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VIChospital2013-06-12

Finding into death of Findings Adang Akot

9y · Female·intercurrent pneumonia/respiratory infection in a setting of chronic lung diseas…

Adang Akot was a 9-month-old infant with chronic lung disease and subglottic stenosis who died from intercurrent pneumonia and respiratory infection at the Royal Children's Hospital. The coroner was satisfied that the Ro…

paediatricsrespiratory medicine
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
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …

psychiatrypaediatricscommunicationsystem
VIChospital2013-05-09

Finding into death of Tyler Reading-Adams

0y · Male·Intrapartum hypoxia due to true knot in umbilical cord with cord wrapped three t…

Tyler Reading-Adams died at 95 minutes old from intrapartum hypoxia caused by a true knot in his umbilical cord wrapped three times around his neck. The mother presented at 40 weeks 6 days gestation with spontaneous rupt…

obstetricsmidwiferynitrous oxide
QLDhome2013-05-03

Thompson, Leanne Melissa

15y · Female·Hypoxic brain injury due to hanging

Leanne Thompson, aged 15, was a severely troubled and vulnerable young woman under a Child Protection Order, living with 28-year-old Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, dr…

paediatricspsychiatrysystemdelayheroin
SAcommunity2013-04-18

Coroner's Finding: JOHNSON Olivia Jean

0y · Female·dehydration

Olivia Johnson, an 11-month-old Indigenous infant, died of dehydration from acute gastroenteritis in a remote location. She presented to Leigh Creek Medical Clinic with 48 hours of vomiting and diarrhoea and was likely a…

general practicepaediatricsdiagnosticcommunicationgastrolyte
QLDhome2013-04-16

Borusiewicz, Luke Anthony

2y · Male·head injury due to accidental fall from bed

Luke Borusiewicz, a 2-year-old in foster care, died from severe head injuries sustained in an accidental fall from a bed on 12 January 2009. The foster carer, Joy (age 74), had taken him into care on 24 December 2008 aft…

emergency medicineneurosurgery
VIChome2013-04-12

Finding into death of Cody Jackson

15y · Male·asphyxiation by hanging

Cody Jackson, aged 15, died by asphyxiation from hanging in March 2009. He had a troubled family background with exposure to violence, substance abuse, and criminal activity. Cody was involved with multiple services incl…

psychiatrypsychologysystemdelay
VIChospital2013-03-15

Finding into death of Rolden Ablis

5y · Male·Brainstem encephalitis (viral)

Rolden Ablis, aged 5, presented to Frankston Hospital Emergency Department with fever, vomiting, and dehydration on 10 December 2007. He was diagnosed with gastroenteritis and admitted for fluid resuscitation. Despite cl…

paediatricsemergency medicinediagnosticdelayparacetamol
VICcommunity2013-02-27

Finding into death of Vincent Anthony Bonanno

22y · Male·Ischaemic heart disease due to coronary artery atherosclerosis due to healed cor…

A 22-year-old male with a history of Kawasaki disease at 9 months of age collapsed during a football match and could not be resuscitated. Autopsy revealed significant coronary artery atherosclerosis with healed coronary …

cardiologypaediatrics
VIChome2013-02-22

Finding into death of William

1y · Male·Blunt head trauma (motor vehicle impact)

William, a 16-month-old boy, died from blunt head trauma after being struck by his father's four-wheel drive in the family driveway. The father was reversing without knowledge that William had followed him outside. Despi…

trauma surgeryemergency medicinesystem
WAhome2013

Inquest into the Death of Stevens, Malachi Isaac and Stevens, Lochlan James

10y · Male·Unascertainable

Two young children, Malachi (10 months) and Lochlan (2 years), died on 7-8 November 2008 in their mother's home en suite, with cause of death unascertainable. The mother claimed to have blacked out for approximately 10 h…

paediatricsforensic medicinesystemdelay
WAhomePodcast2013

Inquest into the Death of Murphy, Sean Gordan Peter

3y · Male·Entrapment in an airtight environment (washing machine drum) resulting in suffoc…

Sean Murphy, aged 3 years 6 months, died on 20 September 2010 after becoming trapped in an airtight LG front-loading washing machine at his home in Hilton, Western Australia. He died from suffocation due to entrapment in…

emergency medicinepathologysystemoxycodone
WAhome2013

Inquest into the Death of Hurley-Goodacre, Adam Michael

17y · Male·Ligature Compression of the Neck (Hanging) - Suicide

Adam Hurley-Goodacre, a 17-year-old Ward of the State since 1996, died by suicide on 20 February 2007, one week before his 18th birthday. He had a history of suicide attempts in October 2006 while experiencing emotional …

paediatricspsychiatrysystemalcohol
VIChospital2012-12-16

Finding into death of Luke Andrew Hyatt

6y · Male·Acute on chronic respiratory failure in the setting of hypotonic quadriplegic ce…

Luke Hyatt, a 6-year-old with severe cerebral palsy, chronic lung disease, and cardiac arrhythmia requiring a pacemaker, died from acute on chronic respiratory failure following a respiratory infection. He was admitted t…

paediatricsintensive care
QLDhospital2012-12-06

Death of an infant

0y · Male·Traumatic head injuries including subdural haemorrhage, intracranial haemorrhage…

A seven-week-old infant died from traumatic head injuries including subdural haemorrhage, retinal haemorrhages, and axonal injury. Medical evidence established two separate traumatic brain injuries occurring approximatel…

paediatricsneonatology
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex medical needs including PEG feeding, …

paediatricsintensive caresystemanti-epileptic medication
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

Preston Paudel, born at 37 weeks gestation after meconium-stained labour with syntocinon augmentation, was delivered severely compromised with Apgar scores of 1-1-1 and died of hypoxic-ischaemic encephalopathy. Multiple …

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

Joshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hospital for gastroenteritis. …

paediatricsemergency medicinecommunicationsystembaclofen
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 …

general practicegeneral medicinediagnosticcommunicationlamotrigine
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