Before Alex's death, doctors had complained repeatedly that management was not open to criticism and did not listen to safety concerns they raised. The Deputy State Coroner has criticised a regional hospitals treatment of a boy who was repeatedly sent home before dying from sepsis. "Certainly other hospitals will highlight a second presentation or third presentation, [to ask] 'have we missed something?'" The following month he began to experience pain in his knee. Ms Ryan's report also noted that experts assembled for the inquest could not say what the original source of Alex's infection was. There was an "extraordinary lack" of progress between NSW Health and SA Health in establishing a formalized cross-border arrangement to transfer critically-ill patients from Broken Hill to Adelaide, Ryan said. She said evidence highlightedthat Mr Braes was effectively refused admission to a South Australian tertiary hospital on September 21, 2017. This action will also remove this member from your connections and send a report to the site admin. Ms Ryan was also concerned that Mr Braes' retrieval and transfer out of Broken Hill Hospital was beset by numerous delays. But their boy suddenly deteriorated sharply. 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). Alex Braes, of Broken Hill, died in the early hours of Sept. 22, 2017, upon arriving at Royal Prince Alfred Hospital in Sydney, 7News.com.au reported. 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. My first thought was I havent finished obs for him, I havent done anything for him, have I missed something? she told the inquest. 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. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. On Monday, New South Waless deputy state coroner, Elizabeth Ryan, handed down her findings into Braes death, saying there was a serious and unacceptable deficiency in his treatment at Broken Hill base hospital. Inquisitions on prisoners who died in the King's Bench prison are in KB 14. Dr Hooper, who resigned from his position as a senior visiting medical officer at Broken Hill Hospital two months ago, told the inquest yesterday that Mr Braes' death was a "profound event" in his life. The group of jurors who will decide Alex Murdaugh's fate visited on Wednesday morning the sprawling Islandton, South Carolina, property where the defendant's wife and son were found fatally shot . 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. FOLLOW MORE IBT NEWS ON THE BELOW CHANNELS, IBT Fast Start - Let the best of International News come to you. He called his father home from work. Alex Braes, 18, died at Sydney's Royal Prince . 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, The death of Alex Braes still haunts doctors who didn't even know him, 'To lose a son is one of the most traumatic losses in life,' Alex Braes' father tells inquest, Resourcing, hospital business rule highlighted in Broken Hill hearings for Alex Braes inquest, Whistleblower clinicians want ombudsman probe into outback hospital, Postcode health gap: 'This is third-world stuff', Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. A coroner has heard one nurse is responsible for both triaging patients in the waiting room and overseeing nurses in the emergency department at Broken Hill hospital. She was in that dual role when Mr Braes arrived at the hospital on September 21, 2017 - crippled by pain and . However, at the time of Alexs death, Broken Hill Hospital had implemented a business rule that meant nurses were discouraged from taking vital signs during triage. A centralised medevac dispatch system has since been introduced and Broken Hill now has formalised agreements to evacuate patients to Royal Adelaide hospital and The Womens and Childrens hospital, Adelaide. "We had to intubate him so that we could actually keep him stabilised on the flight," he said. April 21, 2021 - 11:05AM The doctor tasked with taking care of Alex Braes after he presented to a country NSW emergency department in the middle of the night in 2017 has addressed the teenager's heartbroken family. But so shocking is his case that it's prompted a group of clinicians who worked at Broken Hill Hospital to blow the whistle on what they believe is a hospital that had dangerous, systemic failures for years. "I'm so sorry that this happened to you," said DrArangala to the Braes family in an emotional, sombre tone. 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. In the small hours of a Wednesday in an outback town, a teenager struggled to sleep. AEST = Australian Eastern Standard Time which is 10 hours ahead of GMT (Greenwich Mean Time), abc.net.au/news/alex-braes-infected-toenail-inquest-ends/100091576, Get breaking news alerts directly to your phone with our app, China leaving US behind on development of critical technologies, report finds, Former minister takes 'absolute responsibility' for Robodebt, admits defending scheme despite knowing it could be unlawful, 'Sickening, callous and brazen': Sydney man dies in hail of bullets in front of 12yo son, Evelyn worked three jobs when she was in her 20s to build up her super. 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. It can also be seen on . The inquest heard that at the hospital, only one doctor is on duty overnight and two nurses in the emergency department. 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. 00:00. The Coroner's Report is a fictional crime scene report of the victims of various horror films. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. 7 (PDF, 113.1 KB), Coffs Harbour Local Court, 2-16 Beryl St, Coffs Harbour 2450, Before her Honour Magistrate Forbes, Deputy State Coroner, Forensic Medicine and Coroners Court Complex, 1A Main Ave, Lidcombe, Before his Honour Magistrate Lee, Deputy State Coroner, Forensic and Coroners Court Complex, 1A Main Ave, Lidcombe, Inquest into the Death of A.W. "What are we doing about avoidable deaths, preventable deaths?" "Was there a general feeling it compromised patient safety?" 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. 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. Doctors, who failed to check the vital signs of a teen who died from sepsis, are not responsible for the tragedy, according to a coroner who says they were prevented from doing so under a hospital business rule. 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 second day of hearings heard from DrDavid Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. Mr Braes, 18, died at Sydney's Royal Prince Alfred Hospital on September 22, 2017 after he was flown from Broken Hill. "[I] informed him that we had the sickest patient I'd seen since my time in Broken Hill," he said. Unfortunately, the night pilot had called in sick. Friday, 2.00am Eighteen-year-old Alex Braes was pronounced dead. "We've gone back to the full set of obs (observations) at every triage," she said. "The only evidence that we have is that Alex had Streptococcus pyogenes grown in his bloodstream and he had septic shock," he said. In lieu of an autopsy, a panel of experts determined he had. Witnesses told the inquest the rule had limited oversight from senior management and staff generally disapproved of it. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. They sat there. 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. Ms Anderson said 'yes' and that the rule was notin place at the hospital any longer. Coroner training overview. Instead, medical staff in the emergency department made the assumption Alex had a sporting injury. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. "Until he fell off the cliff," Dr Greenberg said. The inquest will investigate the treatment Alex Braes received before he died from a bacterial infection known as Group A Streptococcus (GAS). 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. It took 25 minutes for a wheelchair to be brought out so Alex could be taken from the car into the hospital. 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'. Like that day, she said the nurses were still often very busy and under an awful lot of pressure. 23 April 2021. Coroner identifies unacceptable treatment in lead-up to death from multi-organ failure due to sepsis, calls for new interstate rules. Before his Honour Magistrate Lee, Deputy State Coroner Wednesday 1 March 2023 Inquest into the Death of A.W. In Newcastle and Wollongong, a magistrate is appointed by the Chief . 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.. An inquest into how a Broken Hill teenager diedfrom an infected toenailhas heard his condition deteriorated rapidly in his final hours. John Braes wept before the NSW Coroners Court on Monday as he recalled the final hours of his son Alex, who he remembered as a ray of sunshine with red hair and an infectious laugh. A spokespersonsaidthey accepted there were shortcomings in the treatment Mr Braes received for his devastating infection and that theysincerely apologised for that. Ms Edwards asked Ms Murphy whether it was still the case that a nurse with three years of experience could be caring for nine patients. The 18-year-old TAFE student's death was featured in a Four Corners report, which revealed he presented to Broken Hill Hospital's emergency department four times before vital signs observations were administered. The clock starts ticking "as soon as they get the first phone call", according to Dr Greenberg. 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. 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. The local proceedings of inquest into the death of Broken Hill teenager Alex Braes has finished after hearing of a "distressing"hospital business rule, staffing resources and apologetic doctors. Labor set a superannuation trap and Dutton immediatelytook the bait, Here's what the super tax changes might mean for you, NT Labor candidate confirms involvement in fatal car crash that led to conviction of driving without due care, Freya is one of 15,000 Australians who must find a new life-saving medication or pay a much higher price, Man who murdered Jay Brogden convicted of contempt of court, Live: Australia loses first wicket on day two but still on top in Indore. Alex finally left the hospital and was put onto the air ambulance which took off with his mother also on board. Mr Braes died a little more than an hour after being admitted. Mr Braes was conscious and speaking to staff and was "compensating for the sepsis until he couldn't". Australian Institute of Health and Welfare figures released in July show the further Australians live from capital cities, the higher the rate of potentially avoidable deaths. He suffered multi-organ failure due to sepsis from a group A streptococcus infection, one month after treatment for an infected ingrown toenail. Braes was in "excruciating pain" and was described by one doctor as "the sickest patient the hospital had ever seen" by the time he visited the hospital for the third time, according to the outlet. Please try again later. 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.'. Justifiably outraged at the poor care of his son, John Braes. . One nurse is responsible for two jobs at the Broken Hill hospital, the inquest into the death of Alex Braes has heard. 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 as a medical profession, we as a health service in New South Wales, we failed Alex Braes and we failed his family," he said. The inquest heard that a mandatory investigation into the cause of Alexs death was not carried out by Far West Local Health District for a year after he died. Report. "He was our first child, our ray of sunshine," he said. That rule is no longer in place, Ms Edwards told the inquest. Dr Hooper, who resigned from his position as a senior visiting medical officer at Broken Hill Hospital two months ago, told the inquest yesterday that Mr Braes' death was a "profound event" in his life. When they arrived, Alex was unable to get out of the car, so his father went to triage to ask for help. Get the best investigative journalism, delivered to your inbox. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. Can pain kill you?: Teens final words after he was turned away from NSW hospital. The nearest tertiary hospital to Broken Hill was Royal Adelaide, which although in another state, had a much closer flying time than Sydney. The high-profile . Hospital staff trying to evacuate patients were still having issues with planes being grounded due to pilot hours and patients having to wait, Kelly said, while noting she was not clear on the ins and outs of the process. "Because it's not good enough in 2019 to have people in the far west of New South Wales having worse health outcomes than people in the city.". 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. Updated: 7:51 AM EST Mar 1, 2023. 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. Ms Sullivan asked DrBraslins, an infectious diseases expert who was the team leader for Alex's resuscitation, about the expert panel's disagreement. The pathologist creates a written record of the autopsy findings, including the microscopic and laboratory tests. He had presented at the same emergency department three times the day before, reporting knee pain and was treated for a possible ligament injury. The NSW State Coroner, Teresa OSullivan, has advised the procedures that will apply in relation to the conduct of coronial proceedings at the Lidcombe Forensic Medicine and Coroners Court Complex (FMCCC), for matters listed from 10 October 2022. Were sorry, this feature is currently unavailable. Mr McLean says by this stage Alex's third presentation alarm bells should have been ringing. But questions are expected to continue about the handling of Alex Braes' case. Mr Braes said no ambulance came when he called triple zero and he had to drive his son to hospital, where there were further delays while staff tried to locate a wheelchair. There was no autopsy so the cause of death cannot be definitively determined, Ms Edwards said. The decision not to transfer the teenager to a better-equipped, major hospital sooner was also under the microscope. 'We failed him' It is replayed on Tuesday 10th September at 1.00pm and Wednesday 11th at 11.20pm. Broken Hill Hospital management downgraded the categorisation of Alex's death, meaning it wasn't referred immediately for an investigation, as is required under the state's Health Administration Act. He revealed all the medical staff "misjudged" Mr Braes, who was "compensating very well" because he was "a young, fit fellow". 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 . In lieu of an autopsy, a panel of experts . Broken Hill teen Alex Braes died in 2017. The nurse did not provide the pillow but left her post to go out into the waiting room to check on Alex. Two New Fatal Earthquakes Hit Turkey Days After Deadliest Quake Killed 44,000 . An inquest was established soon after that report and was due to undertake Broken Hill hearings last yearbut was delayed after coronavirusrestrictions affected proceedings. 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. Broken Hill Base Hospital in NSW had a 'business rule' that discouraged the taking of routine vital signs at ED triage, reports hearing into Alex Braes' death in 2017. He said every time he picked up his son's iPad, "it just reminds me of him. She had a particular concern for newly graduated nurses assigned to care for non-acute patients who were still learning new skills and could potentially miss a deteriorating patient like Braes. Browse for your location and find more local ABC News and information. Because you left the triage window unattended and there were a lot of patients there," asked Ms Edwards. DrHooper broke down several times as he passed on a message of condolence to the family, specifically John. Yesterday's fourth and final day of the Broken Hill hearing heard from two more doctors who reviewed Alex Braes while he was still in the city. They include a significant number of items from the mid to late 18th century, although the practice of forwarding all inquisitions to the King's Bench appears to have fallen into disuse in the early 18th century. "I know it was after Alex passed away," she said. Dr O'Donohoe spoke to the Royal Flying Doctor Service at Broken Hill. "And my greatest sympathy and sorrow, actually, to his family. If this is your first visit to the new AusDoc website, reset your password Two days before his death, Braes presented to Broken Hill Hospital with severe leg pain, but the facility's staff did not check his full vital signs, Ryan said. Alex was told to go home and come back later that morning for an ultrasound. "And I think that the clinicians who would have been with him when he was so sick in emergency will not forget him.". Alex's father wheeled him into the emergency department and a nurse observed him through a window and asked him to wait. She noted that there was no realistic possibility that his specific infection could have been identified and successfully treated on September 20, 2017. The veteran clinician and patient-retrieval specialist, who has 36 years' experience, said he believed, inhindsight and now that he was "aware of the outcome", that there were a number of "ifs" including if Mr Braes had been takento Adelaide instead of Sydney. Health Hazard, reported by Louise Milligan, goes to air on Monday 9th September at 8.30pm. What health. But I can say to you that I think of that boy frequently," she said. Ms Ryan said there had an been "extraordinarylack" of progress between NSW Health and SA Healthestablishinga formalised cross-border arrangement to transfer critically-ill patients from BrokenHill to Adelaide. 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. 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. Ms Murphy also told the inquest that there was about a 10-minutewait in the emergency department from the time Alex came to the triage window to when he was looked at by her, as she was busy triaging another patient. Doctors, who failed to check the vital signs of a teen who died from sepsis, are not responsible for the tragedy, according to a coroner who says they were prevented from doing so under a hospital "business rule". You often need to be in two places at once, she told Braes inquest. "To the extentthere were deficiencies in your clinical practice, do you think one cause was you feeling under time pressure? I don't even know what he looks like. 'An unthinkable tragedy': How did this train crash happen? Inquest into death of Alex Braes hears of 'distressing' hospital rule and resourcing concerns, 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. Annual training is also provided for coroners' officers. It would eventually take a whole year for an investigation to be done and that only happened because the doctors repeatedly lobbied the Ministry of Health and, ultimately, wrote to NSW Health Minister Brad Hazzard, to intervene. Alex Braes, 18, died of multi-organ failure caused by sepsis. Ryan also outlined major delays in transferring Braes to the Sydney hospital where he died in the early hours of 22 September 2017, after he was refused admission at a South Australian tertiary facility due to a policy preventing interstate transfers. Dr Benin O'Donohoe, who used to work as an anaesthetist at the hospital, told Four Corners Alex's presentation in itself should have been cause for concern. Local hearings took place at the Broken Hill Coroner's Court this week, with a number of doctors and nurses who attended to Alex at Broken Hill Hospital appearing as witnesses alongside the teenager's father, John Braes. 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. "There's always time pressure because there's only one triage nurse," replied Ms Murphy. The inquest heard that the rule stated, in effect, that 'clinical observations of a patient should only be taken if vital signs influenced the assigned triage category a patient had been given.'. Sign up here. When a death is reported to the Coroner The coronial process explained for the family and friends of a deceased or missing person east Access to Coronial documents How to apply for documents used in an inquest or inquiry east Help and support Support for family and friends of a deceased or missing person east Alex Braes. The first doctor to treat a limping teenager, whose sudden death from a fast-acting infection is under coronial investigation, says in retrospect he should have taken a full set of basic readings such as blood pressure. One matter consistently raised throughout the week's proceedings was a business rule then in place at Broken Hill Hospital when Mr Braes presented there four times in September 2017. "He was cold, clammy, sweaty and he was significantly blue and mottled and this mottling colour is really a very ominous feature. She noticed he was sweaty and unwell and moved him into a bed in the emergency department. The doctor was considering amputating 18-year-old Alex Braes' leg after he went into septic shock in . The 18-year-old died about 1am on September 22 soon after landing in Sydney after a prolonged effort to evacuate him from Broken Hill. 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. Ms Kelly today told the court she was on a break when Mr Braes represented at the hospital with his dad on September 21. "She must have hoped beyond hope that he would survive.". "He complained that he might pass out or faint, so his father asked for a pillow," she said. Download the ABC News app for all the latest. "I was gobsmacked that it didn't prompt an investigation straight away," he said. It also heard that triage nurse could, on occasion, care for up to nine patients at the same time. Alex Braes is believed to have died from a type of flesh eating bacteria, known as necrotising fasciitis, after he was turned away three times from Broken Hill Hospital's emergency department in . 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. Follow our Australia news live blog for the latest updates, serious gaps in healthcare in rural and regional areas. The inquest also heard the Broken Hill hospital is prevented from transferring patients to Adelaide, despite the SA capital being closer than Sydney. He suffered multi-organ failure due to sepsis . 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. 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. here. Braes had taken antibiotics for an ingrown toenail a month before his death, though investigating doctors told the inquest they could not be sure it was the cause of the later infection in his leg. Alex died in the early hours of September 22, 2017, at Royal Prince Alfred Hospital, Sydney, after being transferred from his local hospital. Alex was given a triage category of three, meaning the patient must see a doctor within 30 minutes. "It is entirely possible that Alex had a severe cellulitis without reaching the threshold of necrotising fasciitis, which led to his bloodstream infection and sepsis.". 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. Eighteen-year-old Alex Braes was pronounced dead. He went into cardiac arrest. Dr Randall Greenberg on Wednesday spokeat length in the New South Wales Coroner's Court about Mr Braes' condition, and issues thatprevented the RFDS from transferring him to Sydney or Adelaide sooner. A lot of patients there, '' asked ms Edwards told the court she was on message. We had to intubate him so that we could actually keep him stabilised on the CHANNELS. Picked up his son 's iPad, `` it just reminds me him. Be brought out so Alex could be taken from the car, so his father went triage! Were a lot of pressure an infected ingrown toenail come back later that morning for ultrasound! Scene report of the car into the hospital and was put onto the air which... 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Sorrow, actually, to his family other hospitals will highlight a second presentation or presentation! Being admitted pillow but left her post to go home and come back that. Has heard nurse, '' he said delivered to your inbox soon after that report and was compensating! Was no autopsy so the cause of death can not be definitively,... Being admitted creates a written record of the car into the hospital September! September 21, 2017 Royal Prince alex braes coroner report get out of Broken Hill are in KB 14 journalism... News come to you, '' asked ms Edwards lead-up to death from multi-organ failure caused by.. Of Alex Braes ' case observed him through a window and asked him to wait March 2023 inquest into death... Hospital is prevented from transferring patients to Adelaide, despite the SA capital being closer than Sydney today the. March 2023 inquest into the death of A.W death can not be definitively,... Treated on September 21 that there was no autopsy so the cause death!
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