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VIChospital2009-05-20

Finding into death of Kara Lennah Compton

1y · Female·acute on chronic respiratory failure

Kara Compton, aged 22 months with Down's syndrome and chronic respiratory disease requiring home oxygen, died from acute on chronic respiratory failure following a dog bite attack. Injuries caused blood loss which, combi…

emergency medicinepaediatricsproceduralcommunicationadrenaline
QLDcommunity2009-04-21

Kay, Brendan Scott

0y · Male·Sudden Infant Death Syndrome (SIDS) against a background of sub-glottic stenosis…

Brendan Scott Kay, a 104-day-old ex-premature infant with sub-glottic stenosis from prolonged neonatal intubation, died suddenly in his parents' car during transfer home from Brisbane to Tully. The stenosis had been inve…

neonatologyENT surgerycommunicationsystemdexamethasone
SAhome2009-04-17

Coroner's Finding: PARROTT Jenisha Diandra (aka White)

7y · Female·streptococcus pneumoniae sepsis complicating retropharyngeal abscess

A 7-week-old infant died from streptococcus pneumoniae sepsis complicating retropharyngeal abscess. Three days before death, a report was made to child protection services alleging the father had shaken the infants. A ge…

general practiceemergency medicinediagnosticsystem
NThospital2009-04-09

Inquest into the death of Georgia Rae Tilmouth

0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…

Georgia Rae Tilmouth was born at 35 weeks gestation after premature labour and died 13 hours later from perinatal asphyxia due to hypoxia during labour. The coroner found multiple deficiencies in obstetric care contribut…

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2009-03-20

Glasgow, Benjamin

0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour

Benjamin Glasgow died shortly after emergency caesarean delivery at 12:30 pm on 19 October 2006 for brow presentation, an obstructed labour. Autopsy revealed unprecedented multiple skull fractures and severe brain injury…

obstetricspaediatricscommunicationsystemnitrous oxide
VIChospital2009-01-27

Finding into death of Zakaria Tartourssi

0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…

Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…

general practicepaediatricsdiagnosticcommunicationparacetamol
NThospital2008-12-23

Inquest into the death of Jenissa Ryan

14y · Female·blunt force head injury

A 14-year-old Aboriginal girl with newly diagnosed idiopathic thrombocytopenic purpura (ITP) and critically low platelet count (5,000/mm³) absconded from Alice Springs Hospital on 27 January 2006. Hospital staff failed t…

infectious diseaseshaematologycommunicationsystemintragam
QLDhome2008-12-22

Plint, Hannah Isabella Alyson

2y · Female·Drowning in an above-ground swimming pool

Hannah Plint, a 2½-year-old, died from drowning after accessing an above-ground pool by dragging a chair to the gate and opening it unsupervised. Her mother was inside with a younger sibling. The pool fence and gate sepa…

emergency medicinepaediatricssystemdelay
SAhome2008-12-15

Coroner's Finding: ESPOSITO Nicholas

1y · Male·hanging from curtain cord with neck compression

A 13-month-old boy died by hanging from a Roman blind cord in his bedroom cot. The child was able to stand and pull himself up, gaining access to the cord which hung into the cot. His father left him alone briefly while …

forensic medicinepaediatricssystem
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

A 12-year-old Aboriginal boy living in a remote Queensland community died by suicide by hanging following his placement in alternative care by child protection services. The boy had multiple vulnerabilities including fet…

paediatricspsychiatrydiagnosticsystem
SAhome2008-06-25

Coroner's Finding: Baby Safe Sleeping Practices

Zara Schupelius: suffocation; Callum Smith: undetermined; Jake Hackett: suffocat…

Concurrent inquests into five sudden unexpected deaths in infancy (SUDI), three attributed to suffocation and two undetermined but with suffocation as a significant possibility. All deaths occurred in infants aged 2-7 mo…

forensic medicinepaediatricssystemcommunication
SAhospital2008-05-23

Coroner's Finding: KROL Riley

0y · Male·hypoxic ischaemic encephalopathy

Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus d…

obstetricsanaesthesiacommunicationsystemcervedil
SAhome2008-02-11

Coroner's Finding: LYDEN-BAKER Elizjah Monique Ivy

0y · Female·undetermined; possible suffocation not definitively established at autopsy

A 4-week-old neonate died at home with undetermined cause, though suffocation on a soft pillow was considered possible. The infant was born prematurely on a concrete pavement to a mother with untreated opioid addiction a…

neonatologypaediatricscommunicationsystemmorphine
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…

psychiatrypsychologycommunicationdelayfluoxetine
QLDhospital2007-11-06

Huber, Arisa

1y · Female·sudden unexpected death in infancy due to hypoxic episode while co-bedding with …

Arisa Huber, a newborn, died from sudden unexpected death in infancy (SUDI) due to hypoxic episode while co-bedding with her exhausted mother in a postnatal ward. The infant was found without breathing or pulse at 6:45am…

neonatologyobstetricscommunicationsystem
SAhome2007-09-20

Coroner's Finding: EDWARDS Elizabeth Rose

0y · Female·combined effects of asphyxia and inhalation of gastric contents

Elizabeth Rose Edwards, a 9-month-old premature infant with perinatal brain injury, died of asphyxia and aspiration of gastric contents while in temporary foster care. She had been placed with carers (the Todds) with min…

paediatricsneonatologysystemcommunication
QLDhome2007-08-10

Stiller-Smith, Felix Jake

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…

paediatricspathologycommunicationsystemamphetamine
QLD2006-12-18

Boyce, Amanda Helen

13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…

Amanda Helen Boyce, aged 13, drowned in a spa pool at a resort after her long hair became entrapped in the pump suction system. She was submerged for an estimated 10-20 minutes before being freed. Despite immediate CPR a…

emergency medicineintensive caresystemmaintenance
SAhospital2006-06-16

Coroner's Finding: SMITH Ian Myles

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…

emergency medicinepaediatricssystemdelaymorphine
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

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