545 results
0y · Male·positional asphyxia
Harvey McGlinn, a 3-week-old infant, died from positional asphyxia while being carried in a Boba Wrap fabric sling in an incorrect position on 8 April 2019. The sling was positioned horizontally and low across his mother…
13y · Male·Hanging
Oliver Cronin, a 13-year-old boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, …
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…
2y · Male·unexplained sudden death
A previously healthy 2-month-old infant died unexpectedly during sleep. Post-mortem examination revealed aspiration of gastric contents with early aspiration pneumonia, rhinovirus infection, and trace amounts of fluoxeti…
0y · Female·Drowning
An 11-month-old girl drowned in a backyard koi fishpond after gaining access to the pond's edge, likely attempting to view the fish. Despite immediate CPR and rapid hospital transfer, she suffered hypoxic-ischaemic brain…
1y · Male·methadone toxicity
Phoenix Hemmings, a 14-month-old child, died from methadone toxicity on 31 March 2015. He was found unresponsive at home after falling asleep on a sofa next to his mother, while his mother's partner (on a methadone opioi…
6y · Male·Global cerebral ischaemia secondary to perinatal asphyxia
HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clinical lessons …
17y · Male·Unascertained in the setting of volatile substance abuse
Master S, a 17-year-old Yorta Yorta young man, died on 3 July 2017 at the Bert Williams Hostel from a cause unascertained in the setting of volatile substance abuse (chroming Rexona deodorant). He had a history of exposu…
5y · Male·Presumed drowning
CS, aged 5 years 9 months, died by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Vic…
15y · Male·Hypoxic-ischaemic encephalopathy complicating cardiac arrest in the setting of b…
Timothy Fehring, 15-year-old on a school excursion to Europe, died of hypoxic-ischaemic encephalopathy from cardiac arrest in the setting of bronchopneumonia and gastroenteritis. He developed gastroenteritis symptoms on …
2y · Male·Crush chest injuries
A two-year-old boy died from crush chest injuries after a heavy homemade hallway table (approximately 70kg, made from a railway sleeper) toppled onto him while he was playing at home. He was found unresponsive by his par…
5y · Unknown·Undetermined Sudden Infant Death (USID)
A 5-month-old infant died suddenly while co-sleeping with his mother on an adult bed with adult bedding. Post-mortem examination revealed undetermined sudden infant death (USID) with reactive splenic changes consistent w…
0y · Male·Acute traumatic head injury (non-accidental)
A 7-month-old child died from acute traumatic head injury sustained from non-accidental blunt force. Clinical lessons include: medical staff should strongly reinforce urgent referrals (the child had a critical GP referra…
14y · Male·Hanging
A 14-year-old boy died by hanging after extensive exposure to domestic and family violence and child abuse, primarily from his father. Child Safety Services involvement began in infancy but failed to apply a trauma-infor…
37y · Male·Stab wound to the left kidney
A 37-year-old man was fatally stabbed by his de facto partner during a family violence incident. He had a documented history of perpetrating family violence including threats, stalking, choking, and repeated breaches of …
16y · Male·Consequences of high voltage electrical injury due to mental disorder/psychosis
Reginald, a 16-year-old Aboriginal boy with first episode psychosis, intellectual disability, and fetal alcohol spectrum disorder, was admitted to the Youth Inpatient Unit and improved significantly with inpatient care. …
2y · Male·Consistent with drowning
Hunter Patrick Boyle, a 2-year-old boy, drowned in a farm dam while under the care of his grandfather. Hunter and his grandfather visited a neighbouring property to feed a horse; within 30 seconds to 1 minute of losing s…
Unknown·Amber Rose Rigney: external airway occlusion with compression of the neck; Korey…
Two children, Amber Rose Rigney (6) and Korey Lee Mitchell (5), were murdered on 30 May 2016 by their mother's partner Steven Graham Peet. The Coroner found their deaths were preventable. The children's mother had been u…
38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…
Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3-year-old son Seth before taking her own life in Mar…
17y · Female·Metastatic Ewing sarcoma (palliated)
KTJ was a 17-year-old Aboriginal girl with metastatic Ewing sarcoma who died peacefully at the Royal Children's Hospital in May 2021. She had been diagnosed with Ewing sarcoma at age 12, achieved remission, then relapsed…
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