Coronial
VICcommunity

Finding into death of PCH

Deceased

PCH

Demographics

14y, female

Coroner

State Coroner Judge Liberty Sanger

Date of death

2025-01-25

Finding date

2026-03-23

Cause of death

Drowning in a person with epilepsy

AI-generated summary

PCH, a 14-year-old girl in out-of-home care with a history of epilepsy, drowned in a river while washing her hair during a family camping trip. She had experienced increased seizure frequency in October-November 2024, prompting a medication change from sodium valproate to lamotrigine. By December 2024, seizures appeared well-controlled with no further episodes reported. The coroner was unable to determine definitively whether drowning resulted from an accidental incident or an unwitnessed seizure. Her epilepsy management plan recommended supervision for water activities. The coroner found no prevention opportunities and no evidence of negligent care. Medical management and treatment were appropriate throughout.

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

Specialties

paediatricsneurologygeneral practiceemergency medicine

Drugs involved

lamotriginelisdexamphetaminemelatonin

Clinical conditions

epilepsygenetic generalised epilepsy with photosensitivityattention deficit hyperactivity disorderdevelopmental delaydrowning

Contributing factors

  • Epilepsy history with recent seizure activity
  • Water immersion during unsupervised hair washing activity
  • Possible unwitnessed seizure event
Full text

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