545 results
0y · Male·Head injury
A 7-month-old boy died from severe head trauma following an unwitnessed incident on 6 June 2018. The child was found unconscious after reportedly being pushed from a highchair by his 4-year-old brother and died 4 days la…
13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity
Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …
0y · Unknown·Category II Sudden Infant Death Syndrome (co-sleeping)
Baby J, a healthy 23-week-old infant, died from Category II Sudden Infant Death Syndrome (SIDS) associated with co-sleeping. He was found unresponsive while sleeping chest-to-chest with his father on makeshift bedding wi…
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 …
3y · Female·tramadol toxicity
A 3-year-old girl in state care died from tramadol toxicity after accessing prescribed opioid medication left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance ab…
3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…
Master T, aged 3 years, died from hypoxic brain injury secondary to cardiorespiratory arrest, likely due to aspiration pneumonitis. He had severe congenital abnormalities including holoprosencephaly with VP shunt, anal a…
2y · Male·traumatic head injury
A 2-year-7-month-old boy died from traumatic head injury inflicted by person(s) unknown after experiencing severe and escalating physical abuse over weeks. Despite 13 reports to FACS (now DCJ) between 2010-2012, includin…
62y · Female·Gunshot wounds to the head
Rosemary Gibson, age 62, was fatally shot by her husband Alan Gibson on 14 April 2016 in their Traralgon home. The death occurred in the context of family violence, with multiple risk factors present: the perpetrator had…
0y · Female·Sudden infant death syndrome or asphyxiation due to co-sleeping or overlaying
An 11-week-old infant died while co-sleeping with her mother in a bed shared with siblings. The mother had smoked cannabis before sleep and was found overlaying the infant at 3:30am; the baby was discovered head-down bes…
0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…
An 8-week-old infant died from SIDS category II, likely due to accidental asphyxiation when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction …
2y · Male·pneumonia in association with bronchiolitis
Child T, a 2-year-old boy in Department of Communities' care, died from pneumonia in association with bronchiolitis on 13 July 2019. The coroner found the Department should have intervened with more intensive family supp…
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physi…
4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…
Tyrell Cobb, a 4-year-old boy, died from intra-abdominal injuries caused by blunt force trauma inflicted on two separate occasions between 22-24 May 2009. Postmortem revealed a ruptured duodenum and lacerated mesentery c…
Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…
Three Aboriginal teenage girls aged 15-17 years died by hanging in remote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government …
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
4y · Female·volvulus of the large intestine
Tahlia Rose Bembridge, a 4-year-old with Down syndrome and prior mid-gut volvulus, presented to Bunbury Hospital ED with vomiting and abdominal pain on 1 October 2015. Initial assessment excluded acute bowel obstruction.…
1y · Male·head injury
Baby S, a 12-month-old boy, died from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and…
27y · Male·Hanging
A 27-year-old carpenter with a long history of depression, suicidality, and substance abuse died by hanging. He had experienced recent family violence incidents as both perpetrator and victim in relationships, leading to…
0y · Female·Head injury
Baby ABA, born in Lebanon and arrived in Australia at 2 months old, died from head injury at 6.5 months of age on 10 June 2008. She had fallen from a couch on 7 June 2008 with no apparent serious injury. The following mo…
0y · Male·Myocarditis
Baby C, a 5-month-old infant, died from myocarditis (viral heart inflammation) after presenting to Sunshine Hospital Emergency Department with fever, breathing difficulty, and cyanosis. He waited 1 hour 52 minutes before…
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