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 31 - 40 of 57 results

Inquest into the death of Tyson MATTHEWS (411.2 KB,PDF File)

Decision of Deputy State Coroner Stone

Coronial law, Self-inflicted death, involuntary admission considerations, risk assessment and suicide predictabilit, the use of Paliperidone, level of care in

Inquest into death of RW (253.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unfractionated Heparin compared to Enoxaparin for prevention of DVT, police operation, police pursuit for mental health welfare concern, care an

Inquest into the death of Marcus Harrison (271.0 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW, 'new' or 'fresh' inquest, cause and manner of death

Inquest into the death of Robert Bischard (407.8 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW, cause and manner of death, care and treatment at Wagga Wagga Base hospital, pre-operative screening processes in the context of co-morbidities

Inquest into the death of Eric WHITTAKER (546.8 KB,PDF File)

Decision of State Coroner Magistrate Teresa O’Sullivan

CORONIAL LAW – Cause and manner of death Death in custody – Parklea Correctional Centre – Ruptured Cerebral Artery Aneurysm – Subarachnoid Haemorrhage – Failur

Inquest into the death of Jesse DRABSCH (1012.7 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - accidental death after use of insulin, Performance and Image Enhancing drugs (PIEDs), Insulin, death in 24 hour gym

Inquest into the death of William Edmunds (415.6 KB,PDF File)

Decision of Deputy State Coroner Kennedy

Coronial law, cause and manner of death, surgical error, Hartmann’s procedure, ileus, stoma, iatrogenic mechanical bowel obstruction, peritonitis, open disclos

Inquest into the death of Shona Hookey (1.0 MB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, Cause and manner of death, hospital death, disabled patient unable to speak, undiagnosed twisted bowel, whether response at care facility was app

Inquest into the death of Harland SUTTON (388.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Sudden Unexpected Death in Infancy (SUDI), frusemide

Inquest into the death of Pauline KESSELL (214.2 KB,PDF File)

Decision of Deputy State Coroner Russell

Coronial law, cause and manner of death, endoscopic pyeloscopy with laser lithotripsy, sepsis, antibiotic administration, clinical review

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