311 results
0y · Male·undetermined; possible drug effect, hypoxia, or asphyxia; methylamphetamine expo…
Felix Jake Stiller-Smith, a 37-day-old infant, died on 6 February 2003 while co-sleeping with his mother. The cause of death remained undetermined at autopsy, though heavy, congested internal organs suggested possible dr…
13y · Female·cerebral oedema and infarction secondary to extensive subdural empyema
Elly McCarthy, a 13-year-old girl, died from cerebral oedema and infarction secondary to subdural empyema. She developed fever, headache and neurological symptoms on 24 January 2004 and was initially seen at a GP and Noa…
2y · Male·morphine toxicity
A 2-year-old boy died from morphine toxicity approximately 35 hours after suspected ingestion of up to 7 Kapanol (slow-release morphine) capsules accessed from his father's medication left unguarded in the home. Hospital…
2y · Female·septicaemia
Zena Stevens, a 2.5-year-old Aboriginal girl, died from septicemia at Tennant Creek Hospital on 14 January 2005. She had presented to clinic on 11 January with fever, purulent ears and a recently lanced abscess after rec…
0y · Male·Sequelae of drug toxicity (poisoning) — specifically respiratory depression and …
Michael Anderson was a 9-day-old Aboriginal infant who collapsed at King Edward Memorial Hospital on 15 November 2000 after being administered a gross overdose of paracetamol and codeine (likely via crushed panadeine for…
12y · Female·raised intracranial pressure due to ventriculo-peritoneal shunt blockage
A 12-year-old girl with congenital hydrocephalus and a ventriculo-peritoneal shunt presented to the ED with severe unrelieved headache after head trauma. An inexperienced junior doctor (6 weeks in role, minimal neurosurg…
15y · Male·compression of the neck by hanging
A 15-year-old Aboriginal male, Johnno Wurramarrba, from Groote Eylandt died by hanging in Don Dale Juvenile Detention Centre on 10 February 2000, while serving a 28-day sentence for property offences. Key preventable fac…
0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia
Jayden Tyler Trimboli, aged 6 days, died from hypoxic-ischaemic encephalopathy caused by a prolonged fetal bradycardia episode between 11:10pm and 11:50pm on 18 September 1998. The critical failure was that the cardiotoc…
3y · Male·cerebral oedema which caused coning at the base of the brain, caused by post-ope…
A 3-year-old boy died from cerebral oedema caused by post-operative hyponatraemia following scoliosis correction surgery. The operation was successful, but severe hyponatraemia developed in the early hours of 24 April 19…
15y · Male·traumatic injuries sustained during a crocodile attack, with the complication of…
A 15-year-old Aboriginal boy with severe Fetal Alcohol Syndrome (FAS) died from crocodile attack injuries while in state child protection care. He had been placed in a remote coastal community with family carers. Despite…
0y · Male·severe hypoxic ischaemic encephalopathy secondary to uterine rupture
Baby AM died from severe hypoxic ischaemic encephalopathy secondary to uterine rupture during a planned home vaginal birth after caesarean (VBAC). The mother, Ms M, was 40 weeks and 5 days pregnant, attended by a private…
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