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 31-40 of 95 results

Recommended

Inquest into the death of AN

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unascertained cause of death in newborn, toxicology findings of methylamphetamine, likely effects of drug consumption by drinking methylamphetamine, likely effects on unborn baby as a result of methylamphetamine exposure, lethal
Recommended

Inquest into the death of George Campbell

Decision of State Coroner O'Sullivan

CORONIAL LAW – volatile substance use – First Nations death – death of a child in care
Recommended

Inquest into the death of SH

Decision of Deputy State Coroner Forbes

CORONIAL LAW-death in custody-adequacy of care-knock up records-ability for family or NOK to contact Correctional Centres with welfare concerns of an inmate
Recommended

Inquest into the death of LA

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – child death, methadone toxicity, referral to unsolved homicide, lethal levels of methadone
Recommended

Inquest into the death of Matthew Grieve

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, hanging, health problem notification forms, custodial mental health pathways
Recommended

Inquest into the death of Andrew Stubbs

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 of dialysis treatment – factors contributing to dialysis disequilibrium syndrome
Recommended

Inquest into the death of Unknown Male at Angedool

Decision of Deputy State Coroner Grahame

CORONIAL LAW, identity
Recommended

Inquest into the death of Atilla Demirer

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, located at home, date, identity and place of death known, police investigation
Recommended

Inquest into the death of Simon Miles

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a First Nations man while on a Compulsory Drug Treatment Order - whether his release to Stage 2.5 of the Community Drug Treatment Program was appropriately planned and managed - whether the Community Drug Treatment Program
Recommended

Inquest into the death of Peter Gretton

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in custody, cause and manner of death, metformin toxicity, renal impairment, care and treatment of inmate patient, vital sign observations, blood glucose level test, recognition of deteriorating patient, communication between

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Coronial findings and recommendations

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