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Coroners Court New South Wales
Coronial findings and recommendations
To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.
Showing 1-10 of 96 results
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RecommendedDecision of State Coroner O'SullivanCORONIAL LAW – general inquiry, cause, origin and circumstances, explosions at the Israeli Consulate and Hakoah Club in 1982, cold case investigation, act of international terrorism, May 15 terrorist organisation
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – Wollongong Hospital, tracheostomy, subarachnoid haemorrhage, thunderclap headache, PICA, speaking valve, tracheostomy cap, Swedish nose, tracheostomy management, multidisciplinary team
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW – death as a result of a police operation, critical incident, use of lethal force by police, Active Armed Offender, Tactical Options Model
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW – Safe Driving Policy (SDP); Police Pursuit; whether re-initiation of pursuit; vehicle stop
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW - Public interest immunity claim, non-publication orders
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW – death of child at Broken Hill Base Hospital – can cause of death be ascertained – was medical care and treatment adequate – were transfer decisions managed appropriately – recommendations
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW – death of First Nations man at Junee Correctional Centre – was medical care and treatment appropriate
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – Unfractionated Heparin compared to Enoxaparin for prevention of DVT, police operation, police pursuit for mental health welfare concern, care and treatment at Royal North Shore Hospital
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RecommendedDecision of Deputy State Coroner FrobesCORONIAL LAW-death in custody- mandatory inquest-adequacy of treatment of liver disease-adequacy of clinical handover- adequacy of scan result follow up-adequacy of Advance Care Planning and Resuscitation Planning
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – death in custody, 911 tool, corrective officer training in response to hanging,
Last updated:
05 Apr 2023
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