Finding into death of Hayley Michelle Impey

50y · Female·Aspiration pneumonia, with epilepsy with frequent seizures as contributory cause

Hayley Michelle Impey, aged 50, died from aspiration pneumonia complicated by epilepsy with frequent seizures. She presented with status epilepticus requiring intubation and transfer to a tertiary hospital. She was extubated the following morning, transferred to the ward for routine monitoring, and found unresponsive that evening. The coroner found the care received in the period proximate to death was reasonable and appropriate, and that no further investigation was required. For clinicians, this case underscores the serious risks of aspiration in patients with dysphagia and seizure disorders, the importance of careful post-extubation monitoring, and the need for comprehensive seizure management in vulnerable patients with autism and neurodevelopmental disabilities.