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 21-30 of 77 results

  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death, pulmonary thromboembolism within 24 hours Bilateral Total Knee Arthroplasty, Aspirin and mechanical prophylaxis, anti-coagulants, Body Mass Index (BMI), Risk factors and Assessment, Hospital Guidelines,
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – traumatic brain injury, head injury assessment, sports trainers, detection and management of head injuries in rugby league, second impact syndrome, Country Rugby League, ProQA, despatch of aeromedical resources, Rapid Launch Trauma
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - missing person - suspicious circumstances - finding of death - referral to NSW Police Unsolved Homicide Unit
  • Recommended
    Decision of Deputy State Coroner Lee
    Coronial Law - death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - death as a result of police operations, fall from height, drug induced psychosis, mental health assessment, adequacy of care
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death, natural, death in custody
  • Recommended
    Decision of Deputy State Coroner Derek Lee
    Coronial Law - death in custody, cause and manner of death, methadone diversion, opioid substitution treatment, head check, Let Go procedure, Wellington Correctional Centre
  • Recommended
    Decision of State Coroner O'Sullivan
    Coronial law - missing person investigation; Missing Persons Standard Operating Procedures; interpretation of s287 of Telecommunications Act 1997; attendance by paramedics at a mental health emergency
  • Recommended
    Decision of Deputy State Coroner Harriet Grahame
    Coronial law - death in custody, manner and cause of death, Tamworth Correctional Centre, Aboriginal health worker, provision of discharge summary to correctional officers, eradication of hanging points in correctional centres
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Last updated:

05 Apr 2023

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