545 results
0y · Female·global hypoxic brain injury caused by prolonged cessation of breathing arising f…
An 11-week-old healthy infant died from global hypoxic brain injury following cardiac arrest at home. Multiple rib fractures and a clavicle fracture in various stages of healing indicated repeated non-accidental trauma i…
13y · Male·Epileptic seizure with aspiration
Child L, a 13-year-old boy with autism, cognitive impairment and poorly controlled generalised epilepsy, died from sudden unexpected death in epilepsy (SUDEP) with aspiration. His seizures remained refractory despite app…
4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer
A 4-year-old boy with significant global developmental delay and non-verbal communication died from peritoneal sepsis caused by a perforated duodenal ulcer. Presentation included lethargy, poor oral intake, low haemoglob…
0y · Male·Sudden Infant Death Syndrome (SIDS) Category II
Lucas Tran, a five-month-old infant in family day care, died suddenly on 18 November 2015. Despite resuscitation attempts, he could not be revived. Autopsy found no specific pathology; death was attributed to Sudden Infa…
1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…
Isabella Rees, aged 14 months, presented to Sunshine Hospital ED four times over 19 days with fever, vomiting and later haematochezia. A button battery lodged in her oesophagus caused progressive caustic injury leading t…
Female·self-inflicted death
Emily, a child in out-of-home care since infancy, died by suicide in 2014. She had early childhood trauma, attachment difficulties, and anxiety managed by a psychologist from age 5. Critical clinical lessons: (1) Complet…
Ligature compression of the neck (hanging) in 12 cases; one open finding
This complex coronial inquest examined 13 Aboriginal children and young persons who died by suicide in the Kimberley Region between 2012–2016. The coroner found 12 deaths were suicides and one open finding. Common contri…
32y · Female·hanging
Fiona Burke, aged 32, died by hanging on 17 March 2017 following a prolonged history of family violence in her relationship with Darren Mather. The death occurred in a context of escalating intimate partner violence, alc…
0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…
A 55-day-old infant died in an unsafe bed-sharing environment with her sedated mother while her father, intoxicated by intravenous morphine and methamphetamine, remained nearby. The autopsy revealed no obvious cause, but…
1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection
Troy Almond, a 17-month-old boy, presented to the Emergency Department with fever, lethargy, vomiting, and tachycardia. Vital signs showed heart rate 173 bpm (red zone) and fever 38.9°C. Dr T. diagnosed viral illness (po…
0y · Female·Hypoplastic left heart syndrome
Jessica Agnes Poulson was a 17-day-old neonate born with hypoplastic left heart syndrome, a fatal congenital condition requiring emergency surgery unavailable in the Northern Territory. The parents elected palliative car…
12y · Female·Cardio-respiratory failure due to aspiration pneumonia
Angelique Burton-Ho, age 12, with VACTERL syndrome and difficult airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately triaged initially, then readmitted that evening wi…
0y · Female·Sudden infant death while bed-sharing
A 7-week-old premature infant died of sudden infant death while bed-sharing with her mother on a couch. The infant was born at 33 weeks gestation weighing 1.7kg and discharged home after achieving adequate growth. She wa…
Female·Intrauterine pneumonia and meconium aspiration complicating intrauterine growth …
Baby W was born at 37+5 weeks in an ambulance and died at Bendigo Hospital from intrauterine pneumonia and meconium aspiration secondary to intrauterine growth restriction related to maternal amphetamine use. The mother …
3y · Unknown·hypoxic brain injury as a result of asphyxia from choking on a rubber ball
A 3-year-old boy died from hypoxic brain injury after aspirating a small rubber bouncy ball at home. The ball was purchased online for his upcoming birthday party and arrived with appropriate choking hazard warnings for …
13y · Female·Hanging
Melissa Standen, a 13-year-old with profound physical and cognitive disabilities (mosaicism), died from hanging at Westmead Children's Hospital after falling from a hospital bed at Allowah respite facility. She became en…
0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…
Baby M died shortly after birth on 11 February 2016 at Gladstone Base Hospital from intracranial and intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal sepsis. A nur…
0y · Unknown·Mechanical asphyxiation as a consequence of overlaying
Baby A, a 7-week-old premature infant, died from mechanical asphyxiation due to overlaying while co-sleeping with his mother at Derby Hospital. The baby had been transferred from Darwin Hospital for weight monitoring and…
0y · Male·Multiple injuries sustained from impact with the ground from an extended height …
A 4-month-old boy fell from a third-floor balcony on 14 July 2015 in Melbourne, resulting in multiple injuries including abdominal stab wounds. His mother, despite experiencing postpartum depression and social isolation …
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…
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