Coronial

55 results for developmental disability

VIC2014-05-21

Finding into death of Michael Patrick Ormsby

9y · Male·Motor vehicle accident related multi trauma

Michael Ormsby, a 9-year-old boy with severe autism spectrum disorder and intellectual disability requiring constant supervision, died from multi-trauma injuries sustained in a motor vehicle accident. W…

paediatricsrisperidone
NTcommunity2011-10-11

Inquest into the death of Aaron Nathan Stagg

28y · Male·hanging

…isengagement pattern. Key lessons include the challenges of engaging high-functioning individuals with developmental disorders, and the need for coordinated care across fragmented services.

psychiatrypsychologysystemrisperidone
VICaged care2022-09-20

Finding into death of Tom Owen Row

59y · Male·Choking asphyxia

Tom Owen Row, a 59-year-old man with intellectual disability, dementia, Fragile X Syndrome, and Chromosome 18 Deletion Syndrome, died from choking asphyxia at a resi…

geriatric medicinepsychiatrysystemrisperidone
VIC2023-03-27

Finding into death of Matthew Richard Thomas Biggin

36y · Male·T-Lymphoblastic Leukaemia/Lymphoma (T-ALL)

Matthew Biggin, a 36-year-old man with severe intellectual disability, died from T-lymphoblastic leukaemia after a 5-month illness. In August 2021, he presented with cough, t…

general practiceoncologydiagnosticantibiotics
VIC2013-10-02

Finding into death of Daniel Tyson Pelka

19y · Male·aspiration of latex glove; intellectual disability

Daniel Pelka, a 19-year-old with severe intellectual and physical disability, died from aspiration of a latex glove whilst attending a disability day care centre. He had known prope…

emergency medicinesystemcommunication
VIC2021-03-29

Finding into death of Brian Troy

64y · Male·Complications of a cerebral tumour in the setting of multiple medical comorbidit…

Brian Troy, a 64-year-old man with profound intellectual and physical disabilities including autism, epilepsy, and cerebral palsy, died from complications of a malignant cerebral tumour. He was diagnosed in January 2020 …

palliative careneurologyphenobarbital
VIC2025-05-20

Finding into death of Alexander Petricca

29y · Male·respiratory sepsis in a man with cerebral palsy and epilepsy

Alexander Petricca, a 29-year-old man with cerebral palsy, quadriplegia, autism and developmental delay, died from respiratory sepsis following aspiration pneumonia. He had experienced multiple respir…

palliative caregeneral medicine
NThome2011-09-09

Inquest into the death of Baby M

4y · Male·chronic degenerative damage (complications) from neonatal cerebral palsy

…was a 4.5-year-old Aboriginal boy with severe neonatal cerebral palsy causing quadriplegia, intellectual disability, seizures, blindness, and severe gastro-oesophageal reflux. He died unexpectedly at home from chronic co…

paediatricsneonatology
VIChospital2012-08-24

Finding into death of Cameron Yeates

31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…

Cameron Yeates, a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underl…

gastroenterologygeneral practicecommunicationsystemwarfarin
NSWhome2023-10-24

Inquest into the death of AW

2y · Female·effects of fire (smoke inhalation and thermal injury)

AW, a 2-year-old girl with 15a11.2 BP1-BP2 microdeletion syndrome and developmental delays, died on 14 April 2018 in a house fire at her rural NSW home. She died from smoke inhalation an…

paediatricssocial worksystemdelay
VIChospital2013-05-29

Finding into death of Jamie Peoples

3y · Male·Respiratory failure due to spastic quadriplegia and cerebral palsy

Jamie Peoples was a 3-year-old boy with profound disabilities including spastic quadriplegia, cerebral palsy, hearing and sight impairment. He required percutaneous endoscopic gastrostomy for feeding and received ongoing…

paediatricspalliative care
QLDcommunity2016-09-10

C, a child aged 14 - Non-inquest findings

14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…

…ff understanding and compliance with individualised eating/swallowing plans for people with intellectual disability; the need for designated health coordinators in residential care; hand-held health records to improve co…

paediatricsemergency medicinesystemcommunication
VIChome2024-11-18

Finding into death of Dean Andrew Broughton

29y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)

Dean Broughton, a 29-year-old man with hyperekplexia and possible epilepsy living in an assisted living facility, was found deceased at home. Autopsy and review of medical records confirmed Sudden Unexpected Death in Epi…

neurologyemergency medicinedelay
NT2025

Inquest into the death of Kumanjayi Walker

19y · Male·gunshot wounds to chest and abdomen

…ce abuse services contributed to vulnerabilities; failures in early intervention for young people with developmental delays or FASD; and absence of culturally competent, trauma-informed approaches to Aboriginal people i…

public healthpsychiatrycommunicationsystem
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

Andrew William Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his Februar…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication
NSW2018-02-16

Inquest into the death of Carney Schultz

28y · Female·complications of epilepsy

…nd epilepsy, died on 21 April 2015 at a group home. She experienced a seizure around 3:20am managed by a disability support worker (DSW) without medical intervention. Hours later, a second unwitnessed seizure likely caus…

neurologygeneral practicecommunicationsystemmidazolam
WAhome2015-07-22

Inquest into the Death of Armarnie-Bree ELLIOTT

2y · Female·pneumonia in a child with reported recent flu-like illness (multiple viral detec…

Armarnie-Bree Elliott, a 2-year-old with Angelman syndrome, died from pneumonia complicated by oxycodone toxicity. She developed flu-like symptoms in late April while at a women's refuge. On 2 May evening, appearing incr…

paediatricsgeneral practiceoxycodone
SAhospital2008-01-02

Coroner's Finding: WOOD Jacqueline Moyra

17y · Female·raised intracranial pressure due to hepatic encephalopathy related cerebral oede…

…larly family coercion regarding allegations of sexual abuse she had made, combined with her intellectual disability, epilepsy history, and past trauma. No criticism was directed at healthcare workers; the death could not…

paediatricsintensive carediagnosticparacetamol
NSWout-of-home care2022-10-21

Inquest into the death of Alex Raichman

11y · Male·Multiple injuries sustained when struck by train

Alex Raichman, 11, died when struck by a train after absconding from respite care at Civic Disability Services. Alex had autism, intellectual disability, and seizure disorder with documented absconding risk…

paediatricspsychiatrysystemproceduralaripiprazole
VICcommunity2025-08-27

Finding into death of Harley James Smith

7y · Male·multiple injuries sustained in a motor vehicle collision (passenger)

A 7-year-old boy died in a head-on motor vehicle collision after his father deliberately drove their newly purchased car into an oncoming truck. The father had recently experienced severe stress following his partner's d…

paediatricspsychiatrycommunicationsystemmirtazapine

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