Coroners Court of Victoria
Parents’ fight to save their toddler from a broken health system
Noah loved cuddles, the swings and music, but his parents say a chaotic and under-resourced regional health system took the 19-month-old from them.
- by Erin Pearson
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It took minutes for Nick to die during a triple-zero delay, but the crisis was months in the making
The failures of Victoria’s emergency call-taking service during the pandemic have been exposed as it emerged other states acted to prepare.
- by Aisha Dow
Triple-zero service stopped displaying waiting calls to ‘distressed’ staff, inquest told
A coroner has been told that Victoria’s triple-zero service missed key opportunities to prepare for a pandemic demand surge, including rejecting an offer to borrow call-takers.
- by Aisha Dow
Inquest probes why no safety alert was sent to pilots before planes collided
An air traffic controller has told a coroner investigating the deaths of four pilots that he believed warning alerts he received before two planes collided were nuisance alerts that didn’t require a response.
- by Erin Pearson
Government was warned of extreme triple-zero call volumes and delays before father’s death
The inquest into the death of Nick Panagiotopoulos, 47, who died after a long wait for an ambulance call-taker, is examining whether enough was done to act on warnings before the tragedy.
- by Aisha Dow
Fearful prison staff moved at-risk bikie from support unit before his death, inquest told
Despite self-harming in front of staff, Finks boss Brent Reker was moved out of a mental health support unit and into a cell without a psychiatric assessment because medical staff feared him.
- by Erin Pearson
Coroner criticises ‘appalling’ treatment of human remains at Box Hill Hospital
The remains, belonging to an unknown number of deceased people, were discovered abandoned in a storage bin inside a leaking fridge in the hospital’s bone lab.
- by Madeleine Heffernan
Indigenous man Joshua Kerr died in custody, leaving his mother to plan his funeral on his birthday
A Victorian coroner will examine how the 32-year-old artist died in his Port Phillip Prison cell, bruised and with drugs in his system.
- by Erin Pearson
Puffer fish, toads, mushrooms: The scientists helping solve deadly poisoning plots
There’s an encyclopaedia of drug fingerprints housed inside the state’s forensic medicine centre teaming with poisonous matter that’s helping solve the mysteries of how some people are dying.
- by Erin Pearson
Death of Kilvington Grammar student after school trip was ‘preventable tragedy’
A coroner found the failures of the Melbourne school and World Challenge Expeditions contributed to the death of 16-year-old Lachlan Cook in 2019.
- by Jewel Topsfield
Elly Warren’s father wonders if his daughter will ever get justice
The coroner has said the 20-year-old’s death in Mozambique was caused by sand that had entered her lungs, and that another person was possibly involved.
- by David Estcourt