Coronial
WAhospital

Inquest into the Death of KPLW (Subject To Suppression Order)

Deceased

KPLW

Demographics

7y, female

Coroner

Coroner Linton

Date of death

2013-03-29

Cause of death

respiratory failure and acute pancreatitis in a young girl with cerebral palsy, seizure disorder and chronic respiratory problems

AI-generated summary

A 7-year-old girl with severe cerebral palsy, epilepsy, and chronic respiratory problems died of respiratory failure and acute pancreatitis. She had sustained non-accidental injuries (shaken baby syndrome) at 6 weeks old and was subsequently placed in specialist foster care. Following a viral illness treated at Princess Margaret Hospital, she was discharged home but deteriorated acutely overnight with respiratory distress. Foster carers transported her to Northam Regional Hospital but she suffered respiratory arrest during transit. Prolonged resuscitation was attempted but unsuccessful. The coroner found care and supervision were of very high standard. The death resulted from pre-existing life-limiting disabilities; no clinical errors or preventable factors were identified. Foster carers demonstrated excellent clinical knowledge and decision-making.

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

Specialties

paediatricsemergency medicineneurologyrespiratory medicine

Drugs involved

salbutamolanticonvulsant medicationsantibiotics

Clinical conditions

cerebral palsyepilepsyrespiratory failureacute pancreatitissleep apnoeaasthmasevere visual impairmentdevelopmental delayshaken baby syndrome

Procedures

resuscitationcardiopulmonary resuscitation

Contributing factors

  • severe cerebral palsy with global atrophy
  • chronic respiratory insufficiency requiring monitoring
  • seizure disorder
  • viral infection (Rhinovirus A)
  • acute pancreatitis
  • life-limiting disability from previous non-accidental injury
Full text

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