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NThospital2006-04-28

Inquest into the death of Zena Stevens

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…

paediatricsemergency medicinediagnosticcommunicationprocaine penicillin
SAhospital2004-07-20

Coroner's Finding: QUINN Latoya Shelley

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…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIChospital2003-06-29

Finding into death of Mohammed Tartourssi

3y · Male·unascertained

Mohammed Tartoussi, aged 3 years 11 months, presented to Bell Street Family Medical Centre on 28 June 2003 with chest pain and mild upper respiratory symptoms. He was diagnosed with mild symptoms and given prednisolone. …

emergency medicinepaediatricsdiagnosticsystemsalbutamol
NT2001-12-19

Inquest into the death of Johnno Wurramarba

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…

paediatricspsychiatrydiagnosticproceduralcannabis
ACThospital1989-12-22

Inquest Into The Circumstances Surrounding The Death Of Alex Nicholas Mersiades

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…

surgeryanaesthesiadiagnosticdelay
QLDhospital

Death of a Baby - Non-inquest findings

0y · Female·Subdural and subarachnoid haemorrhages due to late onset vitamin K deficiency bl…

A 33-day-old exclusively breastfed baby died from subdural and subarachnoid haemorrhages caused by late-onset vitamin K deficiency bleeding (VKDB). The parents, exercising informed choice based on spiritual beliefs, decl…

neonatologypaediatricsdiagnosticphytomenadione
WAhome

Inquest into the Death of Baby AM

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…

obstetricsmidwiferydiagnosticcommunication

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