Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

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Showing results 41 - 47 of 47 results

Inquest into the death of Sandra Cree (824.4 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, ruptured abdominal aortic aneurysm, Lightning Ridge Multi-Purpose Service, remote and rural medical facilities, password access to health care re

Inquest into the death of Roger Frederick Schnelle (408.2 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – psychotic depression / depression with psychotic features – care and treatment provided during admission

Inquest into the death of Jacob Carr (340.8 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death in police operation – gunshot wound inflicted by police officer – appropriateness of actions of NSW Police Force officers – adequacy of ca

Inquest into the death of Stephen Kline (712.5 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, taser deployment, critical incident, tactical options model, venous thromboembolism risk assessment, pharmacological prophylaxis, heparin, pulmon

Inquest into the death of Brendan BURNS (244.7 KB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, Cause and manner of death, Hospital death, Misdiagnosis of seriously-ill patient in emergency department, Failure to identify patient as critical

Inquest into the death of Kimberley APPLEBY (371.2 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - Whether ingestion of fatal dose of pentobarbitone was deliberate, accidental or suspicious, referral to Unsolved Homicide Team

Inquest into the death of six patrons of NSW music festivals (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law - manner of death, death at music festival, MDMA toxicity, harm minimisation strategies, policing of music festivals, drug checking, drug monitori

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