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Patients should not be discharged from Spencer Clinic on Fridays to travel to King Island on the same day. adverse medical effects, failure to diagnose, misdiagnosis, Hobart Private Hospital, carcinomatosis, failure to report death to Coroner, medical, hospital. This is also called a public court hearing. (AMK) Web.pdf (PDF File, 307.3 KB), Kettle, Terrence Michael (AMK) Web.pdf (PDF File, 304.9 KB), Brewer, Ruby and Shanzel (PDF File, 164.5 KB), Golding, Laura Rebecca (PDF File, 127.5 KB), Woolley, Dale Robert (PDF File, 374.2 KB), Spencer, Melissa Mary - web.pdf (PDF File, 122.9 KB), Marshall, Eric Craig (PDF File, 843.8 KB), Besgrove, Trevor Scott (PDF File, 101.7 KB), Espie, James William (PDF File, 100.2 KB), Mansell, Robert Charles (PDF File, 488.0 KB), Nicolle, Paula Elizabeth (PDF File, 111.1 KB), Bond, Johnathon Lee.pdf (PDF File, 122.0 KB), Fish, Winston William - Web version.pdf (PDF File, 112.1 KB), Oliver, Colin Jamie.pdf (PDF File, 124.3 KB), Lockley, Rodney Dennis (PDF File, 107.8 KB), Pears, Phyllis (AMK) signed 11.09.20.pdf (PDF File, 437.3 KB), Murray, Geoffrey Raymond (PDF File, 107.1 KB), Harmon, Trinton John (PDF File, 586.4 KB), Wright, Maria Rebekah (PDF File, 148.8 KB), Wellington, Timothy John (PDF File, 298.7 KB), Maynard, Grant Godfrey (PDF File, 100.7 KB), Howe, Rowland Michael Chilton (PDF File, 118.7 KB), Howard, Noeline Dawn (PDF File, 124.1 KB), Williamson, Colin George (PDF File, 114.5 KB), Delios, Voula 2020 TASCD 458 (PDF File, 541.5 KB), Thompson, Michael Robert (PDF File, 134.3 KB), Lyons, Matthew Clayton - web.pdf (PDF File, 133.8 KB), Thompson, Paul Christopher (PDF File, 544.7 KB), Crowden, Jeffrey Donald (PDF File, 276.7 KB), Stone, Corrie Collean (PDF File, 85.4 KB), Shrimpton, Dallas Brooks (PDF File, 137.5 KB), Konstantinidis, Agis (PDF File, 124.6 KB), Crawford, Jacob Raymond (PDF File, 126.8 KB), Arnold, Derek William (PDF File, 116.8 KB), Dickinson, Mary Marguerite (PDF File, 485.6 KB), Tonner, Justin Michael (PDF File, 104.0 KB), McCarthy, Blake John (PDF File, 109.9 KB), Adams, Christopher Neil (PDF File, 98.7 KB), Griffin, James Geoffrey (PDF File, 101.4 KB), Hunter, Feryne Gaylene (PDF File, 137.7 KB), Dennis, Wayne Phillip (PDF File, 104.9 KB), Cashion, Brett Matthew (PDF File, 293.9 KB), Riley, Shane Patrick (PDF File, 375.3 KB), Tonks, Russell Rodney (PDF File, 100.7 KB), Ferguson, Roy Waldren Trevor (PDF File, 117.5 KB), Jones, Bradley James (PDF File, 124.8 KB), Hayward, Vanessa Claire (PDF File, 113.8 KB), Petterwood, Michael Lewis (PDF File, 115.5 KB), Pears, William Ernest (PDF File, 123.3 KB), Hargraves, Audrey Doreen (PDF File, 113.7 KB), Standaloft, Cora Gwendoline (PDF File, 100.4 KB), Button, Shirley Gwendoline (PDF File, 116.0 KB), Szemes, Kim Leonie Maree (PDF File, 104.5 KB), Shepperd, Stephen Charles (PDF File, 92.5 KB), Wilton, Melissa Joan (PDF File, 135.3 KB), Lawrence, Timothy Michael (PDF File, 137.5 KB), Kiley, Jordan Jackson (PDF File, 89.7 KB), Evans, Conor Maclaren (PDF File, 99.2 KB), Whitney, Margaret Ann (PDF File, 100.6 KB), Procter, Wilfred Pearson (PDF File, 118.3 KB), Combes, Margot Janeece (PDF File, 89.6 KB), Woodward, Ernest Henry (PDF File, 111.9 KB), Arundel-Clarke, Catherine Clara (PDF File, 99.6 KB), Woolley, Zedric Basil (PDF File, 118.2 KB), McInerney, Robert Edward (PDF File, 617.6 KB), Martin, Jack Hedley (PDF File, 374.5 KB), Mason, Alison Henderson (PDF File, 369.9 KB), Maxwell, Benjamin Murray (PDF File, 86.9 KB), Stewart, Keith Thomas (PDF File, 367.0 KB), McKenzie, Heather Patricia Dale (PDF File, 383.5 KB), Powell, Stephen Maxwell (PDF File, 309.1 KB), Roberts, Anna Jane and Stanley, Brett John (PDF File, 378.5 KB), Benneworth, Anthony John (PDF File, 414.5 KB), Long, Anthony Edward (PDF File, 412.9 KB), Frith, Aaron Douglas (PDF File, 363.8 KB), Sulman, Murray Matthew (PDF File, 373.0 KB), Peck, Edward Paisley (PDF File, 825.8 KB), O'Brien, Mark Andrew (PDF File, 369.6 KB), Clark, Darren Stuart (PDF File, 410.5 KB), Smith, Jordan Marcellus (PDF File, 380.9 KB), Bowerman, Graeme Anthony (PDF File, 415.1 KB), Picken, Jason Scott (PDF File, 362.0 KB), Jenkins, Mark Andrew (PDF File, 376.9 KB), Davies, Luke; Drobnjak, Aleksander; Ritter, Magnus; Roche, Anthony (PDF File, 839.6 KB), Stanley, Christopher Stephen (PDF File, 372.6 KB), McLean, Michael William (PDF File, 260.2 KB), Saltmarsh, Aidan Denis (PDF File, 384.2 KB), Jeffrey, Angela Joy (PDF File, 517.6 KB), Mead, Liam - Ruling on Evidence (PDF File, 147.9 KB), Horcicka, Josef Vratislav (PDF File, 488.4 KB), Eaton, Jodi Michelle (PDF File, 460.4 KB), Lukendlay, Charlotte (OM) Findings.pdf (PDF File, 751.2 KB), Nichols, James Raymond (PDF File, 397.8 KB), Russell, Allan Geoffrey (PDF File, 873.4 KB), Porteous, Shayne Edward (PDF File, 490.3 KB), Kranz, Lothar Wolfgang (PDF File, 501.6 KB), Davis, Catherine Joy (PDF File, 484.0 KB), Kenney, Margaret Patricia (PDF File, 510.8 KB), Ham, Roderick David Charles (PDF File, 487.1 KB), Best, Christopher Mark (PDF File, 497.5 KB), Close, Terrence Findings Web.pdf (PDF File, 943.2 KB), Finding Brendan Smith (Web) pdf.pdf (PDF File, 780.6 KB), Burns, Brendan Craig (PDF File, 324.4 KB), Glover, Gerald Samual (PDF File, 125.7 KB), Morris, Jason Simon (PDF File, 122.1 KB), Steshic, John Norman -web .pdf (PDF File, 495.7 KB), Paraskevas, Odissefs (PDF File, 396.0 KB), Nowitzki-Eisenburg, Heike (PDF File, 493.2 KB), Beltz, Sarah Rose -(Web).pdf (PDF File, 469.7 KB), Cowen, Craig -web.pdf (PDF File, 411.8 KB), Skrepetos, Stavroula (PDF File, 478.6 KB), Killer, Debbie Dubravka (PDF File, 411.5 KB), Brown, Tony David .pdf (PDF File, 595.0 KB), Stefaniw, Gerard Ernest (PDF File, 738.2 KB), Dunster, Kenneth Francis (PDF File, 743.5 KB), Roberts, Nigel Douglas (PDF File, 734.5 KB), Westbrook, Eden Jayde (PDF File, 314.2 KB), Richardson, Margaret Rita. For additional information about image restrictions see Restrictions for Viewing Images in FamilySearch Historical Record Collections. DELIVERED AT: Darwin . They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. Restrictions for Viewing Images in FamilySearch Historical Record Collections, https://www.familysearch.org/en/wiki/index.php?title=Australia,_Tasmania,_Coroner%27s_Inquest_Files_-_FamilySearch_Historical_Records&oldid=4946186, FamilySearch Historical Records Scheduled Collections, Tasmania (Australia) FamilySearch Historical Records, FamilySearch Historical Records Image Visibility Notice, This article describes a collection of records, Use the information to find the person in other records, Analyze the entry to see if it provides additional clues to find other records of the person or their family, The person may be recorded with an abbreviated or variant form of their name. Please consider that it may be upsetting to read details about a death in an inquest finding. vehicle accident, tree, head injury, car crushed by falling tree, transport. 600m that require vegetation removal. Home
For all conditions of entry, read the COVID 19 (Coronavirus) Measures. Aurora Australis shines over Perth. Long Term Missing Person, D'Entrecasteaux Channel, Probable Drowning, Water Related, Coroner's, Coronial, Motor vehicle Crash, Blunt Traumas Injury to the head, lost control, seat belt, Adverse Medical Effects, Acute Gastrointestinal, Hobart Private Hospital, Royal Hobart Hospital, Child & Infant Death, Falls, Geographic, Leisure Activity, Conservation Area. abc.net.au/news/kirra-lea-mcloughlin-coronial-inquest-findings/100194632 A coroner has found that a 27-year-old woman, whose death has been unsolved for almost seven years, lost her life at the hands of her de facto partner, describing him as a "habitual perpetrator" of domestic abuse. We then focus on specific rollover awareness factors during both our mentoring as well as our refresh programs. [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 This collection includes inquest files from the coroner's office in Tasmania. Our intention now is to broaden this process by utilising our recently recruited Driver Trainer to provide programmed in cab refresh sessions and assessments (similar, in many respects, to what pilots undertake now). . Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. JURISDICTION: Darwin . Please be aware some collections consist only of partial information indexed from the records and do not contain any images. the details needed to register the death with the Registry of Births, Deaths and Marriages. Transport & traffic related, older persons, physical health, car accident, environmental heat & cold exposure, dehydration, missing person, Tullah, Transport & traffic related, motor vehicle crash, car accident, speed, alcohol, illicit drugs, criminal prosecution, causing death by dangerous driving, Huonville. 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. A Health Practitioner's guide for writing a statement for the Coroner. The coroner decides whether to hold a public inquest into a death. Transport & traffic related, mental Illness & health, motor vehicle, multiple severe crushing injuries, Davey Street, emergency services, Royal Hobart Hospital, crash investigation. 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. Works were completed and reported to the grant program on 30 June 2021. We have also engaged the service of a Driver Trainer to provide additional coaching to all our drivers. This was attempted but unfortunately was not achievable due to presence of shallow rock. If a judgment is not listed in the List of Recent Decisions try clicking on the Refresh or Reload Button in your Browser to make sure you are viewing the latest version of the web page. To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. There are also a series of sections totalling approx. To search for judgments, usethe links below. Findings are published on this website when an inquest was held or a coroner otherwise orders they be published in the public interest. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. 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. A recent meeting with the Director of Nursin at the King Island Health service and Senior Nursing staff of the North West Regional Hospital clarified the process surrounding the discharge of patients from Spencer Clinic Inpatient Ward to King Island. However, rights to view these data are limited by contract and subject to change. Older persons, physical health, Roy Fagan Centre, Emergency Guardianship and Administration Order, care, treatment and supervision, advanced dementia. 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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