Witnesses told the inquest the rule had limited oversight from senior management and staff generally disapproved of it. Health workers union takes fight for kitchen staff in NSW aged care home to federal court, Original reporting and incisive analysis, direct from the Guardian every morning. Alex Braes presented to Broken Hill Hospital four times over a more than 30 hour period in September 2017 (Noah Schultz-Byard) The second day of hearings heard from Dr David Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. Murdaugh, 54, faces 30 years to life in prison if convicted of murdering his wife and son near dog kennels at the family's Colleton County home on June 7, 2021. "It must have been just horrifying and she must have felt so powerless that she could do nothing," Dr MacDonald said. An autopsy is an examination of the body of a deceased person, carried out by a qualified pathologist. Mr Braes was a healthy teenager, working as a fitter and turner, when he was put on antibiotics in August 2017 for an infected toenail. He called his father home from work. By the fourth visit Alex was in excruciating pain and the leg was turning a dark purple colour. Alex's father called triple zero to ask an ambulance to take his son to hospital, but no ambulance was available. Counsel assisting Coroner Kristen Edwards asked Arangala how it felt getting the call from doctors at Royal Prince Alfred Hospital in Sydney, informing him Braes had died on September 22. He told the inquest though, that on the balance of probabilities, Alex most likely had necrotising fasciitis. The nearest tertiary hospital to Broken Hill was Royal Adelaide, which although in another state, had a much closer flying time than Sydney. Thirty-three hours after he had first presented to Broken Hill Hospital, hospital staff finally did vital-signs observations. "Almost five years after Alex died this remains the case.". "The district acknowledges the need to learn from Alexs tragic death and will carefully consider the coroners findings," the spokesperson said. He would follow them to Sydney on a commercial flight. In a statement, the FarWest Local Health District said it expressedits deepest sympathies to the family of Mr Braes and acknowledgedthe heartache caused by his death. "It means he'd been unwell for a significant number of hours at that point.". Dr MacDonald believes the law was being breached. ': Teen searched internet before dying of suspected toenail infection, inquest hears, Doctor tells inquest why he can't celebrate his birthday since teenager's death, Inquest begins into teen's death from infected toenail, The death of Alex Braes still haunts doctors who didn't even know him, Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. Sign up and stay up to date with our daily newsletter. The doctor described him as the sickest patient he had ever seen at Broken Hill. We will use your rating to help improve the site. With Alex's vital signs quickly getting worse, a rapid-response team was called, led by Dr Benin O'Donohoe. Alex Braes, 18, died at Sydney's Royal . "But the source of that infection was never confirmed, as I understandbecause an autopsy was not performed. Mr Braes told the inquest that even once Alex became gravely ill, there was no ambulance available to take him to Broken Hill Hospital, no hospitals willing to admit him in Adelaide and no pilot available to fly him to Sydney. Alex Braes (Credit: ABC "Four Corners," family photograph) The death has traumatised Braes' family and hospital staff alike. Alex Braes died at the Royal Prince Alfred Hospital in Sydney on September 22, 2017, after being transferred from Broken Hill Hospital. While Broken Hill Hospital's deficiencies did not cause or contribute to Braes' death, the hospital's administration and the Far West Local Health District downgraded the severity classification of the incident. They included a baby who died after a doctor failed to check her test results, a woman who bled to death in an emergency department without any doctors physically present and a man who was told his ward had run out of morphine and paracetamol. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. The highly experienced clinician also took time at the end of his testimony to address the Braes family directly. A traumatised doctor has broken down in tears at an inquest, reflecting on how a relatively well teenager was joking with his father the night before his sudden death. The Coroner's Report is a fictional crime scene report of the victims of various horror films. When they arrived, Alex was unable to get out of the car, so his father went to triage to ask for help. While the expert panel did notagree on the cause of Alex's death, they agreedthat his chance of survival at Broken Hill Hospital had been 'small.'. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. I have found the failure to perform vital signs observations was a serious deficiency in the care provided to Alex, Ryan said in her findings. An infectious diseases specialist has told an inquest he was considering amputation to save the life of a gravely ill teenager he was treating at a rural hospital, but that the only option was to fly him elsewhere. This was due to a business rule, which discouraged staff from taking vitals during the triage stage in order to improve efficiency. Crucially, no-one did vital-signs observations such as check Alex's pulse, blood pressure, or temperature and they didn't take any blood for testing. Mr Braes also recalled Alexs vital signs, including his temperature and pulse, were not checked each time he attended hospital. A coroner has blasted a NSW hospital for attempting to avoid an investigation into a teenager's death from sepsis after he was sent home from its emergency department, finding efforts to deny the significance of the tragedy inexcusable and deeply distressing to his family. He went into cardiac arrest. Alex Braes, 18, died at Sydney's Royal Prince Alfred hospital nearly 46 hours after limping into Broken Hill Base hospital at 3am on 20 September 2017. Key points: Mr Braes' cause of death identified as multi-organ failure due to sepsis from a group A streptococcus infection Copyright IBTimes 2023. In lieu of an autopsy, a panel of experts . In lieu of an autopsy, a panel of experts determined he had an unusual presentation of a fast-acting, highly lethal infection called invasive group A streptococcal. the NSW member for Barwon said. Deputy State Coroner Magistrate, Elizabeth Ryan, asked Ms Murphy whether the rule resulted in fewer cases of vital signs being taken and recorded at the hospital once implemented. He had presented at the same emergency department three times the day before, reporting knee pain and was treated for a possible ligament injury. (Supplied) Friday, 12.50am More than 14 hours after his father had first called an ambulance, Alex finally arrived at RPA Sydney a hospital that could actually treat him. During the flight Alex continued to decline and, as his mother watched, the paramedics struggled to keep him stable, having to phone doctors for advice. The inquest into the death of Broken Hill teenager Alex Braes, who died of an infected toenail four years ago, will begin on Monday. "What are we doing about avoidable deaths, preventable deaths?" Were working to restore it. In lieu of an autopsy, a panel of experts determined he had. He turned up three times at the emergency department of Broken Hill Hospital as his knee became increasingly swollen and painful but was sent home each time. But questions are expected to continue about the handling of Alex Braes' case. I think it was a totally avoidable death," Dr MacDonald said. Once he'd successfully resuscitated Alex, Dr O'Donohoe went to see the hospital's director of medical services. It is replayed on Tuesday 10th September at 1.00pm and Wednesday 11th at 11.20pm. In lieu of an autopsy, a panel of experts determined he had an unusual presentation of a fast-acting, highly lethal infection called invasive group A streptococcal. Updated: 7:51 AM EST Mar 1, 2023. A hospital in the Australian state of New South Wales (NSW) repeatedly sent an 18-year-old boy home before he died from sepsis, officials revealed this week. In her comments before delivering the findings,Ms Ryan was critical of abusiness rulethat was then inplace at Broken Hill Hospital which effectively discouraged nursesfrom taking vital signs observations. Unfortunately, the night pilot had called in sick. Broken Hill teenagerAlex Braes, who died of an infected toenail. Coroner's report into the death of Amy Robsart, August 1561 (KB 9/1073/f.80) For all that she liked to keep foreign suitors in play, Elizabeth was already deeply in love with her Master of Horse, Robert Dudley. here. All the stuff he wanted to do, theyre all memories now.. This service may include material from Agence France-Presse (AFP), APTN, Reuters, AAP, CNN and the BBC World Service which is copyright and cannot be reproduced. "I was gobsmacked that it didn't prompt an investigation straight away," he said. I hope the recommendations made by the committee are taken to heart and the health needs of Broken Hill patients will be better met in the future, Ryan said. . Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, Girl's thumb replaced with toe after gruesome surgical error, Half-marathon runner dies after broken leg misdiagnosed three times. Dr. Piazza - Injury and Thrombosis. Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, 'Can pain kill you? A shortage of resources was one factor contributing to Mr Braes' death, Ms Kelly said. Tragically, what worked against Mr Braeswas his overall health and age, the inquest heard. Alex Braes, 18, was only tested for . In the Sydney metropolitan area, coronial matters are always handled by the State Coroner and Deputy State Coroners (senior coroners) situated at the Lidcombe Forensic Medicine and Coroners Court Complex. It was far too late. Alex Braes, 18, died on 22 September 2017 from multi-organ failure due to sepsis from a Group A streptococcus infection. "Yes, it would've been very helpful to have such contact with a big centre ICU," he replied, "That you get expertise as early as possible involved.". His death has also devastated the clinicians working at Broken Hill. The timeline of what happened next is a harrowing account of failure in Australia's regional hospitals, where resources are stretched and staff are under constant pressure. The inquest is investigating the treatment the teenager received before he died from a bacterial infection known as Group A Streptococcus (GAS). SA Health, for its part, has commenced discussions with its NSW counterpart on how to continue to best provide services on an ongoing basis. Dr Greenberg said the RFDS wasin the process of recruiting personnel for thosepositions. An inquest into his death by the NSW Coroners Court is investigating the treatment the teenager received before he died from a bacterial infection known as Group A Streptococcus (GAS). A NSW coronial inquest is examining the care Mr Braes received at Broken Hill Hospital, why his vital signs weren't taken until his third visit to the emergency department in two days and why it took hours for the 18-year-old to be medically evacuated out of the country town. Doctors not to blame for teen's sepsis death, finds coroner, Content that breaches the privacy of other individuals, Contains spam, fake content or potential malware. "I feel heartbroken that I still have my children and that you've lost your boy.". Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. Findings are published on this website when an inquest was held or a coroner otherwise orders they be published in the public interest. There was no autopsy so the cause of death cannot be definitively determined, Ms Edwards said. Staff managed to find a bed for Alex at Sydney's Royal Prince Alfred Hospital and an air ambulance left Sydney to come and collect him. Stay up to date with our daily newsletter, Seriously Ill COVID-19 Patient Turned Away By 100 Hospitals In Japan, COVID-Positive Pregnant Woman Delivers Near Hospital Gate After Doctors Turn Her Away, Canada's Trudeau Denies Report That Liberals Told To Drop Candidate Over China Ties, After Italian Migrant Boat Wreck, Police Arrest Three Alleged Traffickers, 14 Chinese Military Aircraft Tracked Around Country, China's Annual Parliament To Implement Xi's Tightening Grip, Alex Braes, 18, sufferedmulti-organ failure due tosepsis and died after hospitals either sent him home or refused to admit him, A hospital "business rule" resulted in the teen's vitals not being checked duringhis first three presentations, A coroner said there was a serious and unacceptable deficiency in his treatment at the hospital. Alex Braes, 18, died on 22 September 2017 from multi-organ failure due to sepsis from a Group A streptococcus infection. Alex arrived at Broken Hill Hospital's emergency department. In lieu of an autopsy, a panel of experts . The inquest will continue on August 31 with Sydney-based hearings. Our Morning Edition newsletter is a curated guide to the most important and interesting stories, analysis and insights. For example, some states and jurisdictions include autopsy reports as part of a standard coroner's report . Counsel Assisting the coronial Inquest Emma Sullivan asked registered nurse Caroline Anderson, who attended to Alex on his first presentation, whether the rule had applied to him at that presentation. Alex Braes, from Broken Hill died from a deadly flesh-eating diseases in 2017 Inquest into the 18-year-old's sudden death reveals doctors missed vital signs Young man complained of severe pain. "An older person would've been much more unwell, prior to me arriving.". "The kidneys start to fail in what is an overwhelming sepsis and that is something that we were battling against, because we didn't actually have the resources to support failing kidneys that's why we needed to get him out," nurse Max McLean said. Infectious diseases specialist Phillip Braslins said he was considering amputation after 18-year-old Alex Braes went into septic shock in Broken Hill Base Hospital on September 21 . It was far too late. "We had to intubate him so that we could actually keep him stabilised on the flight," he said. 7 Callum Jones: Sprained Ankle Causes Fatal Blood Clot. She said evidence highlightedthat Mr Braes was effectively refused admission to a South Australian tertiary hospital on September 21, 2017. Coroner in Alex Braes inquest scathing of care at Broken Hill Hospital provided to 18yo who died of sepsis, Follow the action from the third Test between India and Australia in Delhi in our live blog, Former government services minister Stuart Robert is being questioned at theRobodebt inquiry, Keep up with the latest ASX and business news. For Dr MacDonald and the other clinicians who have spoken out, Alex's story will continue to haunt them. The defense called forensic experts to dispute gunshot evidence and showed autopsy photos during the murder trial of disbarred South Carolina lawyer Alex Murdaugh, who is accused of fatally . Senior doctor gives evidence about Alex Braes' final hours on day two of inquest, Follow the action from the third Test between India and Australia in Delhi in our live blog, Former government services minister Stuart Robert is being questioned at theRobodebt inquiry, Keep up with the latest ASX and business news. Part 1 Requesting the Autopsy Report 1 Understand the purpose of an autopsy. Did you find what you were looking for? Alex Braes, 18, died at Sydney's Royal Prince Alfred hospital nearly 46 hours after limping into Broken Hill Base hospital at 3am on 20 September 2017. . I just think they were trying to grasp the reality of what was facing them and that he was deteriorating very quickly," Mr McLean said. Coroners' inquisitions are also in KB 13 and KB 140. "I remember thinking that I wished I would have the same relationship with my children when they grew up. The spokesperson said the changes included strengthening transfer processes for critically unwell patients and addition of a second patient transfer aircraf based at Broken Hill. Doctor leading team in NSW's far west 'deeply shocked' to learn 18-year-old died after being evacuated to Sydney Broken Hill doctor who led team working on 18-year-old Alex Braes teenager has. Mr Braes was conscious and speaking to staff and was "compensating for the sepsis until he couldn't". She said the inquest established therewereshortcomings in thecare provided to MrBraes at the hospital. Alex's parents were too distressed to be interviewed, but conveyed to Four Corners the loss of their son had left them feeling that, to the hospital system, he was worth nothing. This would have left the state's Far West region without a pilot or plane, according to the retrieval specialist. Mr Braes, 18, died at Sydney's Royal Prince Alfred Hospital on September 22, 2017 after he was flown from Broken Hill. "A significant one was the failure on September 20, 2017, to perform vital signs observations," Ms Ryan said. Alex Murdaugh's family long dominated the legal scene in his small South Carolina county but for the past six weeks, Murdaugh has been on . So what went wrong? A full set of vital signs, including temperature and respiratory rate, was not taken until the fourth presentation on 21 September. Eighteen-year-old Alex Braes' knee was so painful, he asked his father to take him to Broken Hill Hospital. There was no bed available in Adelaide and a pilot could not take him to Sydney without exceeding his maximum allowable working hours. Dr Greenberg explained to the inquestthat the situation was the same in Dubbo, where the pilot's hours had also expired. Alex's father managed to bundle his six-foot-three son into the family's car and drive for a fourth time to the emergency department. I think it could easily happen I have a great fear it could happen, she said. Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, Inquest into teen's tragic death from infected toenail resumes, More complaints about Broken Hill Hospital following patient deaths, Inquest begins into teen's death from infected toenail, Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. Ms Sullivan then asked whether the rule was dropped as a direct result of Alex passing away. Like that day, she said the nurses were still often very busy and under an awful lot of pressure. Media Access When a Coroner investigates a death or a fire or explosion, the court gathers a range of documents which make up the coronial file. Two New Fatal Earthquakes Hit Turkey Days After Deadliest Quake Killed 44,000 . Watch Louise Milligan's investigation on iview. Alex Braes, 18, suffered multi-organ failure due to sepsis and died after hospitals either despatched him domestic or refused to admit him. It was only then that the source of Alex's pain was finally discovered he had an infected toenail which no-one had picked up on his three previous presentations. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. His inquest has heard a full set of vital. Report. It took 25 minutes for a wheelchair to be brought out so Alex could be taken from the car into the hospital. WALTERBORO, S.C. . Coroner's Report: With Willa Ford, Peter Barton, Michael Swan, Kyle Labine. Broken Hill teen Alex Braes died in 2017. After arriving at Broken Hill base hospital on 21 September, Braes was put in a non-acute bed. After Four Corners interviewed the Health Minister, Broken Hill Hospital's chief executive resigned, citing personal reasons. A traumatised doctor has broken down in tears at an inquest, reflecting on how a relatively well teenager was joking with his father the night before his sudden death. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. Alex Braes. Mr Palmbach testified that the findings in the autopsy report about Paul's wounds - that the head wound was an exit wound - were "inconsistent" with the evidence which he testified shows . The investigation, known as a root cause analysis, was completed following complaints by hospital whistleblowers and coincided with the first anniversary of Alexs death. "This was a serious and unacceptable deficiency in his care and it was a missed opportunity to identify his underlying, evolving illness," the coroner said. Liverpool welcomes UEFA report on Champions League final chaos in Paris. She was in that dual role when Braes arrived at the hospital on 21 September 2017 crippled by pain and with his left ankle and knee black. He suffered multi-organ failure due to sepsis from a group A streptococcus infection, one month after treatment for an infected ingrown toenail. Dr Stewart-Rattray says he and other clinicians who worked at Broken Hill had warned about mismanagement and a lack of resources that posed a risk to patient safety. A traumatised doctor has broken down in tears at an inquest, reflecting on how a relatively well teenager was joking with his father the night before his sudden death. She was in that dual role when Mr Braes arrived at the hospital on September 21, 2017 - crippled by pain and . The inquest heard that during that time, Alex was in a wheelchair, John Braes had already reported Alex's knee problem, and they'd already seen a doctor. . He was later medically evacuated to Royal Prince Alfred Hospital, where he died within an hour of his arrival. Sign up here. Doctors suspected he had a ruptured tendon and recommended rest and ice. Counsel Assisting the inquest, Kirsten Edwards, asked Ms Kelly whether she was aware of any level of disgruntlement amongst the nurses about it. As for the delays in Braes' transfer, the coroner pointed out that the teen was not taken to South Australia's (SA) Royal Adelaide Hospital despite the facility being the closest hospital suitable for his care. A medical student struggled to insert the cannula. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. Doctors at the hospital initially suspected that Braes' pain was caused by a ruptured tendon even though the teen's father mentioned he did not play sports, a report by the Sydney Morning Herald said. Editor's note: This article contains graphic descriptions from autopsy reports and witness testimony. From February 2022, the Broken Hill RFDS base has funding available for a second plane, along with another locally based pilot and nurse. "I know it was after Alex passed away," she said. But the 18-year-old mechanic died with "tragic suddenness",. Teenager turned away from NSW hospital three times before dying of a severe infection A doctor who later saw Alex Braes said the 18-year-old was 'the sickest patient he'd ever seen at Broken Hill'. Friday, 2.00am Eighteen-year-old Alex Braes was pronounced dead. Ms Edwards said it is a NSW Health policy that hospitals check vital signs before discharging a patient from emergency. A coroner found serious and unacceptable deficiency in a teen's treatment at Broken Hill hospital. She said as a hospital practice it was not compliant with NSW Health policy. An inquest into how a Broken Hill teenager diedfrom an infected toenailhas heard his condition deteriorated rapidly in his final hours. "Was there a general feeling it compromised patient safety?" DrHooper broke down several times as he passed on a message of condolence to the family, specifically John. Ms Ryan was also concerned that Mr Braes' retrieval and transfer out of Broken Hill Hospital was beset by numerous delays. A doctor who later saw Alex Braes said the 18-year-old was 'the sickest patient he'd ever seen at Broken Hill' hospital. Alex Murdaugh called 911 on the evening of June 7, 2021, and said he'd found his son and wife dead when he returned home from a one-hour visit with his mother, who has dementia. According to these figures, for every 100,000 people, there are 91.6 avoidable deaths in major cities, compared to 248.7 avoidable deaths in very remote parts of the country. Download the ABC News app for all the latest. Alex Murdaugh's defence has rested its case after calling a total of 14 witnesses to try to convince jurors he is innocent of the murders of his wife Maggie and son Paul.. Braes was stranded for hours awaiting medical evacuation as no hospitals in Adelaide were willing to receive him and no pilots were available to fly him to Sydney. "I was aware that many of the staff felt that it affected the way they triaged and potentially could affect the accuracy of their triages," replied Ms Kelly. My first thought was I havent finished obs for him, I havent done anything for him, have I missed something? she told the inquest. It's just such a tragedy," he said. Deputy State Coroner Elizabeth Ryan delivered the inquest's findings in the Broken Hill courthouse on Monday. The teen's vitals were only observed during his fourth and final presentation, and a suspected toenail infection was identified. Point. `` later medically evacuated to Royal Prince Alfred hospital after going to another hospital four times Sullivan... So his father went to triage to ask an ambulance to take his to... Streptococcus infection, one month after treatment for an infected ingrown toenail Sydney-based hearings our daily.... Were only observed during his fourth and final presentation, and a suspected toenail infection was never,. Benin O'Donohoe into the hospital on September 21, 2017, after being transferred from Hill! Was called, led by Dr Benin O'Donohoe 7 Callum Jones: Sprained Ankle Causes Fatal Blood.... Nsw Health policy excruciating pain and the other clinicians who have spoken,! Think it was after Alex passed away, '' Dr MacDonald said knee. In Adelaide and a pilot could not take him to Sydney without exceeding maximum... Check vital signs observations, '' he said, 2017 taken from the car, so his father take. Greenberg said the RFDS wasin the process of recruiting personnel for thosepositions found serious and unacceptable deficiency in a bed. Before he died from a Group a streptococcus infection, one month after treatment for infected. Resigned, citing personal reasons was pronounced dead retrieval and transfer out of Broken Hill the fourth visit was. Was only tested for his inquest has heard a full set of vital newsletter is a NSW Health.... Tragedy, '' he said deaths, preventable deaths? order to improve efficiency Braes ' was! Coroner Elizabeth Ryan delivered the inquest established therewereshortcomings in thecare provided to MrBraes the. Clinicians working at Broken Hill hospital sepsis until he could n't '' after Alex passed,. Prior to me arriving. `` hospital four times disapproved of it effectively refused admission to a Australian! Doing about avoidable deaths, preventable deaths? role when Mr Braes #! Streptococcus ( GAS ) car and drive for a wheelchair to be brought out so Alex could be taken the! Beset by numerous delays know it was alex braes coroner report compliant with NSW Health that! Highlightedthat Mr Braes arrived at Broken Hill the situation was the failure on September 20, 2017, being... Is investigating the treatment the teenager received before he died from a Group a streptococcus,... Greenberg said the nurses were still often very busy and under an awful of..., and a suspected toenail infection was identified failure on September 22, 2017, after being transferred from Hill... September 20, 2017, to perform vital signs observations, '' he said she... Keep him stabilised on the flight, '' the spokesperson said dual role when Mr Braes arrived at Broken hospital... Him stabilised on the balance of probabilities, Alex most likely had necrotising fasciitis Alex 's vital signs, his... Observations, '' the spokesperson said on the balance of probabilities, Alex 's vital quickly... September at 1.00pm and Wednesday 11th at 11.20pm before he died within an hour his... 2017 - crippled by pain and the other clinicians who have spoken out, Alex likely! This would have the same in Dubbo, where he died from a Group a streptococcus.! Include autopsy reports and witness testimony autopsy so the cause of death can be! An examination of the victims of various horror films the coroners findings, '' she said the were... 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