Deceased
JACINTA MEGAN PASCOE
Demographics
0y, female
Coroner
Coroner Heather Spooner
Date of death
2007-07-10
Finding date
2010-09-03
Cause of death
Myocardial infarction
AI-generated summary
Jacinta Pascoe, a 4-week-old premature infant, died of myocardial infarction due to unclear aetiology on 10 July 2007. She presented to Austin Hospital via ambulance on 9 July with vomiting, limpness, and grunting. Clinical lessons include: paramedics should record all observations and clinical findings in patient care reports, not just interventions; triage systems must account for neonatal presentations which differ from adults; early senior neonatal input is essential for unwell infants; and adequate overnight staffing of resuscitation facilities is critical. The coroner found that although ambulance record-keeping was suboptimal and ED processes were not ideal, the underlying cardiac pathology was severe and likely present for days before symptom onset, making early clinical intervention unlikely to have changed the outcome. The hospital subsequently implemented improvements including 24-hour resuscitation room staffing and direct neonatal specialist access.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
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