Coronial
VIChospital

Finding into death of N J

Deceased

NJ

Demographics

<1y, female

Date of death

2020-12-14

Finding date

2022-08-31

Cause of death

Drowning

AI-generated summary

An 11-month-old girl drowned in a backyard koi fishpond after gaining access to the pond's edge, likely attempting to view the fish. Despite immediate CPR and rapid hospital transfer, she suffered hypoxic-ischaemic brain injury and was declared brain dead. The coroner found no individual culpability but emphasised that children near any body of water require constant vigilant supervision. While fishponds in Victoria are not required to have safety barriers (unlike pools), the case highlights water safety risks. The child's independence and climbing ability, combined with unsupervised access to the pond during evening family activities, created the fatal circumstances. Key clinical lesson: drowning can be silent and rapid; prevention depends entirely on continuous supervision and environmental controls.

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

Contributing factors

  • Unsupervised access to fishpond
  • Child's active and climbing ability
  • Lack of safety barriers around pond
  • Water pump creating additional drowning risk
  • Nappy absorbing water, increasing weight and submersion risk

Coroner's recommendations

  1. Continued emphasis on vigilant and constant supervision of children around all bodies of water including fishponds, pools, and spas
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