Coronial findings (decisions) 2015 - 2018
Specific findings can be located by entering information in the search box below. Please enter a keyword, name or year of the coronial finding you are looking for.
Please note that the below table contains less than 10% of coronial findings. Publication of findings on the internet is at the discretion of the coroner and in consultation with the wishes of family members.
If you are unable to locate the findings you are looking for, please contact the Coroners’ Office
Please consider that it may be upsetting to read details about a death in an inquest finding.
| Title & TASCD number | Coroner | Date | Keyword |
|---|---|---|---|
| Stewart, Eileen Adeline (PDF File, 284.7 KB) 2017 TASCD 553 |
Simon Cooper | 28-11-2018 | long term missing person, |
| Hayes, Teegan Rose Dana (PDF File, 443.6 KB) 2018 TASCD 208 |
Olivia McTaggart | 31-05-2018 | child & infant death, co-sleeping, bed sharing, SIDS, Sids and Kids, Red Nose, suffocation, Child Protection Services, alcohol, brain damage, safe sleeping practices, neglect, Tasmanian Government Response to Coroner's Recommendations, Vulnerable Infants and Babies Strategy, Child and Youth Services. |
| Forward, Trudi Maree (PDF File, 630.3 KB) 2018 TASCD 197 |
Rod Chandler | 30-05-2018 | Royal Hobart Hospital, RHH, thrombus, delay in diagnosis, misdiagnosis, medical failures, failure to diagnose, sepsis, multiple organ failure, infarct, necrosis, small bowel, superior mesenteric artery, |
| Fletcher, Thomas Charles and Priest, Leonard Roger (PDF File, 331.3 KB) 2018 TASCD 195 and 196 |
Olivia McTaggart | 24-05-2018 | Leisure Activity, older persons, sports related, water related, weather related, boating, drowning, Park Beach Tasmania, capsize, life jackets. |
| Jackson, Margaret Joan (PDF File, 381.9 KB) 2018 TASCD 101 |
Olivia McTaggart | 19-05-2018 | Transport & Traffic Related, motor vehicle crash, Interlaken Road, gravel road, drive without due care, inexperienced driver, speed limit. |
| Kerry Michael (PDF File, 374.1 KB) 2018 TASCD 168 |
Simon Cooper | 03-05-2018 | homicide, murder, weapon, location, homicide and assault, Mount Roland, struck by rock. |
| Williams, Brett (PDF File, 370.1 KB) 2018 TASCD 143 |
Simon Cooper | 20-04-2018 | murder, homicide, stabbing, Eggs and Bacon Bay, |
| Britton, Eamon (PDF File, 274.3 KB) 2018 TASCD 121 |
Simon Cooper | 28-03-2018 | Long term missing person, missing person, human leg, DNA profiling, Forensic Science Service Tasmania, exhumation, bones, leg in Tamar River, |
| Hamlyn, Michael William (PDF File, 369.1 KB) 2018 TASCD 104 |
Simon Cooper | 19-03-2018 | Intentional self harm |
| Vince, Brock (PDF File, 275.4 KB) 2018 TASCD 99 |
Christopher Webster | 15-03-2018 | intentional self harm, St Helens Private Hospital, seroquel, quetiapine, drowning, bath, drugs & alcohol, re-examined findings |
| Little, Neita Jean (PDF File, 642.8 KB) 2018 TASCD 97 |
Rod Chandler | 14-03-2018 | North West Regional Hospital, Older Persons, death after surgery, complications from surgery, Adverse Medical Effects, aspiration pneumonia, small bowel obstruction, gall bladder surgery, haematoma, blood clot. cardiovascular disease, morbid obesity, inadequate care. |
| Patmore, Jason (PDF File, 378.0 KB) 2018 TASCD 088 |
Olivia McTaggart | 28-02-2018 | haemorrhagic stroke complicating anticoagulation, intravenous antibiotic therapy, deep vein thrombus, hospital, traumatic brain injury, bicycle crash, |
| Evans, Jillian and John (PDF File, 342.2 KB) 2018 TASCD 81 and 82 |
Olivia McTaggart | 28-02-2018 | homicide, suicide, murder, murder suicide, violence, assault, domestic violence, delusions, bipolar, mental health, |
| King, David John (PDF File, 449.0 KB) 2018 TASCD 091 |
Simon Cooper | 26-02-2018 | Royal Hobart Hospital, RHH, aspiration pneumonia, acquired brain injury, unwitnessed fall, group home, alcohol, alcohol via Percutaneous Endoscopic Gastrostomy, Drugs & Alcohol, Falls, Physical Health. |
| Thompson, Ian Graham (PDF File, 608.4 KB) 2018 TASCD 73 |
Simon Cooper | 16-02-2018 | work related, workplace death, Tassal, fishing vessel, Efishent, Worksafe Tasmania, capstan, accident |
| Reaney, Leigh Anthony (PDF File, 432.9 KB) 2018 TASCD 071 |
Simon Brown | 13-02-2018 | blunt force, ground, fall, balcony, roof |
| Mrs F (PDF File, 379.1 KB) 2018 TASCD 62 |
Rod Chandler | 05-02-2018 | Hospital, Aged Care, Falls, Mental Illness and Health, Older Persons, Physical Health, fracture of neck of femur, nursing home, RHH, Royal Hobart Hospital, death in medical setting, falls risk. |
| Towns, Martin John (PDF File, 212.4 KB) 2018 TASCD 59 |
Duncan Fairley | 05-02-2018 | drugs and alcohol, fall, subdural haematoma |
| Ruling and Reasons on Objection to Admissibility of Evidence - Gleeson, Lucas and Welsh (PDF File, 371.6 KB) |
Simon Cooper | 01-02-2018 | Copper Mines Tasmania, Barminco, mine deaths, ruling on admissibility of evidence, Mount Lyell mine, Queenstown mine, work place deaths, work related, location, |
| Marriott, Molli Margaret Anne (PDF File, 374.2 KB) 2018 TASCD 42 |
Olivia McTaggart | 31-01-2018 | Motor vehicle accident, traffic and transport related, child unrestrained, drugs and alcohol, learner driver |
| Mr M (PDF File, 404.6 KB) 2018 TASCD 025 |
Rod Chandler | 29-01-2018 | Adverse Medical Effects, Royal Hobart Hospital, RHH, thrombotic stroke, thrombus, hypertensive cardiovascular disease, emphysema, Launceston General Hospital, LGH, mistreatment, misdiagnosis, North West Regional Hospital, standard of care, recommendations for hospitals. |
| Stewart, Justin Blade (PDF File, 370.9 KB) 2018 TASCD 029 |
Duncan Fairley | 29-01-2018 | mixed drug toxicity, drugs and alcohol, schizophrenia, mental illness and health, Oxazepam, Quetiapine, Temazepam, Alprazolam, accidental overdose, antipsychotic drugs, |
| Bryan, Timothy David (PDF File, 438.9 KB) 2018 TASCD 87 |
Simon Cooper | 29-01-2018 | motor vehicle accident, transport and traffic related, drugs and alcohol, failure to wear a seat belt, drink driving |
| Ball, Betty Irene. (web) pdf.pdf (PDF File, 494.0 KB) 2018 TASCD 56 |
Rod Chandler | 29-01-2018 | spinocerebellar ataxia, hospital, St Luke's Calvary, Aged Care, inadequate care, constipation, Presbyterian Care, Older persons, physical health, bowel obstruction. |
| Woolley, Paul James (PDF File, 497.0 KB) 2018 TASCD 40 |
Rod Chandler | 24-01-2018 | Royal Hobart Hospital, RHH, hospital death, deep vein thrombus, heparin-induced thrombocytopenia, HITS, sleep apnoea, complications of medical care, adverse medical affects, physical health, CPAP machine, failure in care. |
| Edmonds, Ashley Samantha (PDF File, 377.3 KB) 2018 TASCD 44 |
Duncan Fairley | 01-01-2018 | motor vehicle crash, transport and traffic related, Bradley Chaplin, school bus, inappropriate driving, driving offences. |
| Ross, Ronald Charles (PDF File, 273.6 KB) 2017 TASCD 535 |
Olivia McTaggart | 13-12-2017 | Undetermined cause of death |
| Lehmann, Matthias (PDF File, 444.1 KB) 2017 TASCD 538 |
Simon Cooper | 11-12-2017 | missing person, possible drowning, Spirit of Tasmania, possible suicide |
| Allen, Vincent (PDF File, 366.6 KB) 2017 TASCD 530 |
Olivia McTaggart | 11-12-2017 | transport and traffic related, motor vehicle accident, drug and alcohol, dangerous driving |
| Woods, Brian Oakley (PDF File, 276.7 KB) 2017 TASCD 521 |
Olivia McTaggart | 08-12-2017 | motorcycle crash, motorbike crash, transport and traffic related, speeding, Black Charlie's Opening, Tasman Highway, excessive spped, double white lines, blind corner. |
| Daley, Brian Owen (PDF File, 374.1 KB) 2017 TASCD 532 |
Simon Cooper | 07-12-2017 | carbon monoxide intoxication, inhalation of exhaust, petrol generator, boat, boating accident, Water Related, exhaust gas, carbon monoxide detector, |
| Simpson, Peter Lawrence (PDF File, 359.8 KB) 2017 TASCD 514 |
Olivia McTaggart | 07-12-2017 | drugs & alcohol, mixed prescription drug toxicity, methadone, diazepam, promethazine |
| Burling, Gregory (PDF File, 373.5 KB) 2017 TASCD 531 |
Simon Cooper | 07-12-2017 | carbon monoxide intoxication, inhalation of exhaust, petrol generator, boat, boating accident, Water Related, exhaust gas, carbon monoxide detector, |
| Plummer, Samuel Anthony (PDF File, 348.4 KB) 2017 TASCD 469 |
Duncan Fairley | 29-11-2017 | sudden unexpected death in a person with epilepsy (SUDEP) |
| Smith, Molly Jessie (PDF File, 761.7 KB) 2017 TASCD 444 |
Olivia McTaggart | 17-11-2017 | death in care, Roy Fagan Centre, mental illness and health, GP Assist, misdiagnosis, pneumonia, pyelonephritis. |
| Patmore, Jason - Decision as to Inquest.pdf (PDF File, 417.9 KB) |
Olivia McTaggart | 17-11-2017 | decision not to inquest, |
| Rushton, Ethan Charles & Kearnes, Christopher Peter (PDF File, 131.0 KB) 2017 TASCD 440 and 441 |
Duncan Fairley | 06-11-2017 | Transport & Traffic related, motorcycle accident, speeding, drug & alcohol related |
| French, Steven John (PDF File, 500.6 KB) 2017 TASCD 445 |
Rod Chandler | 01-11-2017 | Adverse Medical Effects, Hospital death, stroke, Royal Hobart Hospital, North West Regional Hospital, misdiagnosis, shortcomings in care, inadequate care, failure to diagnose. |
| Trent Walliker (PDF File, 282.3 KB) 2017 TASCD 420 Trent Walliker |
Olivia McTaggart | 23-10-2017 | blunt force trauma, lower chest area, single vehicle accident, motorcycle accident |
| Kingston, Neil Robert (PDF File, 142.9 KB) 2017 TASCD 439 |
Simon Cooper | 23-10-2017 | Tree felling, chainsaw, domestic accident, no helmet, Coroner's recommendations |
| Allie, Sue Denise (PDF File, 382.0 KB) 2017 TASCD 415 |
Olivia McTaggart | 12-10-2017 | Undetermined cause, Munchausen Syndrome, factitious disorder, superwarfarin (brodifacoum) toxicity |
| Willox, Brian William (PDF File, 162.0 KB) 2017 TASCD 408 |
Duncan Fairley | 25-09-2017 | fracture neck, fall standing height, |
| Freestone-Barks, Rosalind MacDonald Maxwell (PDF File, 449.7 KB) 2017 TASCD 387 |
Duncan Fairley | 25-09-2017 | Motor bike accident, coronial, multiple injuries |
| Hedrick, Gary John (PDF File, 264.3 KB) 2017 TASCD 388 |
Olivia McTaggart | 25-09-2017 | Water related, drowning, alcohol, intoxication |
| Jock, Chuak John (PDF File, 275.1 KB) 2017 TASCD 546 |
Olivia McTaggart | 25-09-2017 | Transport and Traffic Related, motor vehicle crash, motor vehicle accident, bald tyres, Channel Highway, driver error, loss of control, damp road, wet road, gravel verge. |
| Pel, Tracie Ann and Pel, Michael Geraddus (PDF File, 371.1 KB) 2017 TASCD 393 & 394 |
Rod Chandler | 18-09-2017 | motorcycle, passenger, neck injuries, chest injuries, abdominal injuries, round bale |
| Tabor, Pamela Lois and Belinda Ann (PDF File, 163.0 KB) 2017 TASCD 403 |
Duncan Fairley | 11-09-2017 | motor vehicle, car crash, head injuries, chest injuries, multiple fatality |
| Falvey, Theresa Mary (PDF File, 378.0 KB) 2017 TASCD 373 |
Duncan Fairley | 11-09-2017 | Neck Injury, Single motor vehicle collison |
| Holmes, David Scott (PDF File, 228.4 KB) 2017 TASCD 379 |
Olivia McTaggart | 08-09-2017 | Transport & Traffic Related, Work Related, motor vehicle crash, truck crash, truck rollover, prime mover truck, cardiac arrhythmia, heart attack, physical health. |
| Quad bike related deaths of Heather Dawn Richardson, Jan Severin Jensen, Kendall Russell Bonney, Vicki Mavis Percy, Jay Randall Forsyth, Jabob Graham Green and Roger Maxwell Larner (PDF File, 658.9 KB) 2017 TASCD 329 330 331 332 333 334 and 335 |
Simon Cooper | 25-08-2017 | quad bikes, ATV, Leisure Activity, Transport & Traffic Related, quad bike safety, quad bike crash, quad bike accident, quad bike rollover, crushing, brain injury, WorkSafe Tasmania, quad bike fatality, quad bike deaths. |
| AH (PDF File, 465.3 KB) 2017 TASCD 405 |
Rod Chandler | 22-08-2017 | Mental illness & health, intentional self harm, suicide, depression, Royal Hobart Hospital, Crisis Assessment and Treatment Team |
| Dransfield, Brian (PDF File, 241.2 KB) 2017 TASCD 323 |
18-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws | |
| Mitchell, Kenneth Hudson (PDF File, 243.4 KB) 2017 TASCD 326 |
Simon Cooper | 11-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Hyland, Tobias Joseph (PDF File, 241.0 KB) 2017 TASCD 325 |
Simon Cooper | 11-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Spanney, Kenneth David (PDF File, 242.0 KB) 2017 TASCD 327 |
Simon Cooper | 11-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Howard, Lawrence Alan (PDF File, 242.6 KB) 2017 TASCD 324 |
Simon Cooper | 11-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Young, Dylan Broderick Ernest (PDF File, 247.2 KB) 2017 TASCD 328 |
Simon Cooper | 11-08-2017 | Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Barker, Richard Carl (PDF File, 255.0 KB) 2017 TASCD 302 |
Andrew McKee | 28-07-2017 | Work Related, work place death, industrial accident, work place accident, crushing, crush by metal plate, BIS Industries, ATH Engineering and Maintenance, work site accident, work place safety, safety harness, safety rails. |
| Langford, Samuel Peter and Jones, Timothy Peter (PDF File, 306.3 KB) 2017 TASCD 316 and 317 |
Simon Cooper | 21-07-2017 | plane crash, Cape Raoul, Par Avion, Airline of Tasmania, Storm Bay, aircraft crash, Sydney to Hobart, photographing from plane, plane crash into sea, flying too low, fly at low height, low level flying, Civil Aviation Regulations, pilot error, Transport and Traffic Related. |
| Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford (PDF File, 922.8 KB) 2017 TASCD 253, 254 and 255 |
Simon Cooper | 30-06-2017 | Deaths in Custody, death in custody, hanging, prison, Risdon Prison, prison van, seatbelt, Tasmania Police, Prison Health Care, prison systems, suicide, jail, gaol, Law Enforcement, prison cell, prisoner escort van, mental health. |
| Tate, Magella Luisa Faye (PDF File, 160.6 KB) 2017 TASCD 250 |
Duncan Fairley | 26-06-2017 | Transport & Traffic Related, motor vehicle crash, motor vehicle accident, provisional licence, P1 licence, fail to negotiate bend, lost control of vehicle, gravel, over corrected, crash into tree, loss of traction in gravel, inexperienced driver, car crash. |
| Johnstone, BJay (PDF File, 938.6 KB) 2017 TASCD 248 |
Olivia McTaggart | 23-06-2017 | infant, ill-treat child, child death, infant death, child protection, Child & Infant Death, Homicide & Assault, family violence, assault child, |
| Crosswell, Wendy (PDF File, 162.7 KB) TASCD 247 |
Simon Cooper | 20-06-2017 | Adverse Medical Effects, Hospital, PEG tube, percutaneous endoscopic gastrostomy tube; RHH, Royal Hobart Hospital, pyelonephritis, nasogastric feeding tube, misdiagnosis, unacceptable standard of care, inadequate care, recommendations regarding PEG tubes, recommendation to hospitals. |
| Nancarrow, Maurice Cecil (PDF File, 242.3 KB) 2017 TASCD 241 |
Rod Chandler | 19-06-2017 | RHH, Hospital, Royal Hobart Hobart, misdiagnosis, complication of medical care, aspiration pneumonia, ileus, aspiration of gastric contents, failure to diagnose, renal failure, large bladder, bladder neck obstruction, |
| Baldock, Andrea Eileen (PDF File, 256.4 KB) 2017 TASCD 313 |
Rod Chandler | 16-06-2017 | sleeve gastrectomy, weight reduction surgery, gastroparesis, aspiration pneumonia, adverse medical effects, Launceston General Hospital, coroner's recommendations |
| Bugg, Margaret Evalina (PDF File, 334.6 KB) 2017 TASCD 225 |
Rod Chandler | 12-06-2017 | North West Regional Hospital, Yaraandoo Nursing Home, fall, stand up lifter, coroners recommendations |
| Paino, Sarah (PDF File, 169.8 KB) 2017 TASCD 321 |
Simon Cooper | 12-06-2017 | Sarah Paino, Transport & Traffic Related, motor vehicle crash, Davey Street motor vehicle crash, fatal crash, stolen car, youth driver, unborn baby saved, car crash, manslaughter, |
| Flockhart, Alexander Michael & Pauly, Damian Kenneth (PDF File, 320.1 KB) 2017 TASCD 204 & 205 |
Olivia McTaggart | 31-05-2017 | Coronial, violent, homicide, gunshot wounds, stab wound, firearms, |
| Harrison, John Joseph & Viney, Danny Leonard.pdf (PDF File, 111.9 KB) 2017 TASCD 208; 2017 TASCD 209 |
Duncan Fairley | 27-05-2017 | Water related, drowning, recreational boating, Waterhouse Point, PFD, not wearing a life-jacket, Marine & Safety Tasmania, boat insufficiently equipped |
| Smith, James Maurice (PDF File, 320.5 KB) 2017 TASCD 202 |
Rod Chandler | 19-05-2017 | Hospital, haemopericardium, pericardial tamponade, aortic dissection, incorrect diagnosis, misdiagnosis, poor medical practice, inadequate diagnosis, inadequate hospital care, ischaemia, surgical delay, cardiac arrest, |
| Woulleman-Jarvis, Anne Maree 2017 TASCD 188.pdf (PDF File, 349.4 KB) 2017 TASCD 188 |
Rod Chandler | 17-05-2017 | hospital, head injury, CT scan, fall, standing height, subacute subdural haematoma, closed head injury, |
| Fellows, Peter Leslie (PDF File, 235.2 KB) 2017 TASCD 185 |
Rod Chandler | 15-05-2017 | congestive cardiac failure, coronary artery disease, cardiac failure, dilated poorly contracting heart, acute myocardial infarct, atherosclerotic coronary vascular disease, cardiogenic shock, LGH, Launceston General Hospital, beta blockers, adverse medical effects, |
| McCall, Pamela (PDF File, 318.8 KB) 2017 TASCD 173 |
Simon Cooper | 08-05-2017 | prescription medication, overdose, prescribing, panadeine forte, mixed drug and alcohol toxicity, paracentamol, propranolol, mental health issue. |
| Handasyde, Robert Neil (PDF File, 232.2 KB) 2017 TASCD 187 |
Rod Chandler | 08-05-2017 | medical care, older person, North West Regional Hospital, sepsis, septic shock, urinary tract infection, pyelonephritis |
| Harris, Stephen Russell (PDF File, 271.6 KB) 2017 TASCD 172 |
Duncan Fairley | 04-05-2017 | Death in care, cardiac arrhythmia, North West Regional Hospital, Spencer Clinic, Mental Health order, Paliperidone |
| Higgins, Elizabeth Ann (PDF File, 728.7 KB) 2017 TASCD 160 |
Glenn Hay | 04-05-2017 | Drowning, water related, Little Howrah Beach |
| Wright, Mark Norman (PDF File, 272.7 KB) 2017 TASCD 145 |
Olivia McTaggart | 28-04-2017 | Transport & Traffic related, motor vehicle crash, Drugs & Alcohol |
| Jin, Kang (PDF File, 242.3 KB) 2017 TASCD 150 |
Olivia McTaggart | 28-04-2017 | Hypothermia, exposure, Overland Track, Cradle Mountain, Parks and Wildlife Service, tourist, unprepared bushwalker, search and rescue, coronial recommendations |
| Plowright, Ben Wara 2017 TASCD 159 (PDF File, 171.4 KB) 2017 TASCD 159 |
Duncan Fairley | 24-04-2017 | Drowning, water, river, threat to breathing, |
| Fisher, Melissa (PDF File, 160.2 KB) 2017 TASCD 129 |
Simon Cooper | 20-04-2017 | fall, bush walking, Southwest National Park, fall from height, fall from Federation Peak, |
| Roberts-Burton, Blaze Christian (PDF File, 180.5 KB) 2017 TASCD 130 |
Olivia McTaggart | 20-04-2017 | alcohol, drugs, intoxication, run over by truck, body on highway, diazepam, temazepam, alprazolam, methylamphetamine, |
| Sheedy, Barbara (PDF File, 166.9 KB) 2017 TASCD 182 |
Duncan Fairley | 19-04-2017 | Launceston General Hospital, fall, subdural haemorrhage, uncal herniation |
| Graham, Dylan Rhys (PDF File, 211.3 KB) 2017 TASCD 123 |
Olivia McTaggart | 10-04-2017 | Elizabeth Street Pier, Salamanca, undetermined cause of death |
| Hoskinson, Neville Robert (PDF File, 325.8 KB) 2017 TASCD 107 |
Rod Chandler | 31-03-2017 | cardiac tamponade, proximal aortic dissection, hypertension, Launceston General Hospital, angiogram, radiology, transthoracic echocardiogram, delayed diagnosis, adverse medical effects |
| Whittle, Marion Olive 2017 TASCD 114 (PDF File, 167.0 KB) 2017 TASCD 114 |
Olivia McTaggart | 27-03-2017 | motor vehicle crash, cardiogenic shock, tricuspid regurgitation, Royal Hobart Hospital, corolla Sedan, traumatic papillary muscle laceration, blunt force, transport, vehicle occupant |
| Mr JC 105 TASAD 2017.pdf (PDF File, 172.4 KB) 2017 TASCD 105 |
Olivia McTaggart | 27-03-2017 | Thermal burns, single motorbike accident, |
| Bird, Heather Mary (PDF File, 243.3 KB) 2017 TASCD 126 |
Rod Chandler | 20-03-2017 | Physical health, Royal Hobart Hospital, intensive care unit, ICU, Medical Emergency Team, inadequate care, retroperitoneal haemorrhage, anticoagulation, cerebrovascular infarct, intra-arterial cannulation, pneumonia, sub-acute stroke, haemorrhagic shock |
| HE (PDF File, 118.2 KB) 2017 TASCD 181 |
Simon Cooper | 16-03-2017 | echovirus type 9, myocarditis and pneumonitis, infant death, natural causes, St Mary's Community Hospital |
| Noble, Murray (PDF File, 168.7 KB) 2017 TASCD 89 |
Olivia McTaggart | 13-03-2017 | house fire, combustion, asphyxia, smoke inhalation, inhalation of products of combustion, |
| Greer, Rita (PDF File, 422.0 KB) 2017 TASCD 059 |
Olivia McTaggart | 23-02-2017 | self-inflicted stabbing, suicide, mental health, schizophrenia, section 58, re-open, re-investigation, Barbara Etter, |
| Free, Maxwell John (PDF File, 233.3 KB) 2017 TASCD 066 |
Rod Chandler | 22-02-2017 | paracetamol, paracetamol overdose, drug overdose, paracetamol toxicity, organ failure, Royal Hobart Hospital. |
| Scheffer, Yolande (PDF File, 87.7 KB) 2017 TASCD 62 |
Duncan Fairley | 20-02-2017 | Water related, drowning, Somerset beach, swimming, surf life saving, NWRH |
| Slabkowski,_Mary.pdf (PDF File, 82.7 KB) 2017 TASCD 64 |
Duncan Fairley | 20-02-2017 | Older person, fall, subarachnoid haemorrhage, closed head injury, in-home care, LGH, Anglicare Tasmania |
| DF (PDF File, 166.7 KB) 2017 TASCD 069 |
Simon Cooper | 09-02-2017 | newborn death, infant death, premature baby, extreme prematurity, acute chorioamnionitis, 23 weeks gestation. |
| Mordha, Debra Christine (PDF File, 162.8 KB) 2017 TASCD 017 |
Duncan Fairley | 23-01-2017 | drug toxicity, overdose, prescription medication, tramadol, amitriptyline, venlafaxine, diazepam. |
| Hosking, Jason Mathew Henry (PDF File, 364.2 KB) 2017 TASCD 380 |
Simon Cooper | 22-01-2017 | Royal Hobart Hospital, RHH, misdiagnosis, decision to discharge, discharge from hospital, Staphylococcus Aureus, sepsis, endocarditis, |
| Cooper, David Wade Archer (PDF File, 166.1 KB) 2016 TASCD 432 |
Olivia McTaggart | 19-12-2016 | Transport & Traffic Related, Motor Vehicle Crash, motorcycle, East Derwent Highway, Geilston Bay, Grass Tree Hill, Pipers Road, Youth, learner, provisional, death by negligent driving, fail to give way, inadequate lookout |
| Cobham, David Alexander (PDF File, 316.1 KB) 2016 TASCD 429 |
Rod Chandler | 19-12-2016 | Royal Hobart Hospital, RHH, rhabdomyolysis, aspiration pneumonia, Vaucluse Gardens, Bupa Care, entrapment, towel rail, nursing home, care facility, elderly, injury in care, death in care, care plan. |
| Harrison, Jason Keith (PDF File, 313.9 KB) 2016 TASCD 430 |
Rod Chandler | 16-12-2016 | NWRH, WCDH, small bowel infarct, sepsis, mesenteric hernia, regional hospital |
| Johnson, Damian (PDF File, 187.6 KB) 2016 TASCD 417 |
Olivia McTaggart | 06-12-2016 | Mercury Passage, Triabunna, Water Related, Leisure Related, Animal, great white shark, diver, scallops, Tasmania Police, Tas Maritime Radio |
| Lunson, Nathan (PDF File, 356.8 KB) 2016 TASCD 407 |
Olivia McTaggart | 05-12-2016 | Drugs and alcohol, prescription drug toxicity, mental illness and health |
| Deaths from a Public Place (PDF File, 509.2 KB) 2016 TASCD 385 386 387 388 389 390 |
Olivia McTaggart | 28-11-2016 | Tasman Bridge, Intentional Self-Harm, Mental Illness & Health, Tasmanian Suicide Prevention Strategy, drowning, jump, fall, surveillance, telephones, signage, barrier . |
| Mr S.pdf (PDF File, 162.7 KB) 2016 TASCD 377 |
Simon Cooper | 21-11-2016 | suicide, hanging, asphyxia, mental health, depression, mental health ward, Royal Hobart Hospital |
| Hingston, Nicolle Clare (PDF File, 230.2 KB) 2016 TASCD 374 |
Rod Chandler | 17-11-2016 | cardiorespiratory arrest, pulmonary hypertension, cor pulmonale, congenital heart disease, ventricular septal defect, North West Regional Hospital, blood transfusion, premature discharge from hospital |
| Mr D (PDF File, 209.7 KB) 2016 TASCD 372 |
Olivia McTaggart | 11-11-2016 | Drugs & Alcohol, methylamphetamine |
| Richardson, Kenneth Charles (PDF File, 228.8 KB) 2016 TASCD 369 |
Rod Chandler | 10-11-2016 | Physical Health, Older Persons, Adverse Medical Effects, Drug Overdose, Royal Hobart Hospital, digoxin toxicity, Digibind, heart disease, renal disease, congestive cardiac failure, mitral regurgitation, atrial fibrillation, blood testing, monitoring |
| Hickman, Peter (PDF File, 257.6 KB) 2016 TASCD 371 |
Olivia McTaggart | 10-11-2016 | Transport & Traffic Related, Motor Vehicle Crash, Drugs & Alcohol, methylamphetamine, West Tamar Highway, Rosevears, single vehicle, oxycontin, amphetamine, alprazolam, methadone, Traffic Act, section 41A, bail |
| Hanlon, Louise Kamarnia May (PDF File, 175.0 KB) 2016 TASCD 347 |
Olivia McTaggart | 02-11-2016 | motor vehicle crash, car crash, motor accident, South Arm Road, provisional licence, P1. |
| McConnon, Desmond Keith (PDF File, 159.6 KB) 2016 TASCD 406 |
Simon Cooper | 31-10-2016 | Domestic Incident, Older Persons, fall, tree, trimming branches, safety equipment, harness, gardener |
| Powell, Arthur John (PDF File, 164.3 KB) 2016 TASCD 370 |
Simon Coooper | 31-10-2016 | Adverse Medical Effects, Physical Health, Older Persons, Aged Care, Hobart Private Hospital, Royal Hobart Hospital, sepsis, parotid gland, perforated diverticulum, wound infection, discharge, inadequate care |
| Bishop, Sarah Victoria (PDF File, 164.4 KB) 2016 TASCD 346 |
Simon Cooper | 17-10-2016 | Transport & Traffic Related, Motor Vehicle Crash, Channel Highway, Cygnet, dextromethorphan, robitussin, warnings, over the counter |
| Weily, Richard Maurice (PDF File, 322.5 KB) 2016 TASCD 323 |
Rod Chandler | 07-10-2016 | Older Persons, Physical Health, Aged Care, Death in Care, Mental Illness & Health, Huon Eldercare, Roy Fagan Centre, Fall, pneumonia, hip fracture, heart disease, dementia, Parkinson's disease, inadequate care, falls assessment, haloperidol, quetiapine, amiodarone |
| Hewitt, Robert Ian (PDF File, 166.2 KB) 2016 TASCD 345 |
Olivia McTaggart | 07-10-2016 | Transport & Traffic Related, Older Persons, Motor Vehicle Crash, Channel Highway, Oyster Cove, driver error |
| Bone, Christine Sylvia (PDF File, 270.7 KB) 2016 TASCD 294 |
Duncan Fairley | 12-09-2016 | motor vehicle collision, coronial, abdominal injuries, chest injuries |
| White, Paul Marcus (PDF File, 230.0 KB) 2016 TASCD 312 |
Olivia McTaggart | 12-09-2016 | Drugs & Alcohol, Leisure Activity, football, methylamphetamine intoxication, heart disease, intravenous drug use |
| Broomhall, Tyler John (PDF File, 240.7 KB) 2016 TASCD 313 |
Olivia McTaggart | 12-09-2016 | Drugs & Alcohol, Leisure Activity, Physical Health, football, sport, methylamphetamine, intra-cerebral haemorrhage, delay in diagnosis, North West Regional Hospital |
| Westcott, Barbara (PDF File, 611.4 KB) 2016 TASCD 286 |
Olivia McTaggart | 01-09-2016 | Aged Care, Older Persons, inadequate care, Vaucluse Gardens, entrapment, first aid training, bed pole, KA524, records, Department of Health and Ageing, checks |
| Pasinski, Alexander (PDF File, 273.0 KB) 2016 TASCD 285 |
Rod Chandler | 16-08-2016 | Mental Illness & Health, Death in Care, Launceston General Hospital, asphyxia, choking, Amitriptyline, Paliperidone, Chlorpromazine, Magill forceps, soft diet, schizophrenia |
| Teressa Beswick (PDF File, 340.1 KB) 2016 TASCD 261 |
Rod Chandler | 08-08-2016 | Adverse Medical Effects, Mersey Community Hospital, terminal cervical cancer, pneumonia, pain management, morphine overdose |
| Reardon, Jean May (PDF File, 299.1 KB) 2016 TASCD 253 |
Olivia McTaggart | 01-08-2016 | Older persons, Physical Health, Royal Hobart Hospital, sepsis, pressure ulcer, bedridden |
| Margaret Nicol Foran (PDF File, 214.0 KB) 2016 TASCD 248 |
Olivia McTaggart | 01-08-2016 | Older Persons, Homicide & Assault, Mental Illness & Health, strangulation, smothering, asphyxia, schizophrenia, psychotic, mother |
| Kupsch, Jessica Ann (PDF File, 256.3 KB) 2016 TASCD 217 |
Simon Cooper | 25-07-2016 | Homicide & Assault, domestic violence, Penny Royal Hotel, family violence order, Launceston Police, drug treatment order, plea bargain |
| ADT (PDF File, 226.7 KB) 2016 TASCD 299 |
Duncan Fairley | 22-07-2016 | Child & Infant Death, Homicide & Assault, shaken baby, feeding, ill-treatment of a child |
| Henriksen, Wendy Margaret (PDF File, 503.3 KB) 2016 TASCD 219 |
Rod Chandler | 18-07-2016 | Coronial, hospital, sepsis, chemotherapy, Emergency Department, |
| Bedford, Sidney (PDF File, 226.3 KB) 2016 TASCD 209 |
Rod Chandler | 14-07-2016 | Falls, Older Persons, Launceston General Hospital, Physical Health, subdural haemorrhage, CT scan, misdiagnosis |
| Blackaby, Kobie (PDF File, 210.2 KB) 2016 TASCD 210 |
Olivia McTaggart | 12-07-2016 | Child & Infant Death, Water Related, Drowning, inflatable pool, fence, supervision |
| Slater, Timothy Guy (PDF File, 261.5 KB) 2015 TASCD 349 |
Simon Cooper | 09-07-2016 | Undetermined, missing person, Fern Tree, Mental Illness & Health, Drugs & Alcohol, bushwalker |
| Ball, Jeremy Dacre (PDF File, 189.5 KB) 2016 TASCD 196 |
Simon Cooper | 30-06-2016 | motor vehicle crash, suicide, semi-trailer, mental health, deliberate crash, prime mover, drive into prime mover, suicide by motor vehicle crash. |
| James, Damien Aron Web (PDF File, 167.8 KB) 2016 TASCD 212 |
Olivia McTaggart | 30-06-2016 | Motor Vehicle Crash, Transport & Traffic Related, single vehicle, driver, Powranna, Midland Highway, fatigue, fell asleep, driver licence testing |
| McDougall, Kirsten Web (PDF File, 168.4 KB) 2016 TASCD 211 |
Olivia McTaggart | 29-06-2016 | Transport & Traffic Related, Motor Vehicle Crash, passenger, single vehicle, traumatic brain injury, aspiration pneumonia, Midland Highway, fatigue, fell asleep |
| Mr P (PDF File, 91.3 KB) 2016 TASCD 254 |
Simon Cooper | 27-06-2016 | Adverse Medical Effects, Physical Health, Royal Hobart Hospital, small bowel obstruction, adhesions, misdiagnosis, inadequate care |
| Grey, Andrew Amos (PDF File, 192.2 KB) 2016 TASCD 224 |
Simon Cooper | 27-06-2016 | Drowning, Leisure Related, Water Related, Weather Related, Burns Bay, St Helens, lobster, Stormy Seas PFD, service |
| Brook, Jason Mark (PDF File, 184.9 KB) 2016 TASCD 194 |
Olivia McTaggart | 27-06-2016 | Physical Health, Transport & Traffic Related, Motor Vehicle Crash, Mersey Community Hospital, North West Regional Hospital, motorcycle, surgery, deep vein thrombosis, pulmonary embolism, anticoagulation, immobilisation, inadequate care |
| Moylan, Mark David (PDF File, 222.0 KB) 2016 TASCD 195 |
Simon Cooper | 24-06-2016 | Water Related, Leisure Activity, Marine Fatality, Drowning, Drugs & Alcohol, Mental Illness & Health, prescription, Tamar River, Gravelly Beach marina, dinghy, diazepam, missing person, PFD |
| Gordon, Mark Alexander (PDF File, 235.7 KB) 2016 TASCD 282 |
Rod Chandler | 20-06-2016 | Physical Health, Royal Hobart Hospital, misdiagnosis, inadequate care, cardiac arrest, heart disease, pericardial tamponade, aortic dissection, hypertension, diabetes, obesity, hepatic steatosis, thyroiditis, CT scan |
| Jackson, Christopher George (PDF File, 203.4 KB) 2016 TASCD 183 |
Simon Cooper | 31-05-2016 | Youth, Water Related, Drugs & Alcohol, Drowning, boating, long term missing person, Derwent River, Kangaroo Bay |
| Barnes, Deearne Joan (PDF File, 354.2 KB) 2016 TASCD 179 |
Stephen Carey | 25-05-2016 | Physical Health, Mental Illness & Health, Drugs and Alcohol, Overdose, mixed drug toxicity, prescription medication, venlafaxine, methadone, amitriptyline, quetiapine, diazepam, chronic opioid therapy |
| Mr F (PDF File, 154.0 KB) 2016 TASCD 149 |
Simon Cooper | 13-05-2016 | scooter accident, skate park, laceration of heart, |
| Butterworth, Lucille (PDF File, 503.2 KB) 2016 TASCD 096 |
Simon Cooper | 02-05-2016 | Homicide & Assault, long term missing person, bus stop, Claremont, Box Hill Road, Geoffrey Hunt |
| McDermott, Janice Faye (PDF File, 165.3 KB) 2016 TASCD 124 |
Olivia McTaggart | 26-04-2016 | Transport & Traffic Related, train, level crossing, pedestrian, Box Hill Road, Claremont |
| Stacey, Leanne Maree (PDF File, 162.5 KB) 2016 TASCD 044 |
Stephen Carey | 25-04-2016 | Drugs & Alcohol, Physical Health, Misadventure, heart disease, mixed drug toxicity, morphine, benzodiazepine, dothiepin, intravenous drug use |
| Hoskinson, Christopher & Hoskinson, Elaine (PDF File, 186.1 KB) 2016 TASCD 142, 143 |
Stephen Carey | 25-04-2016 | Transport & Traffic Related, Motor Vehicle Crash, Midlands Highway, Ross, mobile phone, log truck |
| Newett, Margaret Wynne (PDF File, 313.5 KB) 2016 TASCD 150 |
Rod Chandler | 21-04-2016 | Ischaemic heart disease, calcific aortic valve sclerosis, hospital death, unsatisfactory treatment. |
| Harper, Marlene Jean (PDF File, 230.3 KB) 2016 TASCD 100 |
Rod Chandler | 20-04-2016 | Older Persons, Physical Health, deep vein thrombosis, chronic lymphocytic leukaemia, atherosclerotic vascular disease, duplex ultrasound, anticoagulant, misdiagnosis |
| Dawson, Aidan Andrew (PDF File, 395.5 KB) 2016 TASCD 091 |
Olivia McTaggart | 06-04-2016 | Homicide & Assault, Drugs & Alcohol, domestic violence, stabbing, self-defence, Police Family Violence Order, Safe at Home |
| Thorpe, Gloria Theresa (PDF File, 205.9 KB) 2016 TASCD 099 |
Olivia McTaggart | 25-03-2016 | Motor Vehicle Accident, Bass Highway, Rocky Cape, Multiple blunt traumatic injuries |
| Beuckelaers, Elfride Elisabeth (PDF File, 174.9 KB) 2016 TASCD 090 |
Olivia McTaggart | 25-03-2016 | Motor Vehicle Crash, Older Persons, driver, fail to give way, Bass Highway, Christmas Hills Road, Elizabeth Town |
| Zimmerman, Manfred (PDF File, 172.9 KB) 2016 TASCD 091 |
Olivia McTaggart | 25-03-2016 | Transport & Traffic Related, Motor Vehicle Crash, driver, sole occupant, Royal Hobart Hospital, palliative, terminal lung cancer, emphysema |
| Nettlefold, Carmel (PDF File, 164.3 KB) 2016 TASCD 084 |
Simon Cooper | 24-03-2016 | Older Person, Homicide & Assault, head injury, stranger, manslaughter, New Town Road |
| Bradshaw, Luke (PDF File, 274.2 KB) 2016 TASCD 083 |
Olivia McTaggart | 21-03-2016 | Water Related, Drugs & Alcohol, Drowning, Marine Fatality, Derwent River, Prince of Wales Bay, jetty |
| Kulla, Daniel and Macleod, Malcolm (PDF File, 237.6 KB) 2016 TASCD 077, 078 |
Simon Cooper | 18-03-2016 | Mental Illness & Health, Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Death in Care, abscond, citalopram, olanzapine, cannabis, unregistered, unroadworthy, unlicensed, speed, helmet |
| Williams, Leigh John (PDF File, 160.9 KB) 2016 TASCD 065 |
Olivia McTaggart | 03-03-2016 | Transport & Traffic Related, Motor Vehicle Crash, single vehicle, driver, sole occupant, alcohol, speed, mobile phone |
| Macdonald, Shauna Maree (PDF File, 161.6 KB) 2017 TASCD 063 |
Duncan Fairley | 20-02-2016 | drug toxicity, pentobarbital, drug use, drug overdose. |
| Ordonez, Genaro Lotero (PDF File, 178.1 KB) 2016 TASCD 041 |
Stephen Carey | 29-01-2016 | Water Related, Leisure Activity, Drowning, Swimcart Beach, Binalong Bay, tourist, swim, rip, head injury, signs |
| Mr D (PDF File, 372.3 KB) 2016 TASCD 009 |
Stephen Carey | 29-01-2016 | Mental Illness & Health, stress, fall, anti-depressant, noncompliant, self-reporting, Launceston General Hospital, Crisis Team |
| Goss Brittany Kate (PDF File, 187.0 KB) 2016 TASCD 011 |
Stephen Carey | 29-01-2016 | Youth, Transport & Traffic Related, Motor Vehicle Crash, Weather Related, bus stop, pedestrian, rural, Collins Lane, West Tamar Highway, Sidmouth |
| Smart, Joshua David (PDF File, 197.7 KB) 2016 TASCD 038 |
01-01-2016 | exsaunguination/ hypovolaemic arrest, bleed from severed artery | |
| Atkinson, James Robert (PDF File, 272.4 KB) 2016 TASCD 090 |
Stephen Carey | 28-01-2016 | Older Person, Falls, head injury, walking frame |
| Delaney, Maxwell (PDF File, 208.9 KB) 2016 TASCD 071 |
Stephen Carey | 28-01-2016 | Aged Care, Eliza Purton Care Home, North West Regional Hospital, Falls, outdoor area, plastic chair, monitoring, fracture, pneumonia |
| Marshall, Donald Joseph (PDF File, 180.8 KB) 2016 TASCD 047 |
Simon Cooper | 21-01-2016 | Water Related, Older Persons, Intentional Self-Harm, Geographic, Badger Island, Bass Strait, EPIRB, coordination, search |
| Mansell John Ernest (PDF File, 400.4 KB) 2016 TASCD 001 |
Simon Cooper | 20-01-2016 | Leisure Activity, Motor Vehicle Crash, Targa, Porters Bridge Road, Deloraine, competitive sport, driver, racing, rally, CAMS, inexperience, Tarmac Rally Standing Regulations, breathalyse, HANS device, pace note, chicane, beginners briefing |
| Mr K (PDF File, 173.1 KB) 2016 TASCD 006 |
Simon Cooper | 04-01-2016 | Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Youth, learner, inexperience, pillion passenger |
| Summerfeldt; Ian Patrick.pdf (PDF File, 243.7 KB) 2017 TASCD 002 |
Rod Chandler | 03-01-2016 | hospital, renal failure, perforated gastric ulcer, sepsis, stomach pain, |
| Youth Suicide (PDF File, 819.6 KB) 2015 TASCD 298,299,300,301,302,303 |
01-01-2016 | ||
| Field, Jayden Craig (PDF File, 555.6 KB) 2015 TASCD 373 |
Olivia McTaggart | 23-12-2015 | Misadventure, Drugs & Alcohol, Youth, taxi, fare evasion, head injury, CCTV, taxi camera, police investigation |
| McManus, Pamela (PDF File, 208.1 KB) 2015 TASCD 427 |
Rod Chandler | 27-11-2015 | Older Persons, Physical Health, Royal Hobart Hospital, John Street Medical Centre, Adverse Medical Effects, colon cancer, bowel, large volume aspiration, right hemicolectomy, misdiagnosis, anaemia, inadequate care |
| Tetley, Andrew Jason (PDF File, 166.2 KB) 2015 TASCD 371 |
Simon Cooper | 24-11-2015 | Water Related, Drowning, Marine Fatality, missing person, disappearance, fisherman, fishing, Falmouth, PFD, lifejacket, dinghy, fall, boarding, dark |
| Henri, Paul Lucien (PDF File, 237.7 KB) 2015 TASCD 367 |
Rod Chandler | 12-11-2015 | Older Persons, Aged Care, Physical Health, Royal Hobart Hospital, Huon Eldercare Nursing Home, pain, anxiety, drug management, morphine, MS Contin, starting dose, opiate naïve, cross tolerance, monitoring, observation, heart disease, aspiration pneumonia, Parkinson’s disease, sleep apnoea, cerebral infarction, hypoxic brain damage, Tramadol, quetiapine, CPAP, sedation, blood samples |
| Holmes, Michael John (PDF File, 211.8 KB) 2015 TASCD 333 |
Simon Cooper | 11-11-2015 | Undetermined, Drugs & Alcohol, Mental Illness & Health, missing person, suicide attempts, unemployment, isolation |
| CK (PDF File, 176.9 KB) 2015 TASCD 420 |
Simon Cooper | 02-11-2015 | Child & Infant Death, Transport & Traffic Related, Motor Vehicle Crash, bystander, four-wheel drive, Trial Harbour |
| Mr S (PDF File, 261.4 KB) 2015 TASCD 242 |
Simon Cooper | 30-10-2015 | Intentional Self-Harm, Suicide, Transport & Traffic Related, Motor Vehicle Crash, driver, single occupant, tree, Powranna |
| Mr B (PDF File, 171.1 KB) 2015 TASCD 327 |
Simon Cooper | 26-10-2015 | Work Related, crush, mechanic, trolley jack, jack stands |
| Hay, Katrina Maree (PDF File, 182.4 KB) 2015 TASCD 319 |
Stephen Carey | 09-10-2015 | Misadventure, Drugs & Alcohol, intravenous drug use, crushed tablet, heart failure, pregnant, fetal death, pulmonary hypertension, cardiac arrest, microcrystalline cellulose, granulomas, granulomatous inflammatory reaction |
| Mundy, Kaylene Louise (PDF File, 182.9 KB) 2015 TASCD 306 |
Stephen Carey | 08-10-2015 | Drugs & Alcohol, Misadventure, Alprazolam, Xanax, crushed tablets, intravenous drug use, heart failure, Tasmanian Alcohol & Drug Service |
| Kokholm, Dan (PDF File, 183.1 KB) 2015 TASCD 324 |
Simon Cooper | 02-10-2015 | Leisure Activity, Geographic, Mount Ossa, Cradle Mountain, Lake St Clair, national park, bushwalking, mountaineering, climbing, missing person, disappearance, soldier, army, Vietnam, logbook, hut |
| G Ms (PDF File, 165.4 KB) 2015 TASCD 423 |
Stephen Carey | 02-10-2015 | Intentional Self-Harm, Drugs & Alcohol, Mental Illness & Health, Suicide, bereavement, financial pressure, unemployment, outpatient support, addiction |
| Mattathyahu, Judah (PDF File, 415.7 KB) 2015 TASCD 286 |
Simon Cooper | 02-10-2015 | Homicide & Assault, missing person, affair, |
| J (PDF File, 173.6 KB) 2015 TASCD 259 |
Simon Cooper | 01-10-2015 | Child & Infant Death, drowning, solar dome pool cover, fencing |
| Muller Shar Marie (PDF File, 168.0 KB) 2015 TASCD 304 |
Olivia McTaggart | 01-10-2015 | Intentional Self-Harm, Suicide, missing person, Tasman Bridge, Mental Illness & Health |
| Adamson, Darryl (PDF File, 166.9 KB) 2015 TASCD 289 |
Stephen Carey | 01-10-2015 | Transport & Traffic Related, tractor, slasher, seizures, heart disease, orchard, cut-off switch, traumatic amputation |
| Mr R (PDF File, 356.3 KB) 2015 TASCD 422 |
Stephen Carey | 30-09-2015 | Drugs & Alcohol, doxepin, mianserin, fluoxetine, combined drug intoxication, self-medication, depression, hypertensive heart disease |
| Mrs W (PDF File, 163.2 KB) 2015 TASCD 318/15 |
Simon Cooper | 25-09-2015 | Weather Related, Domestic Incident, falling tree, wind |
| Pearn Natalia (PDF File, 254.9 KB) 2015 TASCD 264 |
Olivia McTaggart | 11-09-2015 | Motor Vehicle Crash, Transport & Traffic Related, negligent driving, safety barrier, Midland Highway, Tim Ellis |
| Weir, Mary (PDF File, 165.3 KB) 2015 TASCD 368 |
Simon Cooper | 07-09-2015 | Adverse Medical Effects, Falls, Older Persons, Calvary Hospital, head injury, bathroom, walking frame, subdural haematoma, high risk falls prevention plan, chronic heart failure, cellulitis, swollen legs, unwitnessed fall, seizures, CT scan, aspirin, clopidogrel, Clexane, anticoagulant, presumed stroke, error, unsound medical practice, misdiagnosis |
| Leemhuis, Leah Maree (PDF File, 177.5 KB) 2015 TASCD 243 |
Stephen Carey | 01-08-2015 | Motor Vehicle Crash, Transport & Traffic Related, Drugs & Alcohol, prescription medication, Diazepam, Sertralin, cannabis, fatigue, fell asleep, Bass Highway, Carrick, Astra sedan, seatbelt defect, airbag defect |
| Rivelli, Andrea (PDF File, 214.1 KB) 2015 TASCD 372 |
Stephen Carey | 29-07-2015 | Intentional Self-Harm, Mental Illness & Health, Suicide, tourist, traveller, meditation |
| Wilton, Meagan & Eyles, Benjamin (PDF File, 187.4 KB) 2015 TASCD 436, 437 |
Stephen Carey | 29-07-2015 | Homicide & Assault, Intentional Self-Harm, domestic violence, breakup, access to child, firearm seizure, unsafe storage of weapons, police intervention |
| Mr J (PDF File, 181.0 KB) 2015 TASCD 323 |
Stephen Carey | 29-07-2015 | Intentional Self-Harm, Older Persons, Physical Health, Mental Illness & Health, Suicide, independence, disability pension, heart disease, refusal of treatment, self-diagnosis, bowel cancer, nursing home, firearms licence, unregistered firearm |
| Hovington, Byron Russell (PDF File, 167.9 KB) 2015 TASCD 322 |
Stephen Carey | 29-07-2015 | Drugs & Alcohol, Misadventure, Drug Overdose, Royal Hobart Hospital, methylamphetamine toxicity, hypoxic encephalopathy, cardiac arrest, intravenous drug use, jaw pain |
| Drew, Malcolm (PDF File, 165.3 KB) 2015 TASCD 369 |
Stephen Carey | 29-07-2015 | Transport & Traffic Related, Motor Vehicle Crash, Driver, single vehicle, tree, tourist, Lyell Highway, head injuries, fatigue, fell asleep, tired, wet |
| Dortkamp, John Andrew (PDF File, 220.7 KB) 2015 TASCD 237 |
Simon Cooper | 17-07-2015 | Death in Care, Millbrook Rise Centre, schizophrenia, emphysema, hypertrophy of the heart, treatment order, Physical Health, Mental Illness & Health |
| Pedersen, Jonas Havskov (PDF File, 235.0 KB) 2015 TASCD 239 |
Olivia McTaggart | 03-07-2015 | Misadventure, Drugs & Alcohol, poppy tea, morphine intoxication, poppy fields, opium poppies |
| Smith, Kimberley Dale (PDF File, 172.6 KB) 2015 TASCD 217 |
Simon Cooper | 01-07-2015 | Water Related, Drowning, Marine Fatality, dinghy, missing person, hypothermia, Chasm Creek, Heybridge, Blythe River |
| Mr C (PDF File, 163.8 KB) 2015 TASCD 187 |
Simon Cooper | 01-07-2015 | Domestic Incident, crushed, trolley jack, vehicle, ramp, chocking |
| Stephenson, Jason Scott (PDF File, 292.0 KB) 2015 TASCD 225 |
Stephen Carey | 30-06-2015 | Leisure Activity, Water Related, Physical Health, Drowning, Marine Fatality, scuba diving, diving equipment, age, fitness, obesity, breathlessness, Eddystone Point, cardiac |
| Mr B (PDF File, 235.2 KB) 2015 TASCD 186 |
Stephen Carey | 19-06-2015 | Water Related, Drowning, Marine Fatality, Older Persons, Derwent River, fishing, defective PFD, cardiac event, cold water immersion |
| Sansom, Ann Margaret (PDF File, 224.0 KB) 2015 TASCD 224 |
Rod Chandler | 16-06-2015 | Adverse Medical Effects, Physical Health, Royal Hobart Hospital, subarachnoid haemorrhage, perforation, aneurysm, endovascular coiling, complication, diabetes, cirrhosis |
| Clarke, Joshua (PDF File, 179.0 KB) 2015 TASCD 106 |
Olivia McTaggart | 16-06-2015 | Motor Vehicle Crash, Transport & Traffic Related, Drugs & Alcohol, York Plains Road, Lemont, seat belt, unroadworthy |
| Mr A (PDF File, 33.3 KB) 2015 TASCD 173 |
Simon Cooper | 05-06-2015 | Misadventure, Drugs & Alcohol, Ritalin, methylphenidate, microcrystalline cellulose, intravenous injection, crushing pills, psychostimulant, foreign body granulomas of the lung, heart failure |
| Pearce, Jasmine Rose (PDF File, 264.6 KB) 2015 TASCD 75 |
Olivia McTaggart | 27-05-2015 | Child & Infant Death, Drugs & Alcohol, safe sleeping, bed sharing, suffocation, CPS, family violence, cumulative harm, Gateway Services, police |
| O'Day, Dennis James 2015 TASCD 109 |
Simon Cooper | 30-04-2015 | Suicide, Intentional Self-Harm, Youth, Tasman Bridge, missing person, relationship breakdown |
| Jones, Thomas Elvet 2015 TASCD 058 |
Simon Cooper | 30-04-2015 | Transport & Traffic Related, Water Related, Fall, Location, Motor Vehicle Crash, Tasman Bridge collapse |
| McCallum, William 2015 TASCD 085 |
01-01-2016 | death, drowning, dover, hypothermia, kayak, immersion | |
| Rogers, Maureen Ann (PDF File, 241.7 KB) 2015 TASCD 190 |
Rod Chandler | 22-04-2015 | Older Persons, Physical Health, Launceston General Hospital, misdiagnosis, gastritis, aortic dissection, cardiac tamponade, CT scan |
| Aherne, Benjamin Mark & Clements, John William (PDF File, 108.4 KB) 2015 TASCD 032, 033 |
Michael Brett | 22-04-2015 | Homicide & Assault, Intentional Self-Harm, Suicide, firearm, family violence, sexual dysfunction |
| Leary, Leslie John (PDF File, 183.1 KB) 2015 TASCD 083 |
Stephen Carey | 15-04-2015 | Drowning, Water Related, Weather Related, rock lobster, dinghy, PFD, certificate of competency |
| Ms D (PDF File, 179.0 KB) 2015 TASCD 211 |
Stephen Carey | 06-04-2015 | Drugs & Alcohol, mixed drug toxicity, amitriptyline, chlorpheniramine, diazepam, codeine, biventricular hypertrophy, antihistamines, opiates |
| Mr T 2015 TASCD 090 |
Simon Cooper | 06-04-2015 | Domestic Incident, Domestic Accident, mechanic, car, motor vehicle, trolley jack, support stands, jack stands, car stands |
| McCauley, Terence Bernard (PDF File, 173.0 KB) 2015 TASCD 321 |
Olivia McTaggart | 03-04-2015 | Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, negligent driving causing death, overtaking, following distance, lookout, head-on collision, Arthur Highway, Copping |
| Lane, Andrew Brian 2015 TASCD 034 |
Stephen Carey | 25-03-2015 | Water Related, Weather Related, Leisure Activity, Geographic, Drowning, safety, fishing, dinghy, boat size, forecast, EPRIB, PFD, cold water immersion, Tooms Lake, Oatlands |
| Mr D 2015 TASCD 069 |
01-01-2016 | suicide, exhaust fumes, Tasmania death | |
| Balmer, Rosemary Joy (PDF File, 166.2 KB) 2015 TASCD 181 |
Stephen Carey | 20-03-2015 | Drugs & Alcohol, Misadventure, mixed prescription drug toxicity, oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol, chronic pain |
| Sterling, William John (PDF File, 227.3 KB) 2015 TASCD 182 |
Stephen Carey | 20-03-2015 | Physical Health, Natural Cause Death, lung disease, intravenous drug use, hypertension, cardiovascular disease, hepatitis |
| Davis, Ross James (PDF File, 209.7 KB) 2015 TASCD 178 |
Stephen Carey | 20-03-2015 | Drugs & Alcohol, Misadventure, intravenous drug use, injecting opiates, crushed pills, opiate analgesia, chronic pain, pulmonary disease, respiratory disease, morphine |
| Thompson, Geoffrey Ross Sydney (PDF File, 168.5 KB) 2015 TASCD 180 |
Stephen Carey | 18-03-2015 | Drugs & Alcohol, prescription, promethazine, citalopram, ethanol, mixed drug toxicity |
| Bronson, Connan Taiaroa (PDF File, 170.2 KB) 2015 TASCD 179 |
Stephen Carey | 18-03-2015 | Intentional Self-harm, Mental Illness & Health, Drugs & Alcohol, Suicide, cliff, itinerate |
| Norris Freda Kate (PDF File, 167.0 KB) 2015 TASCD 223 |
Stephen Carey | 18-03-2015 | Undetermined, Missing Person, |
| Clarke, Donald John (MS Word Document, 235.0 KB) 2015 TASCD 003 |
Rod Chandler | 10-03-2015 | Physical Health, Adverse Medical Effects, Calvary St Luke's Hospital, Launceston General Hospital, cervical spine surgery, aspiration pneumonia, radiology, obesity, oxycodone, midazolam, tracheomalacia, endone |
| Mr J (PDF File, 221.3 KB) 2015 TASCD 077 |
Olivia McTaggart | 06-03-2015 | Adverse Medical Effects, prostatectomy, deep vein thrombosis, multiple pulmonary thromboemboli, prostate carcinoma, prostate cancer, TED stockings, sequential compression device, Calvary Hospital, blood clots, VTE, DVT, clexane, anticoagulation |
| Swift, John McGregor 2015 TASCD 035 |
Olivia McTaggart | 02-03-2015 | Transport & Traffic Related, Older Persons, Physical Health, Motor Vehicle Crash, driver, sole occupant, heart disease, cardiac event |
| Lucas, Troy Dale (PDF File, 193.2 KB) 2015 TASCD 120 |
Olivia McTaggart | 20-02-2015 | Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Brooke Street, East Devonport, negligent driving causing death, sun, inattention, head-on collision |
| Payton, Robert John (PDF File, 179.5 KB) 2015 TASCD 76 |
Olivia McTaggart | 09-02-2015 | Transport & Traffic Related, Motor Vehicle Crash, Bass Highway, Wiltshire, motor scooter, head-on, negligent driving, overtaking, proper lookout |
| Mr G 2015 TASCD 031 |
Simon Cooper | 06-02-2015 | Mental Illness & Health, Death in Care, Royal Hobart Hospital, treatment order, schizophrenia, chest pain, cardiovascular disease, cardiac arrest |
| Rock, Scott 2015 TASCD 002 |
Simon Cooper | 03-02-2015 | Homicide & Assault, Drugs & Alcohol, head injuries |
| Mr S (PDF File, 169.6 KB) 2015 TASCD 216 |
Stephen Carey | 27-01-2015 | Mental Illness & Health, Work Related, Drug Overdose, tramadol, opiate pain relief, chronic pain, Mt Lyall Mine, colleagues, anti-depressant, workplace deaths |
| Carr, Dennis Robert 2015 TASCD 001 |
Simon Cooper | 23-01-2015 | Law Enforcement, Physical Health, Natural Cause Death, Death in Custody, Risdon Prison, Royal Hobart Hospital, Palliative Care Plan, cirrhosis of the liver, hepato-renal syndrome |