545 results
0y · Male·unascertained
Baby Z, born to a serving prisoner on 3 March 2011, died suddenly on 3 April 2011 at Bandyup Women's Prison at one month of age. Despite extensive forensic investigation, the cause of death remained unascertained, though…
0y · Male·Hypoxic ischaemic encephalopathy (brain damage) sustained during and just after …
A newborn died from hypoxic-ischaemic encephalopathy following a home birth without medical assistance. The mother had significant risk factors: hepatitis C, anaemia, and transverse fetal lie confirmed at 38+ weeks gesta…
15y · Female·hypoxic brain damage due to multiple drug toxicity
A 15-year-old girl in out-of-home residential care died from accidental overdose of heroin and methylamphetamine (speedballing) in her bedroom while a known drug user was present. She had complex trauma from childhood ab…
14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…
A 14-year-old girl with foetal alcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outing. She had been in state care since infanc…
17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…
Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …
0y · Female·subdural haemorrhage, intracranial haemorrhage and oedema caused by severe shaki…
ADT was a 10-week-old infant who died from subdural haemorrhage and intracranial haemorrhage caused by severe non-accidental injury. She presented to Launceston General Hospital with fever, poor feeding, and loose stools…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…
This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
6y · Male·respiratory failure due to pneumonia
Richard Ted Kunia was a 6-year-old Aboriginal child with multiple serious congenital conditions including cerebral palsy, epilepsy, severe developmental delay, aspiration syndrome, and microcephaly. He was in state care …
0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)
Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not sati…
17y · Female·self-inflicted hanging
Madeline (Maddy) Downman, 17-year-old Aboriginal girl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four ye…
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the s…
10y · Male·complications of anaphylaxis
Ronak Satyajit Warty, a 10-year-old boy with known milk and nut allergies, died from anaphylaxis after ingesting a coconut drink that was mislabelled and contained undeclared dairy products. Despite his parents' diligenc…
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…
6y · Female·Brain stem herniation due to pneumococcal meningitis
Lilli Sweet, a 6-year-old asplenic child with hereditary spherocytosis, died from pneumococcal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 Augus…
15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …
A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…
15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis
Jack Glen Irvine, a 15-year-old with documented severe nut allergies and asthma, died from anaphylaxis triggered by consuming a macadamia nut cookie at a Victorian Karting Association camp. The cookie was provided despit…
0y · Male·Kawasaki disease
A five-month-old infant presented with fever, rash, and systemic symptoms over several days. Initial assessment at the Royal Children's Hospital and by the GP concluded a bacterial or viral infection rather than Kawasaki…
17y · Male·ligature compression of the neck (hanging)
Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…
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