Coronial

55 results for developmental disability

VIChospital2022-10-03

Finding into death of Travis Jack Blows

15y · Male·pneumonia in the setting of cerebral palsy and epilepsy

Travis Blows, a 15-year-old with cerebral palsy and difficult-to-control epilepsy, died from pneumonia after a prolonged PICU admission. He presented to ED multiple times in the months before death with seizures and feve…

neurologyintensive careclobazam
WAhome2024-04-04

Inquest into the Death of Child LT (Name Subject to Suppression Order)

11y · Male·unascertained

An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother was intoxicated and unwell. He had complex care needs and was non-verbal. The Department of Com…

paediatricscardiologycommunicationsystemcocaine
VIChome2015-10-30

Finding into death of Christian Jay Sherwood Peck

3y · Male·consistent with drowning in a boy with autism (on historical grounds)

Christian, aged 3 years 11 months with autism spectrum disorder and a significant tendency to abscond, died by drowning in the Yarra River after escaping through an unsecured window at his father's house on 30 October 20…

paediatricsspeech pathologysystemdelaycannabis
NThome2003-07-31

Inquest into the death of Queenie Michaels

11y · Female·pneumonia complicating cytomegalovirus embryopathy

Queenie Michaels, an 11-year-old Aboriginal girl with cytomegalovirus embryopathy and severe physical and cognitive disabilities, died from pneumonia at home while in government care. She had been fostered by Mr and Mrs …

paediatricsneurologyanti-convulsants
VICcommunity2014-03-19

Finding into death of Darren Brett Kingma

29y · Male·Bronchopneumonia complicating neck injuries sustained in a fall, with Coffin-Low…

…h Coffin-Lowry Syndrome suffered a severe cervical spinal cord injury from a fall at a respite facility. Disability workers found him on the floor but initially interpreted his presentation as non-compliance rather than …

emergency medicineradiologydiagnosticcommunicationclonazepam
WA2016-05-04

Inquest into the Death of TP (a child) (Subject to a Suppression Order)

15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …

A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attenda…

neurologyemergency medicinecommunicationsystemsodium valproate
QLDcommunity2010-09-07

Simpson-Willson, John Douglas

56y · Male·head injuries inflicted by blunt force trauma

…g without involving his treating psychiatrist or guardian, and grossly under-resourced mental health and disability services. Pattel's threats were known to authorities but without confirmed mental illness diagnosis meet…

psychiatrycorrectional healthdiagnosticcommunication
QLDhospital2023-02-13

Hunter- Non-inquest findings

8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…

An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a rare congenital band adhesion. He presented to a regional hospital with abdominal…

surgerypaediatricsdiagnosticcommunicationondansetron
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 he…

general practiceemergency medicinediagnosticdelayparacetamol
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

…ction received multiple reports but made flawed intake decisions, underestimating HB's vulnerability and disability needs, and placing excessive weight on the mother's assertions. ChildFIRST intake assessments were sever…

paediatricsneurologydiagnosticdelaylevetiracetam
NSWhospital2020-01-31

Inquest into the death of OS

5y · Male·Combined effects of prescribed morphine, valproic acid and midazolam leading to …

A five-year-old child with complex neurodevelopmental conditions and polypharmacy (including valproic acid for epilepsy, benzodiazepines, and other medicati…

plastic and reconstructive surgeryanaesthesiamedicationproceduralmorphine
QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

8y · Male·prematurity-associated lung and bowel disease

…remature infant (born at 24 weeks) with multiple complex medical needs including chronic lung disease, developmental delay, and failure to thrive. He died aged eight months from prematurity-associated lung and bowel dis…

neonatologypaediatricsdiagnosticcommunication
NSWcommunity2022-10-21

Inquest into the death of Rachel Martin

28y · Female·Multiple injuries sustained when struck by a truck on the M1 Pacific Motorway

Rachel Martin, a 28-year-old SNAP support worker and pregnant woman, died attempting to prevent harm to a high-needs child (Riley) during respite care transport. While driving Riley home on the M1 Motorway, Riley exited …

social workpaediatricscommunicationsystem
WAcommunity2019-02-07

Inquest into the 13 Deaths of Children and Young Persons in the Kimberley Region

Ligature compression of the neck (hanging) in 12 cases; one open finding

This complex coronial inquest examined 13 Aboriginal children and young persons who died by suicide in the Kimberley Region between 2012–2016. The coroner found 12 deaths were suicides and one open finding. Common contri…

psychiatrypaediatricsdiagnosticcommunicationalcohol
NSWcommunity2022-10-21

Inquest into the death of Riley Christopher Shortland

8y · Male·multiple injuries sustained when struck by a truck on the M1 Pacific Motorway

Riley Shortland, an 8-year-old with severe autism spectrum disorder, global development delay, and ADHD, died when struck by a truck on the M1 Motorway after escaping from a vehicle during respite care. He removed his se…

occupational therapypsychologydiagnosticcommunication

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