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NSWhospital2011-12-21

Coroner's Finding: Gabrielle Coventry

14y · Female·Neisseria meningitidis infection (meningococcal septicaemia)

A 14-year-old girl presented to Gosford Hospital Emergency Department on 4 December 2007 with high fever (40°C), headache, vomiting, myalgia, and haemodynamic instability (hypotension, tachycardia, tachypnoea)—all signs …

emergency medicinepaediatricsdiagnosticmedicationceftriaxone
NSWhospital2011-12-12

Simpsonkaneesha3718 09

5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke

A 5-year-old Aboriginal child with complex congenital heart disease (DORV with asplenia and situs inversus) died of cardiac arrest from embolic stroke. She had undergone initial BT shunt surgery but required a Glenn shun…

cardiothoracic surgerypaediatricsdiagnosticcommunication
NSWhome2011-12-01

Coroner's Finding: Harshith ILLA

2y·head injuries from accidental fall from third-floor window

A 2-year-11-month-old boy died on 19 March 2011 at Westmead Children's Hospital from head injuries sustained in an accidental fall from a third-floor window three days earlier. The coroner found the death was accidental …

paediatrics
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

Tyler Di Blasi, aged 14 months, died from complications of acute lymphoblastic leukaemia (ALL) treatment. He developed parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gas…

intensive careoncologychemotherapy
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …

general practicepaediatricssystemdelayoxycodone
NSWhome2011-10-19

Coroner's Finding: Lachlan Charles Cumbo

6y · Male·Drowning due to epileptic seizure while bathing

A 6-year-old boy drowned in a bath at home during an apparent epileptic seizure. He had a history of recurrent seizures since infancy attributed to febrile convulsions, with eight hospital admissions between 2003-2008 ac…

paediatricsgeneral practicediagnosticsystem
NThospital2011-10-14

Inquest into the death of Kerisha Slim

8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma

An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…

oncologypaediatricsdiagnosticepirubicin
QLDhome2011-10-10

JTN and AJN

Unknown·Incineration from a house fire. The children were subject to poor supervision fr…

Two young children (aged 3 and 2 years) perished in a house fire in 2008 while under the supervision of their grandmother, who had been previously determined by the Department of Child Safety to be inappropriate for this…

paediatricspsychiatrysystemdelay
QLDhospitalPodcast2011-10-07

Saunders, Ryan Charles

2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…

Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…

paediatricsemergency medicinediagnosticcommunicationparacetamol
VIChome2011-09-15

Finding into death of Rupert Kaine Rafferty

5y · Male·Pneumococcal meningitis (fulminant, serotype 29)

Rupert Kaine Rafferty, a 5-year-old boy, died from fulminant pneumococcal meningitis (serotype 29) on 23 April 2010. He was examined by his paediatrician on 19 April with upper respiratory symptoms and appeared well with…

paediatricsemergency medicine
NThome2011-09-09

Inquest into the death of Baby M

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

Baby M 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 chr…

paediatricsneonatology
NSWhospital2011-08-15

Coroner's Finding: Jacob Leonel Belim

8y · Male·Septic shock consequent on burst appendix with peritonitis

Jacob Belim, aged 8, presented to a GP with appendicitis on 24 March 2009 but the diagnosis was missed. The next day, his treating doctor correctly diagnosed ruptured appendix and referred him urgently to hospital. At Li…

emergency medicinegeneral practicediagnosticcommunicationampicillin
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

A term infant died from hypoxic ischaemic encephalopathy caused by a true knot in the umbilical cord. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart ra…

obstetricsneonatologycommunicationsystemadrenaline
QLDhospital2011-06-29

Heidrich, Bela

0y · Female·Mechanical asphyxia due to or as a consequence of overlaying while bed-sharing d…

Bela Heidrich, a newborn, died from mechanical asphyxia due to overlaying while bed-sharing with her mother during breastfeeding in hospital. The mother, Zelia, was exhausted after labour and fell asleep while breastfeed…

midwiferyobstetricscommunicationsupervisionpethidine
QLDhospital2011-06-24

(C) a 15 month old child

1y · Male·Complication of burns and trauma to the mesenteric artery

A 15-month-old child died from complications of severe scalding burns (55% of body) sustained when left unsupervised in a bath of hot water (65°C) for 10-15 minutes, combined with traumatic mesenteric artery tears of unk…

paediatricsplastic and reconstructive surgerycommunicationsystemrisperidone
VIChospital2011-06-16

Finding into death of Owen Appleby

0y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

Owen Appleby, born at Portland Hospital after labour induction, developed hypovolemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APG…

obstetricsneonatologydiagnosticdelayprostin gel
NThospital2011-06-01

Inquest into the death of Damon Cabiddu

4y · Male·acute suppurative peritonitis following rupture of an inflamed vermiform appendi…

A 4-year-old Aboriginal boy with autism presented to emergency with vomiting and fever. Appendicitis was considered as a primary diagnosis from admission. Clinical examination was challenging due to communication difficu…

paediatricsemergency medicineparacetamol
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

Hannah Fowler, aged 11, died from sepsis secondary to perforated gangrenous acute appendicitis. She presented with progressive abdominal pain, vomiting, anorexia and malaise over four days before sudden deterioration and…

paediatricsemergency medicinediagnosticdelayparacetamol
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

Aaron, aged 14, died by suicide from a fall from an 11th-floor balcony. Over 12 years, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendanc…

paediatricspsychiatrydiagnosticsystem
NThome2011-05-13

Inquest into the death of Marlon Aidan Clancy

8y · Male·accidental suffocation (mechanism unknown)

An eight-week-old Aboriginal male infant died from accidental suffocation in circumstances of co-sleeping with his heavily intoxicated mother, young sister, and an adult male on a soft mattress with pillows. The coroner,…

paediatricspathologycommunicationalcohol
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