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WAhomePodcast2013

Inquest into the Death of Murphy, Sean Gordan Peter

3y · Male·Entrapment in an airtight environment (washing machine drum) resulting in suffoc…

Sean Murphy, aged 3 years 6 months, died on 20 September 2010 after becoming trapped in an airtight LG front-loading washing machine at his home in Hilton, Western Australia. He died from suffocation due to entrapment in…

emergency medicinepathologysystemoxycodone
WAhome2013

Inquest into the Death of Hurley-Goodacre, Adam Michael

17y · Male·Ligature Compression of the Neck (Hanging) - Suicide

Adam Hurley-Goodacre, a 17-year-old Ward of the State since 1996, died by suicide on 20 February 2007, one week before his 18th birthday. He had a history of suicide attempts in October 2006 while experiencing emotional …

paediatricspsychiatrysystemalcohol
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex medical needs including PEG feeding, …

paediatricsintensive caresystemanti-epileptic medication
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

Preston Paudel, born at 37 weeks gestation after meconium-stained labour with syntocinon augmentation, was delivered severely compromised with Apgar scores of 1-1-1 and died of hypoxic-ischaemic encephalopathy. Multiple …

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

Joshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hospital for gastroenteritis. …

paediatricsemergency medicinecommunicationsystembaclofen
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 …

general practicegeneral medicinediagnosticcommunicationlamotrigine
VIChome2012-09-07

Finding into death of RGF

34y · Male·Firearm injury to the head and neck

A 34-year-old male died from a gunshot wound to the head on 13 March 2008. His stepdaughter, who had been sexually abused by him since age 14 with threats of violence and control, shot him in self-defense during a sexual…

paediatricsforensic medicinecommunicationsystem
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing vulnerability to catastrophic bleeding. Key clinical lessons include: (1) prenatal…

obstetricspaediatricsdiagnosticcommunication
VIChome2012-07-18

Finding into death of Joshua Meloury_Kaup

15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)

Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmother's medications (morphine, benzodiazepine, sertraline) while …

paediatricspsychiatrysystemcommunicationmorphine
VIChospital2012-07-16

Finding into death of Dishita Madamshetty

0y · Female·Hypoxic brain injury in the setting of meconium aspiration syndrome and chorioam…

A full-term neonate born after induction of labour died from hypoxic brain injury secondary to meconium aspiration syndrome and chorioamnionitis. The baby presented in poor condition at delivery with thick meconium prese…

obstetricsneonatologydiagnosticcommunication
VIChome2012-07-06

Babyk 3409 09 redacted

Unknown·Sudden Infant Death Syndrome (SIDS) Category 2

Baby K, aged 10 weeks, died of Sudden Infant Death Syndrome Category 2 (unexplained) while co-sleeping with parents at home. The coroner's investigation examined shared sleep surface practices and their association with …

pathologyforensic medicinecommunicationsystem
VIChome2012-07-06

Finding into death of Baby N

4y · Male·Sudden Infant Death Syndrome (Category 2)

A 4-month-old infant died of Sudden Infant Death Syndrome (Category 2), unexplained despite complete autopsy investigation. The infant had undiagnosed recurring respiratory issues (suspected reactive airways disease or a…

paediatricsforensic medicinecommunicationsystem
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

Sebastian Hewitt, born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical cli…

obstetricspaediatricsdiagnosticdelay
VIChospital2012-05-23

Finding into death of Dean Smith

1y · Male·Hypoxic ischaemic encephalopathy

Dean Smith, a full-term neonate, was born severely asphyxiated after an induced labour managed at Central Gippsland Health Service. He died from hypoxic-ischaemic encephalopathy within 24 hours. The coroner found critica…

obstetricsmidwiferydiagnosticproceduralprostaglandin
WAhospital2012-05-18

Inquest into the Death of Allan

16y · Male·Pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcu…

Andrew Allan, a 16-year-old student, died from pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcus aureus septicaemia. He presented to Northam Regional Hospital Emergency Department on 16 Se…

emergency medicinegeneral practicediagnosticcommunicationmethylphenidate
VIChome2012-04-02

Finding into death of Ellzbeth Rebecca Robins

1y · Female·Oxycodone toxicity

Ellzbeth Rebecca Robins, a 1-year-old girl, died from Oxycodone toxicity after ingesting an 80mg Oxycontin tablet on 24 February 2010. Her father took Oxycontin for arthritis, stored in a bedroom drawer. A Piroxicam tabl…

paediatricstoxicologysystemoxycodone
WAhome2012-04

Inquest into the Death of BENFIELD

0y · Female·Unascertainable

Shar Rose Benfield, a 7-month-old Aboriginal infant born prematurely to parents with significant psychosocial challenges, died unexpectedly on 24 June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child …

paediatricspsychiatrysystemdelay
SAhospital2012-03-26

Coroner's Finding: SWEETMAN Amber Jayne

10y · Female·congenital hydrocephalus

Amber Jayne Sweetman, aged 10, died from complications of congenital hydrocephalus following delayed diagnosis of a blocked ventriculoperitoneal shunt. She presented to the emergency department with seizures and raised i…

emergency medicineneurosurgerydiagnosticcommunicationmidazolam
SAhome2012-02-20

Coroner's Finding: WYATT David James and WYATT Jakob James

24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…

A 24-year-old man with schizoaffective disorder and substance abuse killed his 2-year-old son and himself in March 2009. The deceased had been released on licence following a mental impairment finding and was subject to …

psychiatrycorrectional healthsystemcommunicationmethamphetamine
NSWhospital2011-12-21

Coroner's Finding: Gabrielle Coventry

14y · Female·Neisseria meningitidis infection (meningococcal septicaemia)

A 14-year-old girl presented to Gosford Hospital Emergency Department on 4 December 2007 with high fever (40°C), headache, vomiting, myalgia, and haemodynamic instability (hypotension, tachycardia, tachypnoea)—all signs …

emergency medicinepaediatricsdiagnosticmedicationceftriaxone
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