Coronial
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Finding into death of Lachlan McCann

Deceased

LACHLAN DONALD MCCANN

Demographics

2y, male

Coroner

Coroner Kim M. W. Parkinson

Date of death

2009-08-06

Finding date

2010-10-29

Cause of death

Hypoxic Ischaemic Brain Injury in circumstances of Ligature strangulation (Blind Cord)

AI-generated summary

Lachlan McCann, a healthy 2-year-old, died from hypoxic ischaemic brain injury following ligature strangulation by a blind cord. While playing on a couch beneath a window, he became entangled in an unsecured Holland blind cord with an incomplete cord guide mechanism. His mother initiated CPR immediately upon discovery, but brain injury was non-survivable. This case highlights the critical importance of appropriate blind and curtain cord safety measures in homes with young children aged 18 months to 3 years, who are particularly vulnerable to strangulation injury. The coroner emphasised that parental vigilance alone is insufficient without proper product design, safety standards, and comprehensive public education campaigns. Regulatory changes and safety standards implemented after this death aim to prevent similar tragedies through secured cords, design specifications, and warning labels.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

paediatricsintensive careforensic medicineemergency medicine

Error types

system

Clinical conditions

hypoxic ischaemic brain injurystrangulation injuryligature mark

Contributing factors

  • Unsecured Holland blind cord mechanism
  • Incomplete cord guide cover that had been removed by children
  • Cord resting at 1300mm from floor, within reach of child standing on couch
  • Child positioned on couch directly beneath window with blind cord
  • Absence of adequate safety devices to prevent loop formation
  • Lack of public awareness of strangulation hazard from blind cords

Coroner's recommendations

  1. Consumer Affairs Victoria to continue publicising the risk of blind and curtain cord strangulation through regular ongoing multi-media campaigns
  2. Ongoing distribution of information to maternal and child health centres, child care centres, maternity units, and other relevant facilities
  3. Copy of finding to be provided to the Minister for Consumer Affairs, Consumer Affairs Victoria, and the Royal Children's Hospital Accident Prevention Unit
Full text

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