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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 11-20 of 95 results
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW – Death in custody; self-inflicted death; hanging in correctional centre; requests for medical treatment; sleep apnoea; obtaining CPAP machines in custody; adequacy of morning checks
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW – death as a result of fall from a height - – the manner of death – was police response appropriate
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW – cause and manner of death, tracheostomy management, tracheostomy tube dislodgment, complex airway, bronchoscopy, monitoring of patient, rocuronium administration, blind instrumentation, resuscitation of patient, decompressive finger
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – death in custody – mandatory inquest – intentional self harm – plastic bags
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW – death of a man in lawful custody – requests for medical treatment – was response of the JH Network appropriate – would a more timely response have altered the outcome.
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – death in custody – mandatory inquest – cell placement – whether medical condition adequately managed
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – unascertained death, affects of splenic toxicology, effects of oxycodone and diazepam on respiratory illness, effects of significant decomposition affecting autopsy
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW – death of an infant in a housefire, undetermined cause of fire, inadequate care of the child by the Department of Family and Community Services
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW - fire inquiry; unknown cause of fire; death of an infant
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW – fatal shooting of a woman in 2004 – perpetrator unable to be identified – referral to Unsolved Homicide Squad.
Last updated:
05 Apr 2023
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