnoid haemorrhage due to ruptured cerebral aneurysm

Jeffrey Ellington, a 32-year-old Aboriginal male inmate, died suddenly from subarachnoid haemorrhage due to ruptured cerebral aneurysm while performing work duties at Long Bay Correctional Complex on 21 August 2020. Expe…

forensic medicineneurosurgerymethadone
NSW2022-02-07

Inquest into the death of Chin Hung HO

64y · Male·Closed Head Injury

Chin Hung Ho, a 64-year-old man in custody at Macquarie Correctional Centre, collapsed during morning muster on 22 March 2021 and struck his head on concrete flooring. CCTV footage captured the collapse, which appeared c…

forensic medicineneurosurgery
NSWhospital2021-09-28

Inquest into the death of Gwenith ELKINGTON

60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…

Gwenith Elkington, aged 60, died from acute cerebral bleed resulting from haemorrhagic progression of a traumatic brain injury sustained in a bathroom fall on 21 September 2015. The injury caused a contre coup contusion …

emergency medicineneurosurgerydelaycommunicationibuprofen
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

PTE Liam Wolf, a 19-year-old Australian Army recruit, died after collapsing on an obstacle course at Kapooka during the final training exercise. He experienced a sudden unexpected cardiac arrhythmia while climbing a ladd…

emergency medicinecardiologysystemdelay
NSWhome2021-03-31

Inquest into the death of John Glen LAURENSON

47y · Male·sequelae of ruptured brain aneurysm

John Laurenson, a 47-year-old remand prisoner, died from rupture of a brain aneurysm on 20 June 2017, four days after collapsing in his prison cell. He had multiple intracranial aneurysms identified in 2015-2016, includi…

neurosurgerygeneral practicediagnosticcommunication
NSWhospital2021-02-08

Inquest into the death of Simone O'Donnell

24y · Female·Cardiac conducting system disease leading to asystole against a background of a …

A 24-year-old woman with complex congenital cardiac disease, cerebral palsy, and hydrocephalus was admitted to a secondary hospital with a respiratory tract infection and bradycardia with left bundle branch block. She de…

cardiologyemergency medicinesystemcommunicationoxycodone
NSW2020-02-05

Inquest into the death of Francis McCann

49y · Male·complications of a cervical spine injury

Francis McCann, a 49-year-old man in custody with a history of schizophrenia, anxiety, and self-harm, fell from his bed during sleep on 24 September 2017, sustaining a serious cervical spine injury (C4-C5 with canal sten…

orthopaedic surgeryneurosurgery
NSWhospital2019-02-07

Inquest into the death of Shamon Shamon

67y · Male·Blunt head injury (bilateral subarachnoid haemorrhage, left sided subdural haemo…

A 67-year-old man died from blunt head injury sustained when struck by a car while crossing a residential road near his home. He was taken to Liverpool Hospital for urgent neurosurgery but died 13 days later from the tra…

neurosurgerytrauma surgery
NSWhospital2019-02-07

Inquest into the death of Sharon Bell

53y · Female·cardiorespiratory arrest in a person with blunt force head injury, end-stage liv…

Sharon Bell was found dead in her hallway on 25 May 2013 aged 53. She had end-stage liver disease with hepatic encephalopathy, had suffered recent blunt force head injuries of unclear origin, and had high blood methadone…

emergency medicineforensic medicinediagnosticcommunicationmethadone

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