Coronial
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

…of managing unsettled twins with colic and poor weight gain. The case reveals critical clinical failures: bruising observed on both immobile twins at the four-week assessment was not appropriately investigated; at the ei…

general practicepaediatricsdiagnosticcommunication
WAhospital2021-02-09

Inquest into the Death of Baby H (Name Subject to Suppression Order)

0y · Female·head and neck injuries

…ted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physicians incorrectly assessed as accidental. The child health nurse and emergency doctors were n…

emergency medicinepaediatricsdiagnosticcommunication
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

…d five partially healed rib fractures (3-6 weeks old) consistent with chest compression/squeezing, facial bruising suggesting possible smothering, and evidence of previous lung haemorrhage. Both parents gave conflicting …

forensic medicinepaediatricsmarijuana/cannabis
WAhospital2020-09-23

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

5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …

…tal head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants is a 'red flag' requiring specialist paediatric assessment; GPs must directly com…

paediatricsgeneral practicediagnosticcommunicationtopiramate
VIChome2014-10-19

Finding into death of Hayley

2y · Female·head injury

…er home in St Arnaud, Victoria. She presented to childcare in the weeks before her death with unexplained bruising and injuries to her face and head. Victoria Police and Department of Human Services investigations prior …

paediatricsforensic medicinediagnosticcommunication
VIChome2022-11-23

Finding into death of B JF

23y · Male·Undetermined

…during this intoxicated, delusional state. He was found unresponsive in the bathtub the next morning with bruising on his neck and torso consistent with pressure application. Autopsy revealed cocaine metabolites, hyper-e…

forensic medicineemergency medicinesystemcocaine
NSWhome2017-12-21

Inquest into the death of Barry John Lowe

66y · Male·blunt force injuries to the head and chest

…ember 2012. Forensic evidence suggests he was assaulted with a metal or heavy wooden rod, with tram-track bruising patterns indicating the weapon's characteristics. Despite a thorough police investigation spanning 18 mon…

forensic medicine
VIChospital2024-10-11

Finding into death of Baby L

1y · Female·Unascertained - cardiac arrest with brain swelling; neuropathology demonstrated …

…e could not be determined. The coroner found no proximate causal connection between previously documented bruising and the fatal event. The coroner commended child protection and day care centre staff for diligent identi…

paediatricsforensic medicine
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

…vices while maintaining inadequate oversight. Tasmania Police failed to prioritise a concerning report of bruising received on 29 October. Critical opportunities to remove BJay from his parents' care were missed despite …

paediatricsemergency medicinediagnosticsystemcannabis
WAaged care

Inquest into the Death of Nola Inez DANIEL

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

… the fall. Subsequent nurses failed to recognize the significance of weight-bearing difficulty and facial bruising. The fracture was not diagnosed until 16 hours later on Boxing Day. She underwent hip repair surgery on 2…

orthopaedic surgeryemergency medicinediagnosticcommunicationfentanyl
NSWhome2025-08-08

Inquest into the death of Jacob

0y · Male·Non-accidental infliction of significant force to the head/face and gum region, …

…t 11 weeks old and presented to hospital three days later with a subarachnoid haemorrhage and periorbital bruising. Despite being assessed as 'safe with plan', he presented again 12 days later with bruising to his foot. …

paediatricsforensic medicinediagnosticsystemmethamphetamine
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…

…en the mother reported missing children to Berrimah Police Station with documentation including photos of bruising, the attending constable did not properly examine her documents and sent her away to call police communic…

psychiatrypaediatricscommunicationsystem
NThospital2017-01-13

Inquest into the death of Michael Smedley

0y · Male·Traumatic head injury

…e from accidental fall or non-accidental trauma delayed investigation. The child presented with extensive bruising, subdural haemorrhage, subarachnoid haemorrhage, retinal haemorrhages, and bilateral cerebral swelling. T…

paediatricsforensic medicinediagnosticcommunication
VIC2012-01-24

Finding into death of Dominique Cupsa

3y · Male·Complications of severe ischaemic/hypoxic brain injury

A 3-year-old boy with severe hypoxic-ischaemic brain injury from non-accidental trauma sustained at 2 months of age died from complications of that injury while in state care. Medical evidence indicated high-impact head …

paediatricsneurosurgerycommunicationdiagnostic
VICaged care2023-05-15

Finding into death of Jennifer Mary Thomas

65y · Female·Unascertained

…he floor. Post-mortem examination revealed fractures to her left humerus and right femur with significant bruising. The coroner found these fractures occurred during the emergency transfer from wheelchair to floor, likel…

geriatric medicinedisability medicinesodium valproate
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

… to protect him despite numerous concerning reports spanning 18 months. Teachers reported repeated facial bruising with implausible explanations; a mother repeatedly warned of abuse; child protection workers closed cases…

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

…g potential neck injury; (2) the emergency department failed to image her cervical spine despite seatbelt bruising and institutional guidelines requiring radiology for trauma patients over 65 years; (3) a CT shoulder sca…

emergency medicinegeneral surgerydiagnosticprocedural
VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

…re. He had multiple healing traumatic injuries (rib fractures, wrist fracture, mesenteric injury, scrotal bruising) consistent with non-accidental trauma that occurred 3-12 weeks before death, likely inflicted by his mot…

paediatricsemergency medicinesystemcommunicationmethamphetamine
WAaged care2014-07-23

Inquest into the Death of Daniel

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

…he following morning when the deceased presented with obvious pain, shortened and rotated leg, and facial bruising. She underwent hip repair surgery on 29 December but developed post-operative pneumonia and respiratory f…

geriatric medicineorthopaedic surgerydiagnosticcommunication
TAS2021-02-05

Coroner's Finding: Greene, Yvonne Beverley

73y · Female·head injuries suffered in a fall; skull fractures with bruising to the brain and…

A 73-year-old woman with a history of dilated cardiomyopathy and recently inserted pacemaker/defibrillator fell down external restaurant stairs while leaving an anniversary celebration. She tripped or lost balance after …

cardiologygeneral practice

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