Coronial
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TAShome2023-10-19

Coroner's Finding: de-identified FG

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 own cot. Despite the parent's attempt …

paediatricsneonatologysystem
TAShospital2023-08-02

Coroner's Finding: de-identified LD

0y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…

A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour induction, oxytocin dosing, and emergency surgery were appropriat…

obstetricsneonatologydiagnosticcommunicationoxytocin
TAShome2022-02-23

Coroner's Finding: BR - deidentified

0y · Female·Undetermined - coroner unable to determine exact cause; unsafe sleeping environm…

A 5-month-old infant died suddenly in a co-sleeping environment with adults and a toddler in a queen-sized bed with adult bedding. Autopsy revealed no definitive cause but identified significant risk factors: unsafe slee…

paediatricsneonatologysystem
TAShospital2022-02-08

Coroner's Finding: KN - deidentified

0y · Male·global hypoxic ischaemic encephalopathy

A term breech baby was born at Launceston General Hospital following a traumatic vaginal delivery with instrumental assistance after failed initial extraction attempts. The infant suffered severe hypoxic-ischaemic enceph…

obstetricsmidwiferydiagnosticdelay
TAShospital2021-08-26

Coroner's Finding: PY

0y · Unknown·sepsis leading to multiple organ failure syndrome

A 48-day-old neonate with congenital heart defect presented to the ED with fever and vomiting on 20 September 2019. Initial triage as Category 3 was inappropriate; the child required urgent assessment. The ED intern saw …

paediatricsemergency medicinediagnosticdelayparacetamol
TAShome2018-11-09

Coroner's Finding: Van Galen, Esther Grace

0y · Female·Sudden infant death while bed-sharing

A 7-week-old premature infant died of sudden infant death while bed-sharing with her mother on a couch. The infant was born at 33 weeks gestation weighing 1.7kg and discharged home after achieving adequate growth. She wa…

paediatricsneonatologysystem
TAShospital2017-02-09

Coroner's Finding: DF

0y · Male·extreme prematurity associated with acute chorioamnionitis

A 23-week gestation infant (DF) was born at home in Tasmania and transferred by ambulance to Royal Hobart Hospital with signs of life (sinus bradycardia at 26 bpm). Despite CPR and emergency treatment, the infant died on…

emergency medicineneonatology

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