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 291 - 300 of 560 results

Inquest into the death of Michelle Michell (4.1 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - domestic violence - homicide - NSW Police Force - Domestic Violence Safety Assessment Tool (DVSAT) - Apprehended Domestic Violence Order - cross

Inquest into the death of Andrew Stubbs (369.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – monitoring of blood lithium levels by General Practitioner – lithium toxicity – decision to commence Intermittent Haemodialysis – complications

Inquest into the death of Harriet Ostler (281.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, cardiomyopathy, myocarditis, recognition of clinically deteriorating paediatric patient, vital signs observations, Be

Inquest into the death of Meaghan Baird and Cameron Bloomfield (177.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, deaths of two people in single heavy vehicle crash, vehicle burst into flames, which of the deceased was the driver, to what extent did drugs and

Inquest into the death of Brendan Hickey (541.9 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, cause and manner of death, drowning, risk assessments, Vivid 2014, Darling Harbour

Inquest into the death of Afif Fakhouri (292.5 KB,PDF File)

Decision of Deputy State Coroner Barry

Coronial law, Excited Delirium, Positional Asphyxia, Restraint, Methylamphetamine Toxicity

Inquest into the death of James Cunneen (897.4 KB,PDF File)

Decision of DSC O'Neil

CORONIAL LAW — death in custody — inadequate staffing — one general practitioner for 1150 patients in custodial setting — chaotic delivery of health care in No

Inquest into the death of Lorraine BARNES (584.7 KB,PDF File)

Decision of Deputy State Coroner, Magistrate Derek Lee,

CORONIAL LAW – manner of death, hospital care and treatment, nasogastric tube insertion, fine bore nasogastric tube, enteral feeding, Wollongong Private Hospit

Inquest into the Death of K.P. (557.0 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death of 3-month-old baby – family known to Department of Communities and Justice – cause and manner of death

Inquest into the death of SS (151.9 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, care and treatment at Gosford Hospital, communication between primary care and physicians

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