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NThospital2008-12-23

Inquest into the death of Jenissa Ryan

14y · Female·blunt force head injury

A 14-year-old Aboriginal girl with newly diagnosed idiopathic thrombocytopenic purpura (ITP) and critically low platelet count (5,000/mm³) absconded from Alice Springs Hospital on 27 January 2006. Hospital staff failed t…

infectious diseaseshaematologycommunicationsystemintragam
QLDhome2008-12-22

Plint, Hannah Isabella Alyson

2y · Female·Drowning in an above-ground swimming pool

Hannah Plint, a 2½-year-old, died from drowning after accessing an above-ground pool by dragging a chair to the gate and opening it unsupervised. Her mother was inside with a younger sibling. The pool fence and gate sepa…

emergency medicinepaediatricssystemdelay
SAhome2008-12-15

Coroner's Finding: ESPOSITO Nicholas

1y · Male·hanging from curtain cord with neck compression

A 13-month-old boy died by hanging from a Roman blind cord in his bedroom cot. The child was able to stand and pull himself up, gaining access to the cord which hung into the cot. His father left him alone briefly while …

forensic medicinepaediatricssystem
SAhome2008-06-25

Coroner's Finding: Baby Safe Sleeping Practices

Zara Schupelius: suffocation; Callum Smith: undetermined; Jake Hackett: suffocat…

Concurrent inquests into five sudden unexpected deaths in infancy (SUDI), three attributed to suffocation and two undetermined but with suffocation as a significant possibility. All deaths occurred in infants aged 2-7 mo…

forensic medicinepaediatricssystemcommunication
SAhospital2008-05-23

Coroner's Finding: KROL Riley

0y · Male·hypoxic ischaemic encephalopathy

Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus d…

obstetricsanaesthesiacommunicationsystemcervedil
QLDhome2008-04-10

Bond, Jakai Ryan

0y · Male·Positional asphyxia contributed to by bronchopneumonia and head injuries

Jakai Ryan Bond, a 10-week-old infant, died from positional asphyxia on 25-26 May 2006 while in his father's care. The father fell asleep holding the baby in a lounge chair; the infant was found face down on his father's…

paediatricsforensic medicinedelaycannabis
SAhome2008-02-11

Coroner's Finding: LYDEN-BAKER Elizjah Monique Ivy

0y · Female·undetermined; possible suffocation not definitively established at autopsy

A 4-week-old neonate died at home with undetermined cause, though suffocation on a soft pillow was considered possible. The infant was born prematurely on a concrete pavement to a mother with untreated opioid addiction a…

neonatologypaediatricscommunicationsystemmorphine
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…

psychiatrypsychologycommunicationdelayfluoxetine
QLDhospital2007-11-06

Huber, Arisa

1y · Female·sudden unexpected death in infancy due to hypoxic episode while co-bedding with …

Arisa Huber, a newborn, died from sudden unexpected death in infancy (SUDI) due to hypoxic episode while co-bedding with her exhausted mother in a postnatal ward. The infant was found without breathing or pulse at 6:45am…

neonatologyobstetricscommunicationsystem
SAhome2007-09-20

Coroner's Finding: EDWARDS Elizabeth Rose

0y · Female·combined effects of asphyxia and inhalation of gastric contents

Elizabeth Rose Edwards, a 9-month-old premature infant with perinatal brain injury, died of asphyxia and aspiration of gastric contents while in temporary foster care. She had been placed with carers (the Todds) with min…

paediatricsneonatologysystemcommunication
WAhome2007-09-14

Inquest into the Death of Jones Coronial

9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)

Dwayne Michael Jones, aged 9, had Trisomy 10, a rare congenital chromosomal disorder causing severe developmental delay and neurological abnormalities. On 11 April 2000, he fell from a computer desk and struck his head. …

general practiceemergency medicinediagnosticdelayparacetamol
QLDhome2007-08-10

Stiller-Smith, Felix Jake

0y · Male·undetermined; possible drug effect, hypoxia, or asphyxia; methylamphetamine expo…

Felix Jake Stiller-Smith, a 37-day-old infant, died on 6 February 2003 while co-sleeping with his mother. The cause of death remained undetermined at autopsy, though heavy, congested internal organs suggested possible dr…

paediatricspathologycommunicationsystemamphetamine
QLDPodcast2006-12-18

Boyce, Amanda Helen

13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…

Amanda Helen Boyce, aged 13, drowned in a spa pool at a resort after her long hair became entrapped in the pump suction system. She was submerged for an estimated 10-20 minutes before being freed. Despite immediate CPR a…

emergency medicineintensive caresystemmaintenance
SAhospital2006-09-25

Coroner's Finding: McCARTHY Elly Sarahnia

13y · Female·cerebral oedema and infarction secondary to extensive subdural empyema

Elly McCarthy, a 13-year-old girl, died from cerebral oedema and infarction secondary to subdural empyema. She developed fever, headache and neurological symptoms on 24 January 2004 and was initially seen at a GP and Noa…

paediatricsemergency medicinediagnosticcommunicationtrimethoprim
NThospital2006-04-28

Inquest into the death of Zena Stevens

2y · Female·septicaemia

Zena Stevens, a 2.5-year-old Aboriginal girl, died from septicemia at Tennant Creek Hospital on 14 January 2005. She had presented to clinic on 11 January with fever, purulent ears and a recently lanced abscess after rec…

paediatricsemergency medicinediagnosticcommunicationprocaine penicillin
WAhospital2005-05-04

Inquest into the Death of Michael Anderson

0y · Male·Sequelae of drug toxicity (poisoning) — specifically respiratory depression and …

Michael Anderson was a 9-day-old Aboriginal infant who collapsed at King Edward Memorial Hospital on 15 November 2000 after being administered a gross overdose of paracetamol and codeine (likely via crushed panadeine for…

neonatologypaediatricscommunicationdelayparacetamol
NTcommunity2004-12-14

Inquest into the death of Nikita Anderson

0y · Female·bronchopneumonia caused by hypoxic brain damage caused or contributed to by meni…

A 9-month-old Aboriginal girl died from bronchopneumonia caused by hypoxic brain damage following cardiorespiratory arrest due to meningitis and seizures. During resuscitation at a rural GP clinic, a CO₂ cylinder was ina…

general practicepaediatricsproceduralsystemadrenaline
SAhospital2004-07-20

Coroner's Finding: QUINN Latoya Shelley

12y · Female·raised intracranial pressure due to ventriculo-peritoneal shunt blockage

A 12-year-old girl with congenital hydrocephalus and a ventriculo-peritoneal shunt presented to the ED with severe unrelieved headache after head trauma. An inexperienced junior doctor (6 weeks in role, minimal neurosurg…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VICcommunity2003-08-19

Nguyen Cindy

2y · Female·irreversible cerebral anoxia and terminal inhalation bronchopneumonia resulting …

Cindy Nguyen, a 2-year-old girl, drowned at Footscray Swimming Centre on 10 November 2000 and died from irreversible cerebral anoxia and inhalation bronchopneumonia on 15 November 2000. The coroner found that the death r…

emergency medicineparamedicinesystemcommunication
VIChospital2003-06-29

Finding into death of Mohammed Tartourssi

3y · Male·unascertained

Mohammed Tartoussi, aged 3 years 11 months, presented to Bell Street Family Medical Centre on 28 June 2003 with chest pain and mild upper respiratory symptoms. He was diagnosed with mild symptoms and given prednisolone. …

emergency medicinepaediatricsdiagnosticsystemsalbutamol

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