11 results for “physical developmental delay”
28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…
…ere ordered to investigate further. She was inappropriately discharged while clearly unwell and requiring physical assistance. She died at home within 7 hours. Critical system failures included: the supervising senior do…
2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection
…ulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with poor muscle tone and developmental delay. Although Child Development Service identified anaemia risk and recommended GP assessment and ir…
2y · Male·Hypoxic brain injury following immersion (drowning)
Lachlan Mitchell, a 2-year-old with global developmental delay and hypermobility, drowned in a swimming pool at a family day care home on 9 November 2015, suff…
19y · Male·aspiration of latex glove; intellectual disability
Daniel Pelka, a 19-year-old with severe intellectual and physical disability, died from aspiration of a latex glove whilst attending a disability day care centre. He had k…
9y · Male·Motor vehicle accident related multi trauma
Michael Ormsby, a 9-year-old boy with severe autism spectrum disorder and intellectual disability requiring constant supervision, died from multi-trauma injuries sustained in a motor vehicle accident. While under respite…
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 b…
14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…
A 14-year-old girl with foetal alcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outing. She had been in state care since infanc…
11y · Male·Multiple injuries sustained when struck by train
… unsecured and the low perimeter fence posed escape risks but failed to rectify these hazards. The unsafe physical environment was exacerbated by inadequate staffing—Alex received 1:1 care by contract but staffing ratios…
0y · Female·brain death complicating head and neck injury
A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (evidenced b…
Ligature compression of the neck (hanging) in 12 cases; one open finding
…ational trauma, exposure to domestic violence and alcohol abuse, untreated mental health conditions, poor physical health (failure to thrive, recurrent infections), and inadequate access to culturally appropriate service…
0y · Male·Severe acute dehydration and acute malnutrition
… Safety was involved with the family but missed critical opportunities to intervene. Key clinical lessons: delayed investigation commencement (six weeks), failure to implement planned urine drug screening, inadequate es…
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