Coronial
VIChospital

Finding into death of INFANT A

Deceased

Infant A

Demographics

4y, female

Date of death

2019-10-03

Finding date

2020-12-03

Cause of death

Hypoxic ischaemic encephalopathy in the setting strangulation by a roller blind cord (palliated)

AI-generated summary

A 4-year-old girl died from hypoxic-ischaemic encephalopathy following accidental strangulation by a roller blind cord. She climbed onto bedside drawers near a window blind and became entangled in the control cord, slipping with the cord around her neck. Her mother found her unresponsive, initiated CPR, and paramedics achieved return of spontaneous circulation after 7 minutes. However, imaging showed severe hypoxic brain injury, and after family discussions, active care was withdrawn. The coroner noted this was one of four accidental blind cord deaths in 2019-20, following a three-year period without such deaths. Despite Consumer Affairs Victoria's safety campaigns since 2010 offering free safety kits and education, deaths continue. The coroner recommended intensified ongoing public awareness campaigns and increased promotion of cord safety kits, particularly targeting new parents and maternal health services.

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

Contributing factors

  • Accessible roller blind cord within reach of child
  • Child climbed onto bedside drawers adjacent to window blind
  • Cord became wrapped around neck when child slipped
  • Out-of-home cardiac arrest with delayed return of spontaneous circulation
  • Severe hypoxic brain injury

Coroner's recommendations

  1. Consumer Affairs Victoria should continue its campaign of curtain and blind cord product safety, publicising risk on all media platforms and distributing information regularly to targeted entities including schools, childcare centres, kindergartens, hospital maternity wards, and community educators
  2. Consumer Affairs Victoria should increase promotion of blind cord safety kits to families with young children
  3. Public safety authorities should provide ongoing information and warning campaigns to inform those with young children and their family and friends of the risks associated with curtain and blind cords and the need for vigilance in relation to installation and maintenance
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