Coroners Court of Victoria
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Domestic violence
Noeline wasn’t warned her ex had been released from jail early. Soon after, she was murdered
The case has prompted the state coroner to call for an overhaul of the way Victoria deals with family violence perpetrators.
- by Erin Pearson
Latest
A mother took a phone call. Nine minutes later, her son was found face down in the pool
Children aged one and two are most at risk of drowning, according to the coroner, who has urged parents to be vigilant when supervising toddlers near water.
- by Erin Pearson
Grandmother dies after eating wild mushrooms from her front yard
The state coroner called for awareness campaigns after Bayswater woman Loreta Maria Del Rossi, 98, died after a dinner of mushrooms, rice and tuna with her son.
- by Erin Pearson
Boxer’s death may have been preventable: coroner
State Coroner John Cain has urged an overhaul of concussion treatment protocols after a young boxer’s death.
- by Melissa Cunningham
Coroner urges missing persons overhaul after probe into deaths of young trans women
The police search for Bridget Flack – whose body was found in park by members of the LGBTQ community – was plagued by deficiencies, including a failure to appreciate her risk of suicide and delayed efforts to triangulate her phone.
- by Melissa Cunningham
Exclusive
Justice
Mother’s disgust after WorkSafe refuses to lay charges over Veronica Nelson’s death
A coroner found that Nelson, 37, would still be alive if prison staff had responded to her cries for help. But WorkSafe closed the case without any charges.
- by Erin Pearson
Hospital ignored repeated pleas for help before eight-year-old’s death, court told
A mother’s enduring memory of the day her daughter died is of frantically pressing an emergency buzzer as her child struggled to breathe for hours.
- by Melissa Cunningham
Warnings about Footscray intersection ignored before cyclist killed: coroner
The Victorian government and its contractors ignored numerous warnings about West Gate Tunnel works before a 22-year-old cyclist was struck and killed.
- by Erin Pearson
Ask parents about concerns, coroner tells hospitals after finding toddler’s death preventable
A Victorian coroner says the 2021 death of Noah Souvatzis after a visit to an understaffed regional hospital should prompt medical staff to pay more attention to parents’ concerns.
- by Erin Pearson
Exclusive
Victoria Police conduct
Coroner to investigate after builder dies from injuries sustained during arrest
Luke Briggs, 35, died from catastrophic injuries sustained during a police arrest in Hoppers Crossing last week. Police have not revealed what happened during his arrest.
- by Cameron Houston
Tyrone was just 15 when he died of a heroin overdose while in state care
Tyrone Woxvold died of an overdose at his mother’s home. He developed a drug habit while in the state’s care and had wanted to get help, an inquest heard.
- by Erin Pearson and Simone Fox Koob
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