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ACThospital2024-12-06

Inquest Into The Death Of Rozalia Spadafora

5y · Female·myocarditis

A five-year-old girl died from fulminant myocarditis caused by influenza A on 5 July 2022 at Canberra Hospital. The diagnosis was delayed over 7 hours from initial presentation. Critical failures included: ED triage Cate…

emergency medicinepaediatricsdiagnosticcommunication
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

Bradyn Dillon, aged 9, was brutally beaten to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him …

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
ACThome2019-07-31

Inquest into the death of Cheyse Williams-Empson

3y · Male·unascertained

A 3-month-old boy died with an unascertained cause after being found unresponsive in his bassinet with a blanket covering his mouth and face. His mother had ongoing heroin use throughout pregnancy and postnatally, concea…

neonatologyforensic medicinecommunicationsystemheroin
ACT2009-10-29

Inquest Into The Death Of Kaled Kanj

2y · Male·drowning (immersion)

A 2-year-old boy, Kaled Kanj, drowned in a leisure pool at a public aquatic centre while attending with his mother and three siblings. His mother was supervising four children while also holding a 9-month-old infant, mak…

emergency medicineintensive care
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

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