To access a finding not listed here, please makeapplication (DOC , 61.5 KB)to the Court. Older person, natural cause death, acute myocardial ischaemia, Launceston General Hospital, Emergency Department, triaged patients, assessment and treatment, monitoring of whereabouts, documentation of significant interactions, recommendations. Drugs & alcohol, accidental overdose, prescription drugs, mixed drug toxicity, prescribing, Pharmaceutical Services Branch, Poisons Act 1971, Poisons Regulations 2018, schedule 8 substances, central nervous system depressants. Inquest, transport & traffic related, work related, Ten Mile Creek Farm, tractor rollover, not wearing a seatbelt, blunt trauma of the head, neck & chest, WorkSafe Tasmania, Riverdale Dairies Pty Ltd, recommendation. This collection includes inquest files from the coroners office in Tasmania. DELIVERED ON: 9 November 2021 . Home These updates then influence our mentoring and internal checking efforts, especially when it comes to conducting safety observations and reviewing travel times and probation. The Northern Territory's coroner's office investigates unexpected or suspected deaths on behalf of the community. Search the Supreme Court of Tasmania database. You are directed to the disclaimer and copyright notice and a Personal Information Protection statement governing the information provided. Because of this there may be limitations on where and how images and indexes are available or who can see them. I Cant Find the Person Im Looking For, What Now? chronic alcoholism and emphysema, Mixed prescription drug toxicity, accidental overdose, drugs & alcohol, central nervous system depressants, lung disease, physical health, pharmaceutical services branch, Poisons Act 1971, schedule 8 narcotic substances, Drowning, rock fishing, not wearing a personal floatation device, PFD, Boltons Beach, Triabunna, Coroner's comment, Coroner's recommendation, Long term missing person, 1985, cause of death unknown, circumstances unknown, Tasmania Police Missing Persons Unit, Queensland, Inquest, falls, domestic incident, older persons, Ambulance Tasmania, paramedic, transport not required, transport refused, subdural heamatoma, Royal Hobart Hospital, recommendations, Inquest, drugs & alcohol, misadventure, water related, drowning and intoxication with methamphetamine and other substances, Little Howrah Beach, Launceston General Hospital, sepsis, Medical Certificate of Death, Office of the Health Complaints Commissioner, poor medical treatment, entirely avoidable death, Inquest, falls, older persons, elderly persons, Royal Hobart Hospital, application pursuant to section 58 of the Coroners Act 1995, investigation re-opened, Coroner's comment, high falls risk, aspiration pneumonia, National Disability Insurance Scheme, NDIS, palliative care, epilepsy, brain injury. If a judgment is not listed in the List of Recent Decisions try clicking on . In some inquests recommendations launch are made to Ministers and Government and non-government agencies. The reason for this is quite straightforward and that is that every employee has some role to play in reducing the likelihood of rollovers and incidents more broadly. (Web).pdf (PDF File, 406.9 KB), Death cannot be determined, Schedule 8 substances, Death is undetermined, Schedule 8 substances, Undetermined death, Mental Illness & Health, Health Treatment Order, GAB Order, Quad Bike, Sandy Cape Track, Coroner's Recommendation, Intentional self-harm, Statewide Mental Health Services, mental illness and health, Root Cause Analysis Report, Mental Health Act 2013, mental health facility rural or remote area, Coroner's recommendations, Drugs and alcohol, mental illness and health, physical health, epilepsy, Mental Health Act 2013, person held in care, methadone intoxication, Pharmaceutical Services Branch, methadone program, Alcohol and Drug Service, TOPP guidelines, Launceston General Hospital, Older Persons, Ischaemic heart disease, pulmonary disease, Royal Hobart Hospital, Drugs, Criminal Charges, Motor Vehicle Accident, Coroner's Comments, Seasonal Worker, Alcohol, Seat-Belt, Mental illness and health, physical health, person held in care, schizophrenia, morbid obesity, cardiac enlargement, Forensic Mental Health Service, Anglicare, Royal Hobart Hospital, coroner's recommendations, Coronial, findings, drowning, Frederick Henry Bay, Tasmania, Paddle, Kayak, Rochus Beach, Lime Bay, PFD, Wetsuit, Weather Forecast, Paddle Safe Guidelines, MAST Surf Life Saving Tasmania. If you are unable to locate the findings you are looking for, please contact the Coroners Office. Older persons, physical health, subdural haematoma, mechanical fall with head strike, Launceston General Hospital, George Town Hospital. Unreported judgments of the Supreme Court of Tasmania are available on AustLII (Australian Legal Information Institute). Coroners Court Coronial Findings 2022-2023 Coronial Findings 2019-2021 Coronial Findings 2016-2018 Coronial Findings 2013-2015 Information for families Coronial Practice Handbook Tasmanian Suicide Register Contact the coroner's office Frequently Asked Questions A Health Practitioner's guide for writing a statement for the Coroner. Motorcycle crash, motorbike, youth, de-identified, transport & traffic related, fence post, avid motocross & enduro competitor, well-maintained & appropriate safety equipment, abdominal trauma, reminder of supervision, Homicide & assault, missing person, murder, failing to report killing, accessory after the fact, hammer, Ian Rosewall, Renae Donald, Robert Broad, imprisonment. [2021] WACOR 18 Page 2 Coroners Act 1996 (Section 26(1)) AMENDED RECORD OF INVESTIGATION INTO DEATH I, Philip John Urquhart, Coroner, having investigated the death of a female child referred to as Child AM with an inquest held at Perth Coroners Court, Central Law Courts, Court 85, 501 Hay Street, Perth, on 26 - 27 November Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. This page was last edited on 15 September 2022, at 08:56. Search or sort for the relevant findings below. In some inquests recommendations launch are made to Ministers and Government and non-government agencies. This is also called a public court hearing. Check the List of Recent Decisions. coronial, organ failure, multiple snake bites, tiger snake, neuropathy, coagulopathy, farm. Last updated: 16-Dec-2020 [ back to top ] The coroner decides whether to hold a public inquest into a death. Safety assessments of driver performance not only occur at the end of probation but are undertaken on an ongoing basis. We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. Coronial, Suicide, Asphyxia, Smoke inhalation, Caravan, Fire, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, dilated cardiomyopathy, emphysema, Correctional Primary Health, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, Royal Hobart Hospital, Whittle Ward, metastatic squamous cell carcinoma of the lung, coronial, hospital, heart disease, ischaemic heart disease, single vessel atherosclerosis, Drowning, intentional self-harm, coroner's finding, coroner's recommendations, Pulmonary thromboembolism, deep vein thrombosis, D-dimer, Wells score, PERC, Coroner's recommendation, Coronial, atherosclerotic, hypertensive, cardiovascular disease, hospital, Launceston General Hospital, obesity, hypertension, complications of health care, missed or incorrect diagnosis, Head injury, cliff fall, hazardous area, Blackmans Bay blowhole, safety, public area, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle crash, Lilydale Road, adverse weather conditions, poor condition of road, excessive speed for conditions, Coronial, Findings, Inquest, Death in care, Royal Hobart Hospital, Fall from standing Position/ Height, Complication of Left Femur Fracture, Coronial, Findings, Meningococcal, immunisation, disease, A, C,Y, W and B Strain, Neisseria meningitides, bacterial sepsis, hospital, drowning, water related, Mersey Bluff, Devonport, youth, Surf Life Saving, coroner's recommendation, surf rescue, swimming, leisure activity, Homicide & assault, murder, stabbing, coroner's finding, restraint order, coronial, drowning, wharf, fall, alcohol, intoxication, water, older persons, abdominal aortic aneurysm (AAA), haemoperitoneum/retroperitoneal haematoma, Royal Hobart Hospital Emergency Department, falls, undetermined cause of death, undetermined circumstances of death, Tasmania Police, incomplete investigation, Tasmania Police Manual, Forensic Services, forensic evidence, coroner's comments. Wednesday, 22 May 2013 - 5:16 pm. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. Who attends an inquest Coroner and lawyers. They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. This is also called a public court hearing. Gemma was appointed acting Deputy CEO in 2019, Deputy CEO in 2020 and then Acting CEO on Greg Shanahan's retirement in November 2020. news / 26 August 2021. Council Building, Daly River, Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen, Erfinna Patricia Lay and John Weston Quirk, Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent, Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby, Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose, Glen Anthony Huitson and Rodney William Ansell, Matthew Neck, Amanda Bell and Matthew Batson, Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto, T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run). To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. Spencer Clinic will need to liaise with the King Island Heath Services to arrange. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. Search by Case Name. Apply Clear filters Showing 21-30 of 82 results Inquest into the death of Terence Gray launch Decision of Deputy State Coroner Truscott With the reduced scale of the guard rail installation and favourable rates for the benching and vegetation reduction, the total cost requested from the grantor is $80,086.42, Updated response provided by THS South 14 October 2022. The Department will act on the Coroners recommendations. Apply Clear filters Showing 11-20 of 82 results Inquest into the death of Albert Metledge launch Findings are also searchable by keyword. Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease. The coroner's decision is also referred to as the coroner's findings or inquest findings. Transport & traffic related, motorcycle crash, single vehicle crash, high speed, multiple trauma. FINDING OF: Judge Greg Cavanagh . Patients should not be discharged from Spencer Clinic on Fridays to travel to King Island on the same day. This page -- https://www.police.tas.gov.au/news-events/media-releases/coroners-findings-into-the-death-of-nicholas-whiteley/ -- was last published on May 22, 2013 by the Department of Police, Fire and Emergency Management. To search for judgments, usethe links below. South Arm Highway, transport and traffic related, single vehicle, misadventure, pedestrian walking on road, struck from behind, multiple traumatic injuries, failure to stop and render assistance, alcohol and drugs, DPP, Department of Public Prosecution, driving with suspended licence, Simone Bridges, intentional self harm, mental illness and health, drowning, Howrah, Mental Health Act 2013, Protective Custody Order, involuntary admission, Royal Hobart Hospital, Tasmanian Health Service, alcohol and drugs, accidental death, intravenous injection of prescription medications, injection of crushed tablets intended for oral ingestion, methadone, quetiapine, diazepam, mirtazapine, cannabis, Tasmanian Opiod Pharmacotherapy Program, Transport & traffic related, motor vehicle accident, car crash, multi-organ failure, North West Regional Hospital, failure to properly diagnose. Watch the latest news and stream for free on 7plus >>. This division is a specialist court that conducts inquests and investigations into certain deaths ('reportable deaths') and incidents (including fires and explosions) regardless of whether a death occurred. Councils Operations Manager, a qualified engineer, was charged with investigating improvements to the road. Decision of Deputy State Coroner Truscott, Coronial law, cause and manner of death, NSW trains removal of passenger, NSW Police Powers re intoxicated persons, CORONIAL LAW - Mandatory inquest - homicide by known persons since deceased - s.78, Coronial law, cause and manner of death, First Nations Patients, palliative care, death in corrections custody, Justice Health, care and treatment, CORONIAL LAW - s.27 (1) (a) Coroners Act 2009 - death as a result of homicide by a known person - mandatory inquest, CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - access to rope and hanging points - adequacy of health information sharing -, CORONIAL LAW - death by hanging of a person in lawful custody - frequency of medication reviews - reduction of hanging points at Long Bay Correctional Centre, CORONIAL LAW - unidentified human remains, Eastern bank of the MacDonald River, near Wrights Creek Road St Albans NSW, CORONIAL LAW - death in custody, mandatory inquest, cause and manner of death, natural causes, CORONIAL LAW - cause and manner of death, laryngectomy, tracheal stenosis, respiratory rate, respiratory distress, alteration of calling criteria, Clinical Emergency Response System, vital sign observations, CORONIAL LAW - natural causes death of a person in lawful custody - was medical care and treatment appropriate. HEARING DATE(s): 27, 28 September 2021 . In her long-awaited written findings, Deputy State Coroner Sarah Linton found there was a chance Aishwarya's life might have been saved with proper treatment. 3 Section 53(2) Coroners Act 1996 (WA). We have also engaged the service of a Driver Trainer to provide additional coaching to all our drivers. Coronial, House Fire, Smoke Alarm, Smoke inhalation, asphyxia, heating, flames, smoke, heating, electrical work. Coronial, peritoneal sepsis, multiple organ failure, bowel, perforation of the bowel. CATCHWORDS: Domestic violence allegations made The following information may be found in these records: Before searching this collection, it is helpful to know: Compare each result from your search with what you know to determine if there is a match. Coronial, single motor vehicle crash, multiple injuries, Toyota HiLux Utility, paddock, blunt trauma to the head, neck, thorax and arms, skull fractures, brusing of both lungs. To search for judgments, use the links below. The APCA Recreational Driving Guide, available to all Recreational Driver Pass holders, already contained advice to install sand flags under. During weekdays in business hours, transport can be arranged for the patient to be picked up at the airport and returned home if friends/relatives are unavailable. Coronial findings are listed in descending date order and can be adjusted by use of the filter on this page. Works were completed and reported to the grant program on 30 June 2021. Citations help you keep track of places you have searched and sources you have found. Perth hospital staff missed the signs a seven-year-old girl was dying of sepsis because of the pressures caused by "inadequate" staffing, a coroner has found. The Networks goals include producing national data concerning domestic and family violence related homicides in accordance with the National Plan to Reduce Violence Against Women and their Children 2009-2021. For all conditions of entry, read the COVID 19 (Coronavirus) Measures. We respectfully acknowledge the Tasmanian Aboriginal people as the traditional owners of the land upon which we work and pay our respect to Elders past and present. Long Term Missing Person, Reportable Death, DNA, Inquest, work related, employment, accident, Derwent Valley, cherry orchard, trailer, SD Reid Holdings Pty Ltd, Reid Fruits, WorkSafe Tasmania, motor vehicle accident, two vehicle crash, Bass Highway, Carrick, drugs and alcohol, methamphetamine, incorrect side of roadway, Coroner's comment, Coronial, drowning, boat, Maria Island, Rock Lobster, FV Yimbala, Life Jackets, Coronial, injuries, head injuries, aspiration, head and facial, acute alcohol intoxication, Coronial, coroner, Crash injuries, Chest and pelvis, Tractor crash. traumatic brain injury, homicide, Mitchell Clay Dowling, Jay David Blazely, one punch death, assault, death in care, order under the Guardianship and Administration Act 1995, Guardianship and Administration Board, intentional self harm, mental illness and health, Roy Fagan Centre, death in care, Mental Health Act 2013, mental health order, Millbrook Rise Centre, asphyxia, choking on food, supervision of meals, transport and traffic related, motor vehicle accident, two vehicle crash, Lebrina, death in care, Mental Health Act 2013, mixed prescription drug sedation, clozapine, olanzapine, Spencer Clinic, Burnie, North West Regional Hospital, Karingal Nursing Home, mental illness and health, coroner's recommendations. The Network has published its first report in 2018. Since the Coroners recommendation a Mental Health Short Stay Unit has been implemented to improve flow for mental health patients out of the ED.With the ED redevelopment, planning is underway to include a secure high acuity area for mental health patients as well as a calming, private area for lower acuity patients where they are able to wait for their assessment separate from non-mental health patients. He developed a scope of works and issued a Request for Quotation to civil contractors in December 2020 with the following overview of works required: The unsealed section of Glenfern Road has a higher than average incidence of casualty crashes including a fatality in recent years. Acute methadone toxicity, prescription drug overdose, Pharmaceutical Services Branch, breach of Poisons Act 1971, Coroner's comment, Inquest, person held in care, Roy Fagan Centre, comments, recommendations, pneumonia, Guardianship Order, Public Guardian, Guardianship and Administration Board, fall, Homicide and assault, weapon, drugs and alcohol, hypovolemic shock, multiple stab wounds, popliteal artery, manslaughter, Robert Michael Allen, coroner's comments, Drugs & alcohol, mental illness & health, methadone, methadone program, take-away doses, Tasmanian Opioid Pharmacotherapy Program, drug toxicity, Child & infant death, baby, co-sleeping, bed sharing, suffocation, avoidable, Transport & traffic related, motorbike, motorcycle, dirt bike, unroadworthy, crash, accident, speed, illicit drugs, erratic, unlicensed, unregistered, Single motorcycle crash, transport & traffic related, head injury, existing injuries, Harley Davidson, drugs, THC, cannabis. Please enter a keyword, name or year of the coronial finding you are looking for. Response fromDe Bruyn's Transport 23 July 2022, Recommendation 1: Rollover Awareness and Training. All proposed sight benching, vegetation reduction and guard rail was successfully achieved as per application submission except for the length of guard rail marked in location below. Coroner's inquest findings are available on the date of delivery of the finding or later by request in writing to the Office of the State Coroner. Aishwarya Aswath . This includes rapid reversal requirements and perioperative management. Transport & traffic related, mental Illness & health, motor vehicle, multiple severe crushing injuries, Davey Street, emergency services, Royal Hobart Hospital, crash investigation. We extend our sympathies to the family of Mr Whitely at this difficult time. This was attempted but unfortunately was not achievable due to presence of shallow rock. Gemma Lake has been appointed Chief Executive Officer of the Department of the Attorney-General and Justice. TITLE OF COURT: Coroners Court . The page has been produced by Courts Tasmania, Search the Supreme Court of Tasmania database, personal information protection statement. FILE NO(s): D34/2020 . (ABC Northern Tasmania: Rick Eaves) Keep track of your research in a research log. There are also a series of sections totalling approx. 2023 Department of Police, Fire & Emergency Management, Family Violence Counselling Support Service, Research applications and requests (TILES), Special Response and Counter-Terrorism Command, Department of Police, Fire and Emergency Management, Personal Information Protection statement, Coroners findings into the death of Nicholas Whiteley. Coroners Court Coronial Findings 2022-2023 Coronial Findings 2019-2021 Coronial Findings 2016-2018 Coronial Findings 2013-2015 Information for families Coronial Practice Handbook Tasmanian Suicide Register Contact the coroner's office Frequently Asked Questions A Health Practitioner's guide for writing a statement for the Coroner. An inquest into her death was told there was intense demand on staff, who missed repeated opportunities to identify the seriousness of her condition. The Department is committed to the safety of officers and members of the community and its important to ensure the Model remains contemporary in its application, said Ms Adams. It is acknowledged the Coroner has made no criticism of either Tasmania Police or Constable Blake in relation to the death of Mr Whiteley. The THS Adult Anticoagulation statewide guideline includes when and how to reverse anticoagulation. The relevant Medical Officer in Spencer Clinic will contact the King Island GP as soon as practicable to advise of the patients discharge date from Spencer Clinic. We recognise the Tasmanian Aboriginal people as the continuing custodians of the rich cultural heritage of lutruwita / Tasmania. Tasmania Police has welcomed Coroner Robert Pearce's findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. Leisure activity, transport & traffic related, weather related, aircraft crash, private airfield, windsock, coroner's comment & recommendation, Transport and traffic related, weather related, motor vehicle accident, truck, speed, wet weather, improved roadway, advisory signage, Glengarry, aged care, older persons, fall from cliff, possible drowning, Derwent Waters, retirement village, Claremont, undetermined circumstances, Falls, leisure activity, older persons, Mersey Community Hospital, infection, avoidable, Root Cause Analysis, misdiagnosed, Adverse medical effects, Coroner's comment, operation, George Town Hospital, Launceston General Hospital, St. Vincent's Public Hospital, surgery, laparoscopic cholecystectomy, Adverse medical effects, older persons, reversal of Hartmann's procedure, post-operative complications, electrocardiogram, long QT syndrome, St Luke's Hospital, Launceston General Hospital, recommendation, Aged care, falls, older persons, Coroner's comment, bed alarms, Adverse medical effects, falls, leisure activity, older persons, Launceston General Hospital, LGH, undetermined cause of death, mental health and illness, Ambulance Tasmania, Mental Health Services, transport and traffic related, single motor vehicle crash, multiple chest injuries, failure to wear seatbelt, intoxicated, drink driving, drugs and alcohol, coroner's comments, Drowning, leisure activity, fishing, water related, weather related, winter, alcohol related, child and infant death, sudden unexpected death in infancy (SUDI), co-sleeping with parents, potential overlay whilst sleeping, sleeping in adult bed, smoking, unsafe sleeping environment, bronchopneumonia, Child Safety Services, Child Protection Services, Child and Youth Services, Drugs & Alcohol, Transport & Traffic Related, Motor Vehicle Accident, Speeding, Collision, Distraction, Orford, Learner Licence, water related, multiple injuries, personal water craft (PWC), jet ski, Chinaman's Bay, Dunalley, alcohol and drugs, operating a PWC whilst intoxicated, collision with stationary object, Traffic and transport related, youth, single vehicle motorcycle crash, blunt injuries of head, neck and chest, loss of control, sweeping turn, Strathaven Drive Rosetta, transport and traffic related, motor vehicle crash, Longford, Illawarra Road, methylamphetamine, cannabis, driving under influence of illicit substances, Drugs and alcohol, mental illness and health, mixed drug toxicity, respiratory arrest, methadone, diazepam, coroner's finding, coroner's comment, Transport & traffic related, car crash, older persons, Aged care, nursing home, fall, older persons, dementia, person held in care, Royal Hobart Hospital, Roy Fagan Centre, Public Guardian, guardianship order, medical review, Coroner's comments, Missing person, LTMP, unknown cause of death, bones, Launceston, Transport & traffic related, motorcycle crash, blunt force trauma, crash investigation, speed, unroadworthy, Electrocution, work related, Residual Current Devices, portable defibrillator, Coroner's finding, Coroner's recommendation, Coroner's comment, Natural cause death, location, West Tamar Highway, Lanena, older persons, physical health, The Public Trustee, Fall, work related, pulmonary thromboembolus, left medial malleolar fracture, anti-coagulation, risk of DVT and PE, coroner's finding, coroner's comment, Ladder fall, traumatic closed head injuries, working at height, training, home building site, recommendations, Workplace Health and Safety Act 2012, Missing person, water related, recreational fishing, suspected death, disappearance, Transport & traffic related, single vehicle crash, learner's licence, unlicenced, unroadworthy, wet conditions, speed, child survived, crash investigation, Coroner's comments, undetermined cause of death, missing person, Glen Huon, Coroner's finding, coroner's recommendations, gunshot wound, law enforcement, mental illness & health, weapon, police provoked shooting, Tasmania Police, Transport & traffic related, alcohol, drink driving, excessive speed, speeding, mobile phone usage, texting, single vehicle crash, unroadworthy, asphyxia, Turners Marsh, failure to wear seat belt, coroner's comments, adverse medical effects, hospital death, Mersey Community Hospital, sepsis, failure to remove intravenous cannula, Coroner's finding, water related, transport & traffic related, blunt force trauma with brain injury, leisure activity, misadventure, PWC, unlicensed and inexperienced PWC operators, Lake Trevallyn Dam, Tasmanian Jet Sport Boating Club, Coroner's finding, long-term missing person, older person, undetermined cause of death, body not located, North-West Tasmania, transport and traffic related, single motor vehicle crash, excessive speed, driving over speed limit, Lilydale, Homicide, murder, assault, stabbing, Devonport, Transport & traffic related, motor vehicle accident, pneumonia, older person, undiagnosed cervical spine fracture, guidelines, Royal Hobart Hospital, transport and traffic related, mobility scooter crash, single vehicle crash, no helmet, loss of control, Falls, older persons, closed head injury, left frontal/temporal subdural haematoma, anticoagulation, reverse anticoagulation protocol, Coroner's finding, Coroner's recommendation, alcohol and drugs, mixed alcohol and drug toxicity, unintentional, Amlodipine, drug interaction, Burnie, Silver Whisper cruise ship, Intentional self-harm, Mental illness & health, older persons, Mental Health Act 2013 (Tas), Mental Health Treatment Order, person held in care, community services, transport and traffic related, motor vehicle accident, two vehicle crash, multiple traumatic injuries, drugs and alcohol, alcohol intoxication, blood alcohol over legal limit, cannabis, Lauderdale, water related, drowning, scuba diving, rebreather, rebreather apparatus, displacement of mouthpiece, Visscher Island, Drowning, water related, Ansons Bay, Coroner's comments, lifejackets (PFDs), lifejacket inflation process, boat maintenance, MAST, boating safety, Drowning, water related, Coroner's comments, lifejackets (PFDs), lifejacket inflation process, boat maintenance, MAST, boating safety, transport and traffic related, motor vehicle collusion, two vehicle crash, failure to take care when overtaking, prime mover, sedan, Bass Highway, Deloraine, multiple injuries, Adverse medical effects, physical health, pulmonary embolism, deep vein thrombosis, prophylactic anticoagulant, Achilles tendon rupture, coroner's finding, coroner's comment, motor vehicle crash, transport and traffic related, Mornington, South Arm Highway, excessive speed, negligent driving, Traffic Act 1925, intentional self harm, mental illness and health, death in a public place, Tasman Bridge, Royal Hobart Hospital, Mental Health Act 2013 (Tas), decision not to involuntarily detain, Transport and traffic related, physical health, heart disease, positional asphyxia, workplace, coroner's finding, coroner's comments, transport and traffic related, motor vehicle accident, motorcycle accident, loss of control, traumatic injuries of head and chest, Kalang Avenue, Transport and traffic related, multiple blunt traumatic injuries, two-vehicle collision, West Tamar Highway, coroner's finding, transport and traffic related, single motor vehicle accident, motorsport, rally car, Scottsdale Classic Rally, Confederation of Australian Motor Sport Ltd, breach of National Rally Code, Transport and traffic related, motorcycle and motor vehicle crash, head-on collision, incorrect lane, multiple traumatic injuries, alcohol, coroner's finding, Transport and traffic related, motor vehicle crash, Domain Highway, multiple blunt injuries, drowning, capsize of boat, Marion Bay, Narrows channel, MAST, marine safety, water related, transport related, manslaughter, assault, subarachnoid haemorrhage, comments on passing sentence, Criminal Code, Transport and traffic related, single motorcycle crash, loss of control, chest and abdominal injuries, drugs and alcohol, unroadworthy, coroner's finding, Transport and traffic related, motorcycle crash, multiple traumatic injuries, drugs and alcohol, lost control, speed, unregistered and unlicensed, rear brake lock, coroner's finding, Drowning, Frederick Henry Bay, transport & traffic related, water related, PFD, boat licence, second hand boat inspection, Coroner's finding, Coroner's recommendation, Coroner's comments, Adverse medical effects, escherichia coli urosepsis, sepsis, kidney stone surgery, launceston, transport and traffic related, single motorcycle crash, Smithton, school zone, excessive speed, un-roadworthy vehicle, drug and alcohol, methamphetamine, Transport and traffic related, motorcycle and vehicle crash, blunt traumatic injuries, overtaking, following too closely, poor riding, coroner's finding, Transport and traffic related, motorcycle and vehicle crash, chest injuries, incorrect side of road, cornering technique, crosswinds, high risk of death, coroner's finding, transport and traffic related, single vehicle crash, motorcycle crash, multiple injuries, loss of control of vehicle, alcohol and drugs, blood alcohol level over legal limit, cannabis (THC), excessive speed, Transport and traffic related, motorcycle and motor vehicle crash, speed and alcohol, diffuse head injury, unroadworthy, coroner's finding, coroner's comment, missing person, suspected intentional self harm, undetermined cause of death, body not located, Bakers Beach, northern Tasmania, coroner's comments, ruling on evidence, whether evidence within scope of inquest, adolescent mental health, Tasmania, Liam Mead inquest, Coroners Act 1995 (Tas), adverse medical effects, hospital related death, Calvary St Luke's Hospital Launceston, reportable death, failure to report death, no post mortem performed, undetermined cause of death, homicide, assault, asphyxia, Bridgewater, Darren Dobson, strangulation/choking, coroner's recommendations, recommendation of enactment of indictable offence of choking, suffocation or strangulation, Two vehicle collision, transport and traffic related, multiple injuries, coroner's finding, Aspiration of gastric contents following vomiting, aged care, mental illness and health, older person, coroner's finding, inquest, child and infant death, global hypoxic brain injury, cessation of breathing, family violence context, non-accidental injury, rib fractures, transport and traffic related, intentional self harm, head injuries, mental health and illness, driver, intentionally driving into path of oncoming vehicle, Latrobe, Transport & traffic related, motorcycle and car collision, alcohol & drugs, Brooker Highway, Hanging, intentional self-harm, mental illness and health, drugs and alcohol, Coroner's finding, hypothermia, Overland Track, Lake St Clair, Parks and Wildlife Service, coroner's recommendations, bushwalker, winter inadequately equipped, transport and traffic related, single motor vehicle crash, Bass Highway, failure to wear seatbelt, alcohol, drink driving, driving over the limit, blood alcohol level of 0.157, speeding, failure to drive at speed limit, coroner's comments, Coroner's finding, transport & traffic related, motorcycle crash, multiple injuries, Drowning, water related, coroner's finding, fishing vessel, dinghy capsize, Coroner's finding, coroner's recommendation, head and chest injuries, Metro, pedestrian struck by bus, transport & traffic related, Mixed drug toxicity, serotonin syndrome, sertraline, tramadol, SSRIs, drugs & alcohol, coroner's finding, hospital death, abdominal aortic aneurysm (AAA), Royal Hobart Hospital, chimney vascular repair procedure, advanced coronary artery and peripheral vascular disease complicating repair, Urosepsis, pyelonephritis, lissencephaly, Royal Hobart Hospital, UTI, incorrect diagnosis, coroner's finding, coroner's recommendation, hospital related death, adverse medical affects, Smithton District Hospital, ischaemic small bowel, bowel obstruction, Crohn's disease, Coroner's finding, coroner's recommendations, adverse medical effects, PPI, gastrointestinal bleed, death review, Pulmonary thromboemboli, deep vein thrombosis, hip replacement, physical health, Coroner's finding, hospital death, Royal Hobart Hospital, Hobart Private Hospital, colonic cancer, hemicolectomy, sepsis, delayed diagnosis, workplace death, work related, transport related, farming property, motorcycle crash, use of motorcycles on private property, single vehicle crash, unroadworthy and unsafe vehicle, no working brakes, neurocardiogenic syncope whilst driving, Industrial accident, blunt force, blunt trauma, pedestrian, hit by utility vehicle, chest and abdomen.
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