33 results for “growth failure”
<1y · Female·Obstructive sleep apnoea occurring in the context of significant, unrecognised h…
…obstructive sleep apnoea in the context of severe, unrecognised hypoglycaemia associated with intrauterine growth restriction (IUGR). She was discharged from Campbelltown Hospital after 7 hours into a Midwifery Support P…
Unknown·drowning
… The delayed implementation of live camera feeds to police dispatch represents a communication and system failure that could have assisted in timely location and potential rescue. Enhanced surveillance, live monitoring …
34y · Female·Aspiration pneumonia due to traumatic brain injury
… of the crash. No clinical negligence was identified. The coroner recommended that the Department of State Growth enhance driver licence testing to better educate new drivers about fatigue, speed, alcohol, drugs, inatten…
78y · Female·Complications of a left tentorial meningioma
… 2009 imaging report recommending no follow-up represented a missed opportunity for surveillance of tumour growth. Key lesson: incidental meningiomas warrant follow-up recommendations; radiologists should specify appropr…
<1y · Female·Hypoxic-ischaemic encephalopathy in the setting of chronic placental insufficien…
…aff, and inadequate obstetric decision-making during labour. While unable to definitively link management failures to death (hypoxic insult timing unclear), the coroner noted the poor clinical coordination could harm ot…
33y · Male·Multiple traumatic injuries
…tor concluded Mr James fell asleep while driving. The investigation ruled out mechanical defects, braking failure, and other causes; the vehicle travelled below the speed limit on a straight, dry road in good visibility…
64y · Male·chest and abdominal injuries due to being crushed by a regrowth tree
Raymond Penney, 64, died when struck by a regrowth tree during mechanical felling operations in a commercial forestry coupe. The old growth tree (68m, 50-60 …
Unknown·Multiple blunt injuries sustained in motor vehicle crash
…tors. The coroner noted that the crash site had no street lighting and recommended the Department of State Growth review lighting in the area.
10y · Male·Unascertainable
…explanation for such prolonged unconsciousness. Critically, Malachi had been failing to thrive with severe growth deterioration (weight dropping below 3rd percentile by 10 months), but was never medically assessed despit…
<1y · Male·prematurity-associated lung and bowel disease
…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 disease while in parental…
<1y · Male·unascertained
KP was a 3-month-old with intrauterine growth restriction born to a mother with documented mental health issues and cannabis use. Despite referral to SA…
<1y · Male·Head injury in the setting of labour
…s Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 weeks due to presumed growth discordancy (subsequently recalculated as concordant). Labour progressed slowly, and caesarean section was…
80y · Unknown·chest and abdominal injuries sustained in a collision with a truck
…as driving erratically prior to the crash, though the coroner could not determine whether this was due to failure to see the truck, misjudgement of distance, or being late for an appointment. Alcohol and drugs were excl…
47y · Male·sequelae of ruptured brain aneurysm
…onsultation by four months; the MDT at Prince of Wales Hospital lacked critical information about aneurysm growth (2015 scans unavailable) that would have triggered urgent treatment. Expert evidence indicated earlier int…
21y · Male·chest injuries sustained in motorcycle crash; lacerated aorta and haemorrhage in…
… negligent driving and received a 4-month suspended sentence. Post-crash review by the Department of State Growth recommended prohibition of right turns from Pipers Road, which was implemented through installation of reg…
Female·Head and chest injuries sustained when struck by a passenger bus
Wendy Anne Evans, a Queensland police officer on holiday, was struck by a Metro Tasmania bus at the intersection of Campbell and Macquarie Streets, Hobart, sustaining fatal head and chest injuries. Both the pedestrian cr…
Male·Multiple blunt traumatic injuries sustained as a driver or passenger in a motor …
…e been driving due to cannabis impairment, which was the principal reason for the deaths. The solar panel failure resulted from adhesive breakdown, and the coroner noted the absence of specific regulations governing aft…
15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…
MKP was a 15-year-old girl with severe cerebral palsy (GMFCS level 5) and long-standing hypoxic-ischaemic encephalopathy who died from a seizure disorder in her foster home on 26 December 2011. She had progressive respir…
53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…
… woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle motor vehicle crash. She was a wheelchair-…
19y · Male·Severe traumatic head injury sustained from impact with roadway surface after ex…
… jumped from the moving vehicle and sustained fatal head injuries striking the roadway. The coroner noted failures in police investigation (inadequate supervision, failure to call specialist crash investigators, failure…
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