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QLDhome2012-06-29

Baby M

2y · Male·Hypoxic-ischaemic encephalopathy

Baby M was born at term (35-38 weeks gestation) into a toilet bowl at home on 27 November 2008 after an unrecognised pregnancy. The mother reported no awareness of pregnancy despite a positive pregnancy test earlier in t…

neonatologyparamedicinediagnosticdelay
QLDhome2012-06-29

MacNicol, Jack Wallace

15y · Male·head injury from motorcycle accident resulting in extensive brain injury and bas…

Jack MacNicol, a 15-year-old boy working on his family's cattle station, sustained a fatal head injury after falling from a motorcycle while mustering cattle without wearing a helmet. He suffered a severe head injury wit…

emergency medicineneurosurgerysystem
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
NThome2011-05-13

Inquest into the death of Marlon Aidan Clancy

8y · Male·accidental suffocation (mechanism unknown)

An eight-week-old Aboriginal male infant died from accidental suffocation in circumstances of co-sleeping with his heavily intoxicated mother, young sister, and an adult male on a soft mattress with pillows. The coroner,…

paediatricspathologycommunicationalcohol
WAcommunity2011-02-28

Inquest into the Death of Collins

0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease

Edward Thomas Collins was a 3-month-old neonate with surgically corrected congenital heart disease (Total Anomalous Pulmonary Venous Drainage) who died on 14 January 2007 from cardiac arrhythmia. On 13 January 2007, he p…

emergency medicinegeneral practicediagnosticcommunication
QLDhome2010-12-13

2 year old child

2y · Female·drowning

A 2-year-old girl drowned in a backyard swimming pool after gaining access through a sliding security door with a deliberately disabled lock. The father had tampered with and rendered non-functional the locking mechanism…

paediatricsemergency medicineproceduralsystem
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

A 35-year-old man with chronic liver disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passi…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
SAhome2010-06-04

Coroner's Finding: SPENCER-KOCH Tate - Ruling

Female·intra-partum hypoxic event secondary to shoulder dystocia with prolonged foetal …

Tate Spencer-Koch was delivered via homebirth at 5:40am after her head crowned at 5:20am with shoulder dystocia causing entrapment in the birth canal for approximately 20 minutes. During this period, the foetus remained …

obstetricsmidwiferydelayadrenaline
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

Kylie Lynch, a 20-year-old woman with chronic asthma and a known peanut allergy, died from anaphylaxis on 2 September 2007 in Coral Bay, Western Australia. She consumed desserts at Fin's Café after dining at a nearby hot…

emergency medicinegeneral practicedelaydiagnosticadrenaline
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a…

emergency medicineobstetricscommunicationsystemmorphine
QLDcommunity2010-03-25

Howlett, Peter David

44y · Male·acute myocardial ischaemia due to coronary artery occlusion due to thrombosis an…

Peter Howlett, a 44-year-old male, died of acute myocardial infarction on 21 April 2006 after a 54-minute delay in ambulance arrival. His wife called Triple 0 reporting back pain radiating to chest at 7:20 am. Critical c…

emergency medicineparamedicinecommunicationdiagnostic
QLD2010-02-19

Frizzel, Casey Andrew

30y · Male·heatstroke causing damage to the heart

Casey Frizzel, age 30, died of heatstroke while working on a construction site in tropical North Queensland. He worked three consecutive hot days with minimal food intake (only chips and a mars bar), consumed little wate…

emergency medicinepathologysystemcommunication
SAaged care2009-10-16

Coroner's Finding: CHILDS Hayden William

77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…

A 77-year-old man with advanced dementia died from hypoxic-ischaemic encephalopathy caused by upper airway obstruction from a handkerchief. An agency carer placed a handkerchief in his breast pocket during morning care, …

geriatric medicineemergency medicinecommunicationsystem
SAcommunity2009-08-17

Coroner's Finding: TURNER Brian Raymond

59y · Male·ischaemic heart disease due to coronary atherosclerosis

Brian Raymond Turner, 59, died from ischaemic heart disease due to coronary atherosclerosis following an out-of-hospital cardiac arrest in a medical clinic car park. He experienced symptoms of chest discomfort and breath…

cardiologyemergency medicinecommunicationdelay
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
QLDhospital2008-10-14

Mathers, John William

26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident

John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he collided and suffered extensive injuries including ruptured …

emergency medicinetrauma surgerycommunicationsystem
QLD2007-11-23

Walker, Nola Jean

66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…

Nola Walker, a 66-year-old retired nurse, died from splenic rupture and haemorrhage caused by blunt force trauma from a motor vehicle accident. She was involved in a minor crash, assessed by paramedics who found normal v…

emergency medicineparamedicinediagnosticcommunicationalcohol
NTcommunity2007-11-12

Inquest into the death of Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen

Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …

Four men died from acute heart failure after ambulance officers declined or inadequately pursued hospital transport. In Angel Blanco-Puerto, no potentially life-threatening condition was identified at the time. However, …

emergency medicinecardiologydiagnosticcommunication
SAhospital2007-09-18

Coroner's Finding: MARKANTONAKIS Stefanos

63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm

A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospital despite his request, misattributing his symptoms to musculos…

emergency medicineparamedicinediagnosticcommunicationparacetamol/codeine
SAcommunity2007-06-08

Coroner's Finding: COOKE Rowan Douglas

37y · Male·dehydration/heat-related death

A 37-year-old man died from dehydration and heat-related illness after collapsing in a sweat lodge during a vision quest ceremony in remote South Australia. He remained unconscious after removal from the lodge, but the g…

emergency medicineintensive carediagnosticdelay

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