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VIChome2014-11-28

Finding into death of Stephanie Jean Winberg

18y · Female·Compression of the neck in circumstances of hanging

Stephanie Winberg, an 18-year-old female with a complex medical history including eating disorder, major depressive disorder, and post-traumatic stress disorder following a friend's death, died by hanging on 16 October 2…

psychiatrypsychologyfluoxetine
VIChome2014-11-28

Finding into death of Hailey Holmes

5y · Female·Sudden Infant Death Syndrome Category II

A 5-month-old infant died from Sudden Infant Death Syndrome (SIDS II) after being placed prone to sleep in a portable cot with additional bedding including thick blankets, a foam couch mattress, and rolled blankets to fi…

paediatricsemergency medicinecommunicationsystem
NSWhome2014-11-20

Inquests into the death MB and KB

Unknown·Sudden Infant Death Syndrome Category II (for both MB and KB)

Two infant deaths in the same family from unsafe sleeping environments: MB (9 months) died in 2006 on a lounge with parents, categorised as SIDS Category II; KB (24 days) died in 2013 co-sleeping on a lounge with her mot…

paediatricspathologysystemdelay
VIChospital2014-11-19

Finding into death of Noah Philip James Sheekey

3y · Male·Escherichia Coli sepsis in a low birth weight infant

Noah Sheekey, a small-for-gestational-age neonate, died of E. coli sepsis at 3 days old, one day after discharge from hospital. Although his initial condition was reassuring, he was managed on the postnatal ward rather t…

neonatologypaediatricscommunicationsystemcefalexin
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
WAhome2014-10-27

Inquest into the Death of Baby Xavier

Unknown·unascertained

An 8-week-old infant in out-of-home care died suddenly while asleep in a porta cot. Post-mortem examination revealed no infectious disease, injury, or toxicological abnormality. The cause remained unascertained despite e…

paediatricspathologyomeprazole
VIChome2014-10-19

Finding into death of Hayley

2y · Female·head injury

Hayley, aged 2, died from severe head injuries sustained on 7-8 July 2009 at her home in St Arnaud, Victoria. She presented to childcare in the weeks before her death with unexplained bruising and injuries to her face an…

paediatricsforensic medicinediagnosticcommunication
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·Hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

A 10-year-old boy with severe obstructive sleep apnoea and morbid obesity died from hypoxic brain injury following cardiorespiratory arrest. Despite repeated medical interventions and explicit warnings that his condition…

respiratory medicineendocrinologycommunicationsystemmethadone
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been admitted to hospital in May 2008 with these diagnoses and was pr…

respiratory medicineendocrinologycommunicationsystemmethadone
SAhome2014-09-05

Coroner's Finding: HARRISON Noah Alexander Edward

0y · Male·unascertained; possibly asphyxiation related to sleeping position

Noah Harrison, aged 12 weeks, died of unascertained cause in October 2010. He was found face-down in a pram with unsafe sleeping arrangements. At prior hospital admission on 17 September 2010 for fever and reported haema…

emergency medicinepaediatricsdiagnosticcommunication
NThome2014-09-01

Inquest into the death of Baby C

0y · Female·undetermined (chronic malnutrition ruled out; possible dehydration with electrol…

Baby C, born prematurely at 32 weeks (1.64kg), was discharged from Alice Springs Hospital on 2 January 2013 medically well and appropriately. She was placed in foster care with Ms Preston, an exceptionally experienced an…

paediatricsneonatologydelay
VIChospital2014-08-28

Finding into death of Lily Irwin

0y · Female·Sepsis

Baby Lily Irwin died of sepsis caused by ascending bacterial infection (Staphylococcus aureus) that developed after spontaneous rupture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnioni…

obstetricsmidwiferydiagnosticcommunication
VIChospital2014-08-26

Finding into death of Dominic Birch

16y · Male·Aspiration pneumonia in a young man diagnosed with Juvenile Huntington's Disease

Dominic Birch, a 16-year-old with Juvenile Huntington's Disease and severe cognitive and physical disabilities, died of aspiration pneumonia at Monash Medical Centre. He had been in state care since infancy and resided i…

neurologypaediatricssystem
QLDhome2014-08-07

A four month old baby - Non-inquest findings

0y · Male·Sudden infant death syndrome (unclassified sudden infant death subclassification…

A four-month-old boy died in a caravan where he was placed in parental care following a Court Assessment Order. The cause was determined to be sudden infant death syndrome, possibly involving hypothermia given the cold e…

paediatricspathologysystemdelaymethamphetamine
QLDhospital2014-08-05

Olive, Thomas (Tom) Andrew

4y · Male·Severe rhabdomyolysis due to LPIN1 gene mutation

Tom Olive, aged 4, died from severe rhabdomyolysis caused by a rare LPIN1 gene mutation. Over 12 months before death, he presented with recurrent episodes of dark urine, muscle pain, and lethargy. Multiple GPs and a paed…

general practiceemergency medicinediagnosticcommunicationsuxamethonium chloride
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement …

paediatricsaddiction medicinesystemcommunicationinhalant
SAhospital2014-07-08

Coroner's Finding: SLEEP Aurora Doreen Maureen

4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…

Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had a perforated uterus from a D&C procedure 9 months earlier. The coroner foun…

obstetricsmidwiferycommunicationdiagnosticprostaglandin gel
VIChome2014-07-03

Finding into death of Daniel Michael Brendan Thomas

2y · Male·Unascertained causes; on balance of probabilities, inflicted injuries on evening…

Daniel Thomas, aged 2 years 8 months, died on 13 October 2003 from unascertained causes, likely inflicted injuries resulting from abuse. He had been living with Ms Martyn from September 2003, during which time he was sub…

paediatricsforensic medicinesystemdelay
QLDhome2014-06-27

Faith, an 8 year old child

8y · Female·Faith died from the combined effects of the haemodynamic consequences of extensi…

An 8-year-old girl, Faith, died from injuries caused by repeated beatings with a metal vacuum pole by her mother. She had previously disclosed abuse to school staff in 2009 and 2010, leading to Department investigations.…

paediatricsforensic medicinediagnosticsystem
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

Vaughan Murray, a 14-week-old infant, died at Ipswich General Hospital with an undetermined cause despite autopsy findings highly suggestive of non-accidental injury. He had five partially healed rib fractures (3-6 weeks…

forensic medicinepaediatricsmarijuana/cannabis
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