27 results for “sleep placement”
0y · Male·suffocation due to overlay by a sleeping adult
A 59-day-old premature infant died from suffocation due to overlay by a sleeping parent. The infant was placed on a mattress next to the parent's cot after refusing to settle in his ow…
0y · Female·Suffocation due to unsafe sleeping environment with overlying and/or bedding ent…
A 7-week-old baby died following unsafe sleep practices. Born prematurely at 37 weeks with reflux and bronchopneumonia, the infant was placed to sleep o…
0y · Unknown·Sudden Infant Death Syndrome (SIDS Category 2)
…illow on his side in a bed with multiple blankets and pillows. The coroner's investigation examined shared sleep surfaces as a risk factor for infant death. Key clinical lessons include: room-sharing (separate surfaces)…
3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea
A 3-year-old Aboriginal girl died from bronchopneumonia complicated by severe obstructive sleep apnoea. She had rapid-onset childhood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardi…
0y · Female·Unascertained
Baby ZCZ, almost 15 weeks old, died of unascertained cause after being placed to sleep in a Fisher Price rocker at an unapproved home childcare service. Post-mortem examination including neurop…
5y · Male·Sudden Unexpected Death in Infancy (SUDI +0); exact cause unascertained
…sed death. The death was classified as Sudden Unexpected Death in Infancy (SUDI), likely related to unsafe sleep position on soft objects combined with identified SUDI risk factors including prematurity, low birth weigh…
15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)
Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmother's medications (morphine, benzod…
15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…
…sorder in her foster home on 26 December 2011. She had progressive respiratory compromise with obstructive sleep apnoea and desaturations noted in the months before death. Her paediatrician had identified the need for a…
28y · Female·Multiple injuries sustained when struck by a truck on the M1 Pacific Motorway
… inadequate carer ratios (1:1 instead of 2:1 as assessed for other respite providers), and rushed ad hoc placement approval bypassing normal safety procedures. The coroner found the death preventable and recommended pol…
0y · Unknown·Unascertained
A six-week-old premature infant died of unascertained causes while co-sleeping with parents on an adult bed with soft pillows and loose bedding. Baby A had multiple SIDS risk factors…
2y · Male·head injury due to accidental fall from bed
…ntestinal symptoms affecting food and fluid intake for several days, lay down to rest and fell into deeper sleep than intended due to fatigue. While unsupervised, Luke fell from his bed, striking his head. A 9-year-old …
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…
0y · Female·combined effects of asphyxia and inhalation of gastric contents
Elizabeth Rose Edwards, a 9-month-old premature infant with perinatal brain injury, died of asphyxia and aspiration of gastric contents while in temporary foster care. She had been placed with carers (the Todds) with min…
0y · Female·Unascertainable
… June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child was found unresponsive after co-sleeping with her father in a warm bedroom. Multiple SIDS risk factors were present: prematurity, co-sleeping, p…
3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…
…ppropriate assessment including CT brain and blood tests, he was discharged. That night he aspirated while sleeping and suffered cardiorespiratory arrest. The coroner found the assessment and discharge decision appropri…
Male·Unrecognised pulmonary hypertension in a setting of unsafe sleeping conditions
Jack Loh, a 6-month-old boy, died from unrecognised pulmonary hypertension while in unsafe sleeping conditions at a family day care centre. Jack was placed prone (face down) in an undersized bassinet wit…
51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia
…ordinator to liaise between GP, hospital and specialists, and delays in arranging higher-level aged care placement. The coroner found no straightforward solutions but highlighted the critical need for integrated, specia…
67y · Female·Sepsis as a result of gastric perforation
…ation for hiatus hernia in 2012. Despite prior gastric surgery being an absolute contraindication to IGB placement—clearly documented in manufacturer instructions and peer-reviewed literature—Dr M. proceeded with the pr…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
…orbidities including obesity, vascular disease, hypertension, and prior Nissen fundoplication, underwent placement of a second intragastric balloon on 11 September 2008 for weight loss prior to hernia repair. On 30 Janu…
3y · Female·tramadol toxicity
…from children; unwell children require proper assessment and monitoring rather than prolonged unsupervised sleep; and vulnerable children in care require more frequent supervision and welfare checks. The Department's ca…
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