545 results
13y · Female·cardiac arrest resulting from dehydration
A 13-month-old girl with short bowel syndrome died from cardiac arrest due to severe dehydration. She had been deteriorating with diarrhoea and vomiting on 18 February 2009, prompting nursing staff to escalate concerns t…
15y · Female·Ligature compression of the neck (hanging)
A 15-year-old Aboriginal girl died by suicide by hanging on 29 November 2007. She had a transient lifestyle with unstable housing, moved frequently between relatives, was not regularly attending school, and engaged in su…
12y · Female·acute septicaemia resulting from osteomyelitis of the left femur
A 12-year-old Aboriginal girl died from septicaemia caused by untreated osteomyelitis of the left femur. Three weeks after a sports injury, despite evidence of severe and deteriorating illness including inability to walk…
0y · Male·failure to thrive due to insufficient caloric intake
Kalib died from failure to thrive due to insufficient caloric intake at 7 weeks old. He was born to a mother with a documented history of severe neglect and physical abuse of multiple children over 5 years, during which …
0y · Male·unascertained cause
A full-term male baby was discovered dead in a toilet block at a camping ground on 27 January 2008. The infant was born alive sometime between 1:00 and 8:30 AM that morning, with the placenta found separately nearby. Des…
14y · Female·hanging
Sharkia Handy, a 14-year-old girl in out-of-home care, died by hanging in December 2007. She had significant unaddressed mental health concerns including suicidal ideation, self-harm, and grief following peer suicides. T…
2y · Male·drowning (immersion)
A 2-year-old boy, Kaled Kanj, drowned in a leisure pool at a public aquatic centre while attending with his mother and three siblings. His mother was supervising four children while also holding a 9-month-old infant, mak…
14y · Male·gunshot wound to the head
Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…
1y · Female·acute myocardial infarction secondary to Kawasaki's Disease
Kristen Kerkvliet, aged 14 months, died from acute myocardial infarction secondary to Kawasaki's Disease. She presented to Gympie Hospital severely underweight and malnourished on 3 February 2006, having failed to thrive…
Female·meconium aspiration
Talisha Hildebrandt was stillborn at Ayr Hospital on 7 January 2007 due to meconium aspiration. The pregnancy was low-risk and managed appropriately. A CTG monitor showed concerning fetal heart rate changes, prompting ur…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
Jezelle Lisa Gordon, a 1-year-old child, died of staphylococcal pneumonia on 26 February 2006 in Port Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate…
15y · Female·Hanging (self-inflicted)
A 15-year-old Aboriginal girl in a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually tran…
0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery
Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approximately 15 minutes before …
10y · Male·sepsis (fusobacterium necrophorum) complicating right otitis media
Jarrad Roberts, a 10-year-old with learning disabilities and likely ADHD, died from sepsis due to untreated right otitis media caused by Fusobacterium necrophorum. He had been acutely ill for 5-7 days before finally seei…
1y · Female·acute on chronic respiratory failure
Kara Compton, aged 22 months with Down's syndrome and chronic respiratory disease requiring home oxygen, died from acute on chronic respiratory failure following a dog bite attack. Injuries caused blood loss which, combi…
0y · Male·Sudden Infant Death Syndrome (SIDS) against a background of sub-glottic stenosis…
Brendan Scott Kay, a 104-day-old ex-premature infant with sub-glottic stenosis from prolonged neonatal intubation, died suddenly in his parents' car during transfer home from Brisbane to Tully. The stenosis had been inve…
7y · Female·streptococcus pneumoniae sepsis complicating retropharyngeal abscess
A 7-week-old infant died from streptococcus pneumoniae sepsis complicating retropharyngeal abscess. Three days before death, a report was made to child protection services alleging the father had shaken the infants. A ge…
0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…
Georgia Rae Tilmouth was born at 35 weeks gestation after premature labour and died 13 hours later from perinatal asphyxia due to hypoxia during labour. The coroner found multiple deficiencies in obstetric care contribut…
0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour
Benjamin Glasgow died shortly after emergency caesarean delivery at 12:30 pm on 19 October 2006 for brow presentation, an obstructed labour. Autopsy revealed unprecedented multiple skull fractures and severe brain injury…
0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…
Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…
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