Coronial
VIChospital

Finding into death of Summer Jamsek

Deceased

Summer Emerald Rose Jamsek

Demographics

0y, female

Date of death

2010-04-05

Finding date

2016-06-21

Cause of death

Persistent pulmonary hypertension in the newborn (PPHN)

AI-generated summary

Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not satisfied it was caused by sepsis despite low blood sugars and fluctuating oxygen requirements. While Dr M.'s management was generally appropriate, the coroner identified that antibiotics could reasonably have been administered by 8:30pm as a precautionary measure given concerning clinical features. However, expert evidence indicated that earlier antibiotics would likely not have altered the outcome given the fulminant, rapidly progressive nature of the condition. The coroner concluded no deficiency in management was a causal factor in death.

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

Contributing factors

  • fluctuating oxygen requirements
  • low blood sugar level
  • protracted rupture of membranes
  • transient hypoxia and cyanosis

Coroner's recommendations

  1. The coroner made no specific recommendations. The finding notes that NETS response times have improved from ~45 minutes to 10-15 minutes, and that this case has been fully investigated.
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