545 results
0y · Male·complications of head injury
A premature newborn died from severe head injuries inflicted deliberately by his teenage father in hospital on 15 February 2014. The father had a well-documented history of violence, substance abuse, criminality and had …
0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …
Jasmine Chiang died at 7 hours of age from primary idiopathic pulmonary hypertension of the newborn (PPHN), probably complicated by pulmonary haemorrhage. She presented with classic PPHN signs (harlequin appearance, diff…
Female·Sudden Unexpected Death in Infancy (SUDI), otherwise undetermined
Two infants died suddenly and unexpectedly. The first child died at home at 3 months of age in an unsafe sleeping environment with multiple soft items in her cot; the second died in temporary care at 19 days of age. Both…
0y · Female·hypoxic brain injury following respiratory arrest due to accidental suffocation …
A 24-day-old infant died from hypoxic brain injury following accidental suffocation whilst co-sleeping with her intoxicated mother. The parents were known to child protection services (CPS) due to intellectual disabiliti…
2y · Male·Hypoxic brain injury following immersion (drowning)
Lachlan Mitchell, a 2-year-old with global developmental delay and hypermobility, drowned in a swimming pool at a family day care home on 9 November 2015, suffering fatal hypoxic brain injury. While swimming pools were n…
0y · Female·Unascertained
A four-month-old girl died in an unsafe sleeping environment while staying with relatives in Sydney. She was placed in a pram in her parents' bedroom and was found not breathing on the morning of 17 August 2014. The exac…
5y · Male·complications of blunt force injury to the head
A 5-year-old boy died from complications of blunt force head injury sustained on 19-20 March 2010. He presented to a rural hospital unresponsive, with the initial account not mentioning head trauma. The attending doctor …
1y · Female·Sepsis (Group A Streptococcus)
A nearly 16-month-old girl died from Group A Streptococcal sepsis after presenting to a regional private hospital emergency department. She had been seen multiple times by different GPs in the preceding weeks with viral …
0y · Male·unexpected death in infancy whilst co-sleeping with an adult and older child
A 2-month-old infant died unexpectedly while co-sleeping with his mother and 5-year-old sister on a mattress in the lounge room. Autopsy revealed no specific cause; asphyxiation from unintentional overlay could not be ex…
13y · Male·Malignant hyperthermia due to a reaction to an anaesthetic agent administered to…
Louis Tate, a 13-year-old with known allergies to cow's milk, raw egg, peanuts and tree nuts, died following anaphylaxis to breakfast provided in hospital. Despite reasonable medical management of the anaphylactic reacti…
2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…
A 2-year-7-month-old boy died of Group A Streptococcal septicaemia after three presentations to hospital over three days. Clinical staff failed to recognise the developing bacterial infection despite objective warning si…
3y · Female·peritonitis caused by small bowel perforation due to blunt force trauma
A 3-year-old girl died from peritonitis caused by small bowel perforation. Expert evidence established the perforation resulted from blunt force trauma, not natural disease or accidental mechanisms. The manner of injury …
13y · Male·borderline myocarditis, most likely due to influenza A virus infection
A 13-year-old previously healthy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was disc…
13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…
A 13-year-old boy with depression, migraine, school refusal and family instability died by intentional self-inflicted means. His general practitioner provided inadequate mental health assessment, initiated antidepressant…
0y · Female·Septic shock with multi-organ failure and probable meningitis, secondary to non-…
Baby Minahil Bhatti, a five-month-old with congenital non-compaction cardiomyopathy, died from septic shock with multi-organ failure and probable meningitis. She presented to Royal Children's Hospital on 27 July 2016 wit…
7y · Female·respiratory failure from severe scoliosis due to Murray Valley encephalitis
Ruby Blitner died from respiratory failure secondary to severe scoliosis caused by Murray Valley encephalitis acquired at age two. Her clinical course involved progressive respiratory compromise, recurrent aspiration pne…
16y · Female·Mixed drug toxicity
Maria Liordos, a 16-year-old in state care with complex trauma, substance abuse, mental health issues and high-risk behaviours, died from mixed drug toxicity. The coroner identified significant failures in supervision an…
0y · Male·Traumatic head injury
BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fracture…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
0y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest as a consequence of…
A 7-month-old Aboriginal female, Baby S, died from hypoxic-ischaemic encephalopathy caused by respiratory viral infection and pneumonia with cardiac arrest. She was in care of Territory Families after removal from her mo…
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