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VIChospital2015-06-12

Finding into death of Baby Chloe Lee Kellett

5y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia

Chloe Kellett was born at 39 weeks gestation after induction of labour for rupture of membranes and group B streptococcus positivity. She was delivered by forceps in theatre for a non-reassuring cardiotocogram (CTG) trac…

obstetricspaediatricsdiagnosticcommunicationoxytocin
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

Two Indigenous young men, JE (16 years) and JJ (16 years), both died by hanging within four months during a suicide cluster in Mackay, Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alco…

psychiatryemergency medicinediagnosticcommunicationalcohol
WAhome2015-06-08

Inquest into the Death of Baby C

0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…

A newborn died of Group B Streptococcal (GBS) infection and meconium aspiration bronchopneumonia less than three hours after planned home birth. The infant was born to a woman with prior traumatic hospital birth who had …

midwiferyobstetricsdiagnosticdelay
WAhome2015-06-08

Inquest into the Death of Baby B

0y · Male·severe hypoxic ischaemic encephalopathy due to apparent perinatal asphyxia

Baby B suffered severe perinatal asphyxia during a planned home birth and died from hypoxic ischaemic encephalopathy. An obstetrician recommended hospital delivery based on the mother's previous unexplained neonatal emer…

obstetricsmidwiferycommunicationsystem
TAShome2015-05-27

Coroner's Finding: Pearce, Jasmine Rose

0y · Female·suffocation under bedding

Jasmine Rose Pearce, aged 11 months, died from suffocation under bedding in her family home on 27 January 2013. Her parents engaged in sexual activity on the bed where Jasmine was sleeping while under the influence of ca…

paediatricsemergency medicinesystemdelaycannabis
QLDhospital2015-05-08

Marr, Hunter Campbell

9y · Male·asthma - acute episode of asthma which became increasingly resistant to Ventolin

Hunter Campbell Marr, a 9-year-old with episodic asthma, was admitted on 2 January 2014 with asthma exacerbation. His parents denied or minimised his asthma diagnosis despite previous PICU admission in 2011. During the J…

paediatricsrespiratory medicinecommunicationsystemsalbutamol
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

Krisinda Carmen Smart, aged 15, died from heroin toxicity on 20 January 2008. She was a child in care of the Department of Human Services subject to a Custody to Secretary Order. In the days before her death, there were …

paediatricsemergency medicinediagnosticsystemheroin
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

Tamiya Calais Lievesley, a six-month-old infant, died from morphine toxicity on 2 March 2004. She ingested a fatal dose of morphine, likely administered by one of her parents who were both morphine-dependent. The coroner…

paediatricsgeneral practicemedicationdiagnosticmorphine
SAhome2015-04-09

Coroner's Finding: VALENTINE Chloe Lee

4y · Female·closed head injury with contributing extensive subcutaneous and intramuscular ha…

Chloe Lee Valentine, aged 4 years 5 months, died on 20 January 2012 from closed head injury with extensive subcutaneous and intramuscular haemorrhage. The fatal injuries resulted from repeated trauma inflicted during a p…

paediatricsforensic medicinediagnosticsystemmethamphetamine
NSWhospital2015-02-13

Inquest into the death of Baby RD

0y · Male·Head injury from non-accidental trauma (forced shaking) occurring on 11 May 2009

Baby R, born at 28 weeks gestation, died of non-accidental head injury sustained on 11 May 2009 when forcefully shaken by a person or persons unknown while in parental care. The 5-month-old presented with cardiorespirato…

paediatricsintensive carediagnosticsystem
WAhospital2015-02-13

Inquest into the Death of Christopher Ling TAO

2y · Male·Myocarditis secondary to Kawasaki Disease

Christopher Tao, aged 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
QLDhome2015-01-29

Daw, Lilly Ella - Non-inquest findings

1y · Female·cystic encephalomalacia

Lilly Ella Daw, born at 27 weeks gestation as a monochorionic diamniotic twin following intrauterine death of her co-twin, died at one month of age from cystic encephalomalacia. The surviving twin had a documented 20% ri…

obstetricspaediatricscommunicationdelay
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…

psychiatrypaediatricssystemcommunicationlamotrigine
VIChome2015

Finding into death of Zahra Rahimzadegan

46y · Female·Unascertained - death occurred in the course of an assault by her husband; evide…

Zahra Rahimzadegan, a 46-year-old Iranian-Australian woman, was killed by her husband in a domestic homicide on 16 December 2011. The death occurred in the context of a 16-year history of physical abuse, threats, and con…

paediatricsforensic medicinecommunicationsystem
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

A 5-year-old girl with severe cerebral palsy (GMFCS level 5) and intractable epilepsy died at home, likely from a seizure. She had multiple medical complexities including microcephaly, developmental delay, unsafe swallow…

paediatricsneurology
WAhome2014-12-19

Inquest into the Death of Baby W

9y · Male·Sudden infant death in a boy with bronchitis and otitis media (cause unascertain…

A 9-week-old Aboriginal foster child died of sudden infant death (SUID) whilst in approved foster care. The baby was in the Department's care following removal from biological parents due to maternal health issues and pa…

paediatricsforensic medicinecommunicationparacetamol
QLDcommunity2014-12-12

Hicks, Indianna Rose

5y · Female·Sudden Infant Death Syndrome (Classic Type 1a)

A 5-month-old infant died suddenly at a family day care facility on her first day of formal care, with autopsy findings consistent with Sudden Infant Death Syndrome (SIDS). The child had been fully swaddled with arms enc…

paediatricsforensic medicinesystemcommunication
QLD2014-12-12

Chen, Ruby Yan

3y · Female·massive air embolism

Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred when a paramedic re-spiked a partially-used IV saline bag (containin…

retrieval medicineemergency medicineproceduralsystem
QLDhome2014-12-09

LB - Non-inquest findings

0y · Male·subdural haemorrhage due to blunt force trauma to the head

LB, a six-week-old infant, died from a subdural haemorrhage caused by blunt force trauma to the head inflicted by his mother. Autopsy revealed bilateral subdural haemorrhage, brain tears, and rib fractures sustained over…

paediatricsemergency medicinesystemdelay
VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

Leroy William Scott, a 15-month-old boy, presented to Geelong Hospital with fever, lethargy, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at…

paediatricsemergency medicinediagnosticcommunicationparacetamol
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