Inquest Findings
- Inquest Findings 2024
- Abela, Joseph Charles
- Allen, Phillip John
- Baby BE (Name Subject to Suppression Order)
- Bird, Michael John
- Bolton, Peter Jonathon Rex
- Boros, Richard Anthony
- Brennan, James John
- Buchanan, Iain Campbell
- Bullock, Warren John
- Child LT (Name Subject to Suppression Order)
- Child SK (Name Subject to Suppression Order)
- Deane-Johns, Amy Rebecca
- Davis, Suzzanne Denise
- Eades, Alf Deon
- Eatts, Alexander Robert
- Excell, Robert Allan
- Frank, Tristan
- Fyfe, Cameron Anthony
- Ginbey, Devan Beau
- Holmes, Karl Frederick Dominic
- Head, Ian
- Keath, Kevin John
- Kennedy, Tony Wayne
- Kobelt, Neil Lindsay
- Leach, Matthew Francis
- MACKAY, Herbert William
- Marquis, Petra Michelle
- McDonald, Trevor Henry Albert
- McLOUGHLIN, Paul
- Parnell, Robert Fredrick
- Petera, Marek
- Petrova-Cizek, Petya Evgenieva
- Pickin, Matthew John
- Ratcliff, Alan David
- Reilly, Laureen Kaye
- Rodier, Frank Edward
- Schoenhofer, Werner
- Sherwood, Stephen Kenneth
- Thompson, Jason Anthony
- Turner, Karl Johnathan
- Veltman, Phillip Benjamin
- Wilson, Peter James
- Woods, Damien Lyndon
- Woods, Lindsay
- Inquest Findings 2023
- Mitchell, Iveta
- Africh, Edward Ivan
- Albert, Frank
- Ashby, Samuel Edward
- Blanket, Jomen
- Bartlett-Torr, Errol Warren
- Brady, Paul James
- Campbell, Lincoln Arthur
- Chavittupara, Aishwarya Aswath
- Child C (Name Subject to Suppression Order)
- Child F (Name Subject to Suppression Order)
- Child MD (Name Subject to Suppression Order)
- Child ML (Names Subject to Suppression Order)
- Child R (Name Subject to Suppression Order)
- Cripps, Nicholas Arthur
- Cutler, Julie
- Dobson, Justin Mark
- Fildes, Ashley
- Flockton, Douglas Ronald and Wheildon, Ronald Leslie
- Graham, Cally
- Howlett, Kevin George
- Hunter, Ashleigh Rebecca
- Inman, Stanley John
- Jennings, Terry Frank
- Keeley, Corazon Contreras
- Lockyer, Veronica and Partridge, Adell
- Major, Frank Kenneth
- Milcherdy, Lee
- Milgin, Richard
- Narrier, Shane Reynold
- Nixon, Roly
- Papanastasiou, Kathryn
- Reindl, Ashlee Jade
- Roberts, Shane Nathan
- Stinson, Bradley James Raymond
- Sulley, Philip
- Taulelei, Jacob George Isaac
- Twine, Darren Ross
- Ward, Hugh
- Waterfall, John Henry
- Weber, Peta Simone
- Winter, Colin Albert
- Worthington, Matthew James
- Inquest Findings 2022
- 4 Deaths at Mount Augustus
- Allen, Henry
- Al Jhelie, Sarwan Hekmat Salman
- Al Saidi, Faycal
- Anderson, William Frederick
- Buckland, Ronald Joseph
- Chavez, Winston Abalona
- Chen, Pei Yao
- Child B (Name Subject to Suppression Order)
- Drleski, Boris
- Edwards, Morgan John
- Grubb, Michael Richard
- Hardie, Michael James
- Ho, Dinh Loi
- Hou, Hok Cheun
- Jack, Desmond Edward
- Keating, Paul Stephen
- Lane, Ashley Adrian
- Larder, Wayne Thomas
- Livesey, Carole
- Matthews, Warren Keith
- McCloy, Victoria Leigh
- Mitchell, Callum
- Mitchell, Crispin
- McCracken, Kevin Ernest
- Ms B (Name Subject to Suppression Order)
- Ms L (Name Subject to Suppression Order)
- Narrier, Roderick Malcolm NARRIER
- Nguyen, Van Tho
- Otranto, Salvatore Giovanni
- Palkovics, Roland
- Painter, Justine
- Pavlidis, Nicholas
- Rice, David Arthur
- Roman, Robert William
- Rooney, Jeffery William
- Ryan, Louisa Betty
- Shortte, Leslie
- Strettles, Jeffrey Lee
- Tomioka, Yaritosai
- Tran, Quoc Xuan
- Wells, Terrence Alexander Penman
- Weston, Lewis Henry Mark
- Williams, Jordan James
- Willis, Shaun Andrew
- Wynne, Cherdeena Shaye
- Yan, Naing Aung
- Yang, Fuh Jinn
- Yeeda, Seth Gregory Victor
- Young, Peter Johnnie
- Inquest Findings 2021
- Baby AM
- Baby E (Name Subject to Suppression Order)
- Baby H (Name Suppressed)
- Baby JDU
- Bond, Andre Walter
- Brockliss, Russell David
- Candeloro, Davide
- Carr, Desmond Francis
- Child AM (Name Subject to Suppression Order)
- Child J (Name Subject to Suppression Order)
- Child JP (Name Subject to Suppression Order)
- Child LDW
- Child T (Name Suppressed)
- Churchill, Cyril
- Craig, Robert Charles
- Croft, Janice Ann
- Drage, Christopher Mervyn and Simpson, Trisjack Preston
- Dugan, Stuart William
- Duturbure, Brett Ashley
- Edgill, Marshall Ruben
- FJ (Names Subject to Suppression Order)
- Gerrard-Latham, Dean Jesse
- Hector, James David
- Johnson, Peter
- Kehlet, Jennie Anne and Raymond Keith
- Kneale, Jamie Douglas
- Lawson, Jason Marcus
- Martin, Scott William
- McGowan, Glenyce Rae
- Mills, Alex Carl
- Miss T (Name Subject to Suppression Order)
- Mpanza, Conrad Thon
- Pincher, Willie
- Poulson, Sebastian
- Riley, Chad
- Roe, Joseph Thomas
- Sathitpittayayudh, Ohm
- Scott, Jeremy Michael
- Solly, Stephen Craig
- Szabo, Lajos
- Thorsager, Jordan Alexander
- Tilbury, James Alexander
- Tong, Ly Minh
- Walsh, Samuel Mark
- Wani, Elia
- Wensley, Amy Lee
- Youssef, Hassan Mohamed
- Inquest Findings 2020
- Anderson, Jordan Robert
- Armstrong, Amy-Lee
- Attwell, Brian Vincent
- Barrett, Wilfred Arthur
- Bates, Charles Donald
- Bechara, Hassan
- Bembridge, Tahlia Rose
- Candy, Benedict Chifley David
- Carpenter, Malcolm Andrew
- Child JM (Name Subject to Suppression Order)
- Child RM (Name Subject to Suppression Order)
- Child SJC (Name Subject to Suppression Order)
- Colley, Gordon
- Congdon, Levi Shane Clement
- Bibrou, Whiskey
- Da SILVA, Jose
- Demeza, Bradley Ronald Andrew
- Dinah, Macker Joseph
- Dyball, Michael Warren
- Finn, Shirley June
- Fogarty, Christen Lee
- Gibbard, Edward John
- Graham, Jamie Alan
- Green, Dennis Michael
- Hatakeyama, Toshiyuki
- Haythornthwaite, Kate Campbell
- Hazelgrove, Norman Alexander
- Headland, Zaraiyah-Lily and Andreas Hohaia
- Hiyomori, Tatao
- Hodgkinson, Tania Marie
- Jackamora, Fred
- Jackson, Jessica Lesley
- Jacovic, Dragan
- Jensen, Jorn Jesper
- Jessen, Barry Ray
- Johnson, Gary Lance
- Johnstone, Anthony
- JM
- Kell, Stephen Michael
- Kelly, Valerie
- Key, Andrew John
- Kickett, Desmond Richard
- Kostovski, Jordana
- Leese, Wayne Frederick
- Marbin, Simon
- McCarthy, Gloria Anne
- Mozes, Arthur Edwin
- Nagai, Hajime
- Nance, Paddy
- Nielsen, Thorvald Anthony
- Ngurrakata, Wombat
- O'Neill, Charles
- Palmer, Jackie (aka Farmer, Butler)
- Paraone, Malakai Matiu Ward
- Peace, Winifred Mary
- Peta, Michael
- Polo, Joshua David
- PT (Name Subject to Suppression Order)
- Purnell, Damien
- Rae, Thomas Dominic
- Reilly, Nualla Christine
- Robertson, Trent Nathaniel
- Rodrigues, Andrew Inez
- Ruyzing, Renee Desiree
- Ryall, Richard Lakeman
- Sharpe, Simon John
- Stacey, Hayden Paul
- Tari, Sylvina
- Thompson, Brendan John
- Tittums, Carlton Scott
- Umbul, Yilmbut
- Wallaby, Ngoolbu
- Wandaragah, Tojo
- Watts, Derek Spencer
- Wellington, Bryon Harold
- Windie, Susan Jessica Elsie
- Wumbie, Eric
- York, Paul Clifford
- Zhang, Qianfang
- Inquest Findings 2019
- 5 Deaths in Casuarina Prison including Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM
- 13 Children and Young Persons in the Kimberley Region
- Adwent, Daniel Josef
- Ashley, Pamela Edith
- Bale, Matthew James
- Bateman, Clarence Benningfield
- Board, Anita Jade
- Bolton, Judy Sonia
- Bonny, Arthur James
- Capper, Bret Lindsay
- Carter, John (Jack) Edward
- Chandler, Timothy James
- Chegeni Nejad, Fazel
- Chi, James Ronald
- Child AC
- Child KT (Name Subject to Suppression Order)
- Child L (Name Subject to Suppression Order)
- Child SH
- Child TJW
- Clarke, James
- Collard, Frederick John
- Conley, Troy Michael
- Cruz, Aurelio Monteriegre
- Cullen, David
- Davis, William John
- Debnam, Christopher John
- Duffy, Brian Anthony
- Dunkel, Gerda Theresia
- Esperance Fires
- Fleury, Mark Quenton
- Forbes, Glenys Joy and Kevin Hugh
- Gaunt, Nathan James
- Giblett, Ronald Alan
- Graham, Colin George
- Hansen, Lorraine Jane
- Hare, Ellie Marlene
- Heaven, Garth Cyril
- Higgs, Joseph Wellard
- Hilder, Daniel Paul
- Jackamarra, Khamsani Victor
- Jaffari, Ali
- James, Gordon
- Kugis, Maris
- Lindsay, Brendan John
- Macartney, Robin David
- Maher, John Patrick
- Mallett, Jason James Sutherland
- Marsh, Aaron Stephen
- McAlpine, Rhett Samuel
- Moen, Sigurd
- Morgan-Smith, Sean
- Newby, Francis Joseph
- Nicol, Annabel
- Nunn, Derrick Charles Walter
- O'Driscoll, Malcolm Patrick
- O'Neill, Seanpol Martin Padraig
- Oosterbaan, Hendrick
- Oxley, Stephen Thomas
- Patterson, Joseph Leon
- Pham, Uock and O'Neill, Justin and Pham, Jacob and Pham, Tuan
- Pietrala, David John
- Rice, David Anthony
- Riley, Dylan James
- Rogers, Clinton Edward
- Scrivener, Ryan Philip
- Settree, Peter John Edward
- SM (Subject to Suppression Order)
- Strange, Paul
- Strickland, Glenn William
- Thomas, Torran Jake
- Tonkin, Matthew Neil Hardy
- Tregonning, Melanie Reanna
- Watson, Andrew Michael
- Woods, Lorna May
- Inquest Findings 2018
- Baby A (Subject to Suppression Order)
- Bale, Norman Leslie
- Bartlett, William Scott
- Bilick, Anthony John
- Blanchard, Scott Andrew
- Borradaile, John Robert
- Cain, Brook Damian
- Carter, Mason Laurence and Turner, Murray Allan and Fairley, Chad Alan
- Carter, Roderick Leslie
- Colloff, Steven John
- Del Borrello, Giuseppe
- Dickson, Paul
- Doyle, Jeffery Thomas
- Dudek, Wlodzimierz
- Fairley, Chad Alan and Carter, Mason Laurence and Turner, Murray Allan
- Felton,Gary, chantelle Jane McDougall, Leela McDougall and Antonio Konstantin Popic
- Field, John Lindsay
- Flanders, Shane Christopher
- Franker, Kim Martin
- Grieve, David
- Hampton, Jarrod Arthur
- Heesters, Augustinus Clemens Antonius
- HLS (Subject to Suppression Order)
- Johansen, Theodore Herbert Eric
- Kanawati, Radwan
- Kearing, Isiah Duane
- King, Stanley
- KPLW (Subject to Suppression Order)
- LCTM (Subject to Suppression Order)
- Li, Chunjun and Zhang, Jiaolong
- Lyddieth, Gary John
- McDougall, Chantell Jane and McDougall, Leela and Antonio Konstantin Popic and Gary Felton
- Mitchell, Lachlan James
- Murray, Luke Anthony
- Najafi, Mohammad Nasim
- Pollard, Dean Anthony
- Quartermaine, Aileen Helen
- Rees, Pamella Leslie
- Revell, Patricia (Tricia) Alicia
- Rodda, Robert Paul
- Rzepczynski, Anne
- Sach, Mark Leslie
- Schwenke, Vincent Tavita Tolai
- Smith, Jackie-Lee
- Sokiri, Moses
- Soltani, Ali Mohammad
- Tudawali, Charles (aka Charlie Martin)
- Turner, Murray Allan and Carter, Mason Laurence and Fairley, Chad Alan
- Woods, Joseph Frederick
- Zhang, Jiaolong and Li, Chunjun
- Inquest Findings 2017
- Albert, Petronella
- Baby CJ (Supject to Supression Order)
- Bache, Matthias Ashley
- Barrett, Sean Duncan
- Bee, Edith Catherine
- Bearfoot, Wendy
- Beasley (also known as Graeme Leslie Syme)
- Bennell, Jayden Stafford
- Bicknell, Nicole Emily
- Chandra, Subhas
- CNR (Subject to Suppression Order)
- Cook, Rowan Wallace
- D'Ercole, Sharon Ann
- Diallo, Mamadou Hady
- Fryer, Gavin Wayne
- Hinds, Andrew Trevor
- Houghton, John
- Hourareau, Jemmy Vincent
- Jarick, Marjorie Joy
- JDC (Subject to Suppression Order)
- Johnston, Colin John
- Kaur, Satwant
- Kitchen, Nigel Paradine
- Kite, Reef Jason Bruce
- KLD (Subject to Suppression Order)
- Kuster, Anthony William
- Lobban, June Valerie
- Mandijarra, Maureen
- McBride, Shaun
- Mehinovic, Ejub
- Mihajlovic, Radinka
- Miller, Keven Herbert Leban (aka Herb Miller)
- Mills, Damien Mark
- Mosby, Masaly
- Murray, Troy William
- Narrier, Kyra Marjorie Carmen
- Olsen, Jared Charles
- Ovens, Leslie Troy
- Police Pursuits (2017)
- Pu, Maung
- Rundell, Jordan Damon
- Serjeant, Robert Stephan Hamiora
- Silver, Annette
- Singh, Kuldeep
- ST (Subject to Suppression Order)
- Stroner, Christine Pearl
- Stuart, Barry Matt
- Turville, Christine (aka Nicholls)
- Ullrich, Tamika Patricia Carol
- Van der Walt, Mary Josephine
- Velmurugu, Arulselvam
- Wilson, Rohan
- Winter, Anna Maria
- Yung, James Michael Chee Ming
- Inquest Findings 2016
- Abraham, Samir Joseph
- Allen, Elizabeth Francisca
- Alma Street Centre
- Arjomand, Mahdi
- Baby Z
- Bennett-Robertson, Mark Warton
- Berry, Shayne Andrew
- Broadribb, Donald Richard
- Cammilleri, Jasmine Lilian
- Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret & Glendinning, Heather
- Davey, Sara-Lee
- Dean, William Craig
- Dellar, Jesse Richard
- Devine, Janene
- Dhu, Ms
- Dodd, Pauline Margaret
- Edwards, Anthony Ian
- Elliott, Carly Jean
- Eura, Anthony Charles
- Genovese, Aaron
- Glendinning, Heather & Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret
- Graham, Andrew Sinclair
- Hall, Daniel James
- Hassan, Mohammad and Noor, Mohammad and Mr Sabibullah (Sabib Ullah)
- Heijne, Gerardus Gerritt
- Hiron, Kyal Peter
- JBA (Subject to Suppression Order)
- Lawson, David Davidson
- Maarif, Zainul and Khamis, Zhafran Bin
- Murphy, Shannon Elizabeth
- Niceforo, Maria Carmel
- Nicholls-Diver, Ruby Natasha
- Noor, Mohammad and Hassan, Mohammad and Mr Sabibullah (Sabib Ullah)
- Parman, Sebastian Keith
- Passmore, John Stephen
- Rahman, Sajidu
- Reid, Geoffrey Mark
- Robson, Stephen Colin
- Roginson, Troy Allan
- Rowe, Simon John
- Ryan, Giovani Wade
- Ryan, Stephen Kenneth
- Ryder, Johnathon James
- Saulys, Janice May
- Sayed, Hayder
- Sellakathirkgaman, Anandakumar
- Smith, Gonda Alexandra
- Thomas, Michael Ronald
- TP (a child) (Subject to a Suppression Order)
- TPL (a child Subject to a Suppression Order)
- TRN (Subject to Suppression Order)
- Van Der Shoot, Susanne
- Waymouth, David
- Westlund, Adrian Marcus
- Williams, Thomas Charles
- Williamson, Ewan Louis
- Winchester, Jason Barry
- Wood, Brian Keith
- Inquest Findings 2015
- Baby B
- Baby C
- Baby P
- Beven, Luke Ross
- Bottomley, Michael Joseph
- Bruce, Sean
- Cameron, Anna Maria
- Clifton, Paul Gregory
- Cremer, Alxel Josef
- Doig, Peta Susan
- Cooper, Frances May
- Elliott, Armarnie-Bree
- Gilbert, Roy Charles
- Henderson, Yvonne
- Kearney, John Vincent
- Khor, Foo Kun
- King, Justin Aaron
- Klavins, Valfrids
- Lane, Danielle Kiesha
- Leopolodo, Samuel Eya
- Levinge Thomas Francis
- MacFarlaine, Helen Christine
- Mahenthiran, Ramaiah
- Majinski, John
- Mapp, Charles William
- Marshall, Tracy Margaret
- McLean, Steven Walter & Wallam, Shane Henry
- MKP (Subject to Suppression Order)
- Moriarty, Myosotis Julianna
- Mr Toby
- Nguyen, Tien Chung
- Papakostas, Constantina
- Roberts, Francis Gerald
- Robinson, Shane John
- Stanczyk, James Anthony
- Stephenson, Priscilla Fay
- Tao, Christopher Ling
- Tauai, Amanda Dana
- Till, Debra Alexandra and Raabe, Craig Allan
- Weiser, David Yehuda
- Zapotocky, Jan
- Zele, Petra
- Inquest Findings 2014
- Axtell, Anthony Nigel
- Baby W
- Baby Xavier
- Bethany
- BC
- Beasley, Delray
- Caporn, Leon
- Carter, Shionah Violet Teneille
- Church, Lynn Desmond Ernest
- Collins, Kevin Maxwell
- Cook-Hill, Daniel
- Daniel, Nola Inez
- Davies, Brian John
- Diamond, Hayley
- Done, Marjorie Mary
- Ethan (Subject to Suppression Order)
- Forkin, Luke Isaac
- Foski, Tom
- French, William
- Gilbert, Amanda Alison
- Gilbert, Julissa Teresa
- Gordon, Ritchie
- Gruici, Gheorghe
- Hanson, Gillian
- He, Beng Keong
- Humes, Peter Philip
- Hunt, Gregory Laurence
- James, Robert (aka Philip Kevin Luckie and Robert John Coughlin)
- Jeffery, Gyan Murray
- King, Arnold James
- King, Michael John
- Kimoto, Ayumi
- Lahengking, Daniel
- Minett, Helen Barbara
- Moran, John Joseph
- Portelli, Bill
- Prisgrove, Aaron Luke
- Ross, Wayne
- Rutherford, Sarah Jane
- Samson, Keannita
- Scott, Robert Kenneth
- Shardlow, Ian
- Stitt, Tamar Jemima Sabbath
- Taylor, James Patrick
- Tinker, Amy
- TS (Subject to Suppression Order)
- Vincent, Ian Bradley and Nelson, Kane Edwin
- Ward, Francis Robert
- Ware, Benjamin Alfred
- Williams, Adrian Bernard
- Williams, Antoinette
- Inquest Findings 2013
- Inquest Findings 2012
Home →Inquest Findings→Inquest Findings 2020→Windie, Susan Jessica Elsie
Inquest into the Death of Susan Jessica Elsie WINDIE
Inquest into the Death of Susan Jessica Elsie WINDIE
Delivered on : 13 August 2020
Delivered at : Perth
Finding of : Deputy State Coroner King
Recommendations : N/A
Orders/Rules : N/A
Suppression Order : N/A
Summary : Ms Windie died on 29 October 2016 from complication of a rare, life-long condition. She was 22 years old.
Ms Windie was born with genetic abnormalities which predisposed her to recurrent constipation, for which she was treated at Carnarvon Hospital and at tertiary hospitals in the Perth metropolitan area. On 27 October 2016, she was admitted to the Carnarvon Hospital with severe constipation. Doctors contacted Sir Charles Gairdner Hospital to seek advice and to arrange for Ms Windie to be transferred there, but she was kept at Carnarvon Hospital for further management.
On the evening of 28 October 2016, Ms Windie experienced increasing pain and then developed abdominal compartment syndrome from what was later determined to be pseudo-obstruction from faecal impaction. Arrangements were made for her to be transferred to Perth, but by the time the Royal Flying Doctor Service team arrived, her condition was incompatible with survival.
The Coroner concluded that Ms Windie died from a condition that was readily treatable had she been transferred to a tertiary hospital in time. The Coroner did not find that any of the doctors involved with her care acted unreasonably in the circumstances. The Coroner found that, since Ms Windie’s death, there have been improvements to the process of accepting transfers of patients into tertiary hospitals from rural hospitals, and there was a proposed acute patient transport coordination service.
Catch Words : Genetic Abnormality : Pseudo-obstruction : Faecal Impaction : Abdominal Compartment Syndrome : Rural Patient Transfer : Natural Causes
Last updated: 1-Sep-2020
[ back to top ]