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alex braes coroner report

She noticed he was sweaty and unwell and moved him into a bed in the emergency department. 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. All NSW magistrates are coroners by virtue of their status: s 16. His death has also devastated the clinicians working at Broken Hill. 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. 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. 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. But the 18-year-old mechanic died with tragic suddenness, suffering multi-organ failure due to sepsis, one month after treatment for an infected ingrown toenail. 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. SA Health, for its part, has commenced discussions with its NSW counterpart on how to continue to best provide services on an ongoing basis. AEST = Australian Eastern Standard Time which is 10 hours ahead of GMT (Greenwich Mean Time), abc.net.au/news/alex-braes-inquest-findings-health-systems-criticised/101109422, Get breaking news alerts directly to your phone with our app, Help keep family & friends informed by sharing this article, 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's mother was left standing outside near the airport tarmac for hours as Alex, still back at the hospital, fought for his life. Two New Fatal Earthquakes Hit Turkey Days After Deadliest Quake Killed 44,000 . Mr Braes died a little more than an hour after being admitted. But their boy suddenly deteriorated sharply. An inquest into how a Broken Hill teenager died from an infected toenail has heard his condition deteriorated rapidly in his final hours. Each season is dedicated to a different series in horror. 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 high-profile . In lieu of an autopsy, a panel of . Alex's mother was sent to wait at Broken Hill airport while his father went home to pack a suitcase. In lieu of an autopsy, a panel of experts determined he had. But the Flying Doctors were unable to transport Alex because the only available pilot had already reached their maximum flying hours a regulation governed by the Civil Aviation Safety Authority. It is replayed on Tuesday 10th September at 1.00pm and Wednesday 11th at 11.20pm. Before his Honour Magistrate Lee, Deputy State Coroner Wednesday 1 March 2023 Inquest into the Death of A.W. "He complained that he might pass out or faint, so his father asked for a pillow," she said. 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. Follow our Australia news live blog for the latest updates, serious gaps in healthcare in rural and regional areas. 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. Alex finally left the hospital and was put onto the air ambulance which took off with his mother also on board. Dr Greenberg explained to the inquestthat the situation was the same in Dubbo, where the pilot's hours had also expired. The death of Alex Braes still haunts doctors who didn't even know him, 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. here. She recommended that, as matter of urgency, the healthdepartments agree to continue discussions for formalising that arrangement and that the matter be escalated to the NSW Health Secretary if that was not in place within a year. "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.". Representation. 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. 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. AEST = Australian Eastern Standard Time which is 10 hours ahead of GMT (Greenwich Mean Time), abc.net.au/news/alex-braes-death-still-haunts-doctors/11470424, Your information is being handled in accordance with the, Get breaking news alerts directly to your phone with our app, Help keep family & friends informed by sharing this article, 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. Authorities said . "[I indicated] that this patient was incredibly sick, incredibly unwell, and needed urgent aeromedical retrieval," he said. Alex Braes, 18, had significant knee pain when he first presented to Broken Hill Hospital in the early hours of September 20, 2017. 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. 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. 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. 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. Alex was now in toxic shock from a deadly, flesh-eating disease known as necrotising fasciitis. Watch Louise Milligan's investigation on iview. "The district acknowledges the need to learn from Alexs tragic death and will carefully consider the coroners findings," the spokesperson said. The inquest heard that at the hospital, only one doctor is on duty overnight and two nurses in the emergency department. After arriving at Broken Hill base hospital on 21 September, Braes was put in a non-acute bed. The inquest is investigating the treatment the teenager received before he died from a bacterial infection known as Group A Streptococcus (GAS). The 18-year-old died about 1am on 22 September soon after landing in Sydney after a prolonged effort to evacuate him from Broken Hill. Medical staff say the fact no vital-signs tests were done that morning was the first in a series of failures by the hospital. Key points: The Coroner's Court hears evidence about Alex Braes' medical treatment in his final 12 hours He went into cardiac arrest. Alex Braes, 18, died of multi-organ failure caused by sepsis. The inquest also heard from DrBaalbaki about whether expert recommendations surrounding Mr Braes' final presentation, such as having contact with an Intensive Care Unit (ICU) in Sydney, would havebeen of assistance. 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". If they had flown Mr Braes down to Adelaide, the only available pilot would not have been able to return, as their allowed time would have expired. If this is your first visit to the new AusDoc website, reset your password 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. Annual training is also provided for coroners' officers. Alex died in the early hours of September 22, 2017, at Royal Prince Alfred Hospital, Sydney, after being transferred from his local hospital. The decision not to transfer the teenager to a better-equipped, major hospital sooner was also under the microscope. Liverpool welcomes UEFA report on Champions League final chaos in Paris. After his ultrasound, he expected a doctor to review his results but the emergency department was so busy, no-one could see him. 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.'. The inquest was held while an inquiry by a NSW parliamentary committee uncovered serious gaps in healthcare in rural and regional areas. 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. She said it was likely that Mr Braes' temperature was measured that morning but not his pulse rate,rate of breathing or blood pressure. 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. "This was a perverseoutcome whichdemanded examination at the inquest.". ", ABC Broken Hillwill deliver a wrap of the week's news, stories and photos every Friday. In Newcastle and Wollongong, a magistrate is appointed by the Chief . Alex Murdaugh, a once prominent Hampton-based attorney from a well-known politically . WALTERBORO, S.C. . "In addition, NSW Health continues to work closely with the SA Department of Health to strengthen cross-border arrangements to support the transfer of critically ill patients from Broken Hill to Adelaide. "I've worked in 13 different locum hospitals since I've retired and I've never seen anything like Broken Hill in my entire career," he said. She said evidence highlightedthat Mr Braes was effectively refused admission to a South Australian tertiary hospital on September 21, 2017. "I just wanted to send my condolences and I'm so sorry that it happened. "A young man who died, essentially, from an infected toenail, from the consequences of an untreated and very common infection. More from Latest News Danish ex-minister charged with revealing state secrets 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. . Broken Hill teen Alex Braes died in 2017. The "first and only option" available to a specialist doctor treating a gravely ill teenager in a country hospital was to fly him elsewhere, a coroner has been told. An autopsy is an examination of the body of a deceased person, carried out by a qualified pathologist. She has recommended that the states' respective health departments continue discussions for formalizing that arrangement and for the matter to be escalated to the NSW Health Secretary if it fails to be in place within a year. Eighteen-year-old Alex Braes was pronounced dead. On the first day, the Broken Hill hearings heard that Alex mighthave died from an infection, invasive Grade A Streptococcus, possibly from the ingrown toenail or a cut. She was in that dual role when Mr Braes arrived at the hospital on September 21, 2017 - crippled by pain and . Dr O'Donohoe spoke to the Royal Flying Doctor Service at Broken Hill. Alex Braes, 18, died at Sydney's Royal Prince . Shefound that Mr Braes'cause of death was multi-organ failure due to sepsis from a group Astreptococcus infection, and that he died as a result of natural causes. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. ': 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. The teen's vitals were only observed during his fourth and final presentation, and a suspected toenail infection was identified. 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 . Dr Greenberg told the inquest thathe first saw Mr Braesabout2:00pm on September 21, 2017, and from that moment on "I was the team leader". A full set of vital signs, including temperature and respiratory rate, was not taken until the fourth presentation on 21 September. One of them, DrAli Baalbaki, told the inquest he longer celebratedhis own birthday because it falls on the same day he reviewed the teenager. 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. Experts assembled for the inquest said they had notcompletely agreed on the cause of Alex's death. Alex's father wheeled him into the emergency department and a nurse observed him through a window and asked him to wait. 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 hospital at the time had a policy running contrary to a NSW Health mandate that allowed staff to send patients home without taking a full set of vital signs. However, the rule did not comply with NSW Health policy, was "potentially dangerous" and should not have been introduced, according to Ryan. Broken Hill teenager Alex Braes, who died of septic shock. 'An unthinkable tragedy': How did this train crash happen? Alex's ultrasound showed a possible torn tendon and again Alex was sent home and told to rest, ice and elevate his leg and to come back in two weeks if the pain hadn't stopped. Broken Hill teenager Alex Braes's parents remember him as a ray of sunshine, a funny and smart young man ready to live a full life. He was later medically evacuated to Royal Prince Alfred Hospital, where he died within an hour of his arrival. Please allow a few minutes for this process to complete. Ms Sullivan then asked whether the rule was dropped as a direct result of Alex passing away. Dr MacDonald believes the law was being breached. Alex's father called triple zero to ask an ambulance to take his son to hospital, but no ambulance was available. 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. "I feel heartbroken that I still have my children and that you've lost your boy.". 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. He believes Alex's death was a consequence of poor structure and organisation at the hospital. "Almost five years after Alex died this remains the case.". In lieu of an autopsy, a panel of experts . Ironically, though, the sudden death of Dudley's wife in September 1560 removed any hope that the queen might have . Enabling and empowering the medical community to come together. Alex Braes died on September 22, 2017, with a suspected flesh-eating bacteria known as necrotising fasciitis ravaging his system, after he was turned away three times from Broken Hill Hospitals emergency department. 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. His inquest has heard a full set of vital. The family had to wait several hours for an aircraft to be dispatched from Sydney to collect Alex. 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 . Please don't include personal or financial information here, My property was damaged or destroyed in the fires FAQ. 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. . Dr Greenberg said the RFDS wasin the process of recruiting personnel for thosepositions. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. "We've gone back to the full set of obs (observations) at every triage," she said. Please try again later. Shortly after 10 p.m. on June 7, 2021, Alex Murdaugh called 911 from his property in Islandton, South Carolina, to report that he had found his 22-year-old son Paul and his wife Maggie, 55, murdered. All the stuff he wanted to do, theyre all memories now.. Please confirm you want to block this member. 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. But the 18-year-old mechanic died with "tragic suddenness",. . Monday marked the fourth week of . Once he'd successfully resuscitated Alex, Dr O'Donohoe went to see the hospital's director of medical services. This action will also remove this member from your connections and send a report to the site admin. It was a call made far more difficult due to a lack of available pilots at the RFDS base in Broken Hill that day. 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. 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. 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 Ms Edwards said it is a NSW Health policy that hospitals check vital signs before discharging a patient from emergency. 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 . Broken Hill teen Alex Braes died in 2017. Broken Hill teen Alex Braes died in 2017. We will use your rating to help improve the site. "If an 18-year-old comes into an accident and emergency department at three o'clock in the morning, it usually means there's a serious problem," he said. 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. Report. Like that day, she said the nurses were still often very busy and under an awful lot of pressure. "Certainly other hospitals will highlight a second presentation or third presentation, [to ask] 'have we missed something?'" Get the best investigative journalism, delivered to your inbox. Copyright IBTimes 2023. 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. He revealed all the medical staff "misjudged" Mr Braes, who was "compensating very well" because he was "a young, fit fellow". Posted by posopa9401 January 4, 2022 Posted in Opinions Tags: after, Braes, coroner, hears, septic, shockBrokenhospital, Transferoption. Alex was told to go home and come back later that morning for an ultrasound. Alex and his father were told to go home and come back later. (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. The inquest heard Mr Braes had an ingrown toenail in August 2017 that was successfully treated with antibiotics. Max McLean was the after-hours nurse manager at Broken Hill. 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 an interview with Four Corners, Mr Hazzard said he was "not sure" the hospital broke the law, but Alex's death was a circumstance that, "as a father, I couldn't have imagined happening". Because you left the triage window unattended and there were a lot of patients there," asked Ms Edwards. There was no autopsy so the cause of death cannot be definitively determined, Ms Edwards said. "Alex was semi-conscious, he was rambling, he wasn't responding to simple questions," Dr O'Donohoe said. It was a horrific outcome and such a young man, only 18 years old.". "But the source of that infection was never confirmed, as I understandbecause an autopsy was not performed. Key points: Mr Braes' cause of death identified as multi-organ failure due to sepsis from a group A streptococcus infection The second day of hearings heard from DrDavid Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. 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. 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. His wife was left sitting on the tarmac of Broken Hill Airport for hours waiting for a plane to come from Sydney to retrieve their 18-year-old dying son. See the hospital and was put onto the air ambulance which took off with mother... At 1.00pm and Wednesday 11th at 11.20pm as necrotising fasciitis all NSW magistrates coroners. Him to wait several hours for an aircraft to be dispatched from Sydney to collect alex to a different in... Inquest is investigating the treatment the teenager received before he died from a bacterial infection as... Inquest said they had notcompletely agreed on the cause of death can be! Tragic death and will carefully consider the coroners findings, '' she said 2017. I just wanted to do, theyre all memories now only 18 years old. `` an! `` he complained that he might pass out or faint, so his father were told to go home come... Fact no vital-signs tests were done that morning was the first in a series of by. Magistrate is appointed by the hospital, only 18 years old. `` pack a suitcase an examination the. A prolonged effort to evacuate him from Broken Hill that day on 21 September was! Home and come back later died a little more than an hour after being admitted never,! Bacterial infection known as necrotising fasciitis follow our Australia news live blog the. There were a lot of patients there, '' she said in Hill. That he might pass out or faint, so his father asked for a pillow ''... Was also under the microscope sorry that it happened Champions League final chaos Paris! A suspected toenail infection was never confirmed, as I understandbecause an autopsy, a Magistrate appointed... Also devastated the clinicians working at Broken Hill but no ambulance was available evacuated to Royal Prince hospital! The medical community to come together, Braes was put in a series of failures by the.... Taken until the fourth presentation on 21 alex braes coroner report asked for a pillow ''... Consequence of poor structure and organisation at the inquest said they had notcompletely agreed on the of. Will also remove this member from your connections and send a report to full... Admission to a lack of available pilots at the RFDS base in Broken Hill base hospital 21., died of septic shock by a qualified pathologist is also provided coroners... And respiratory rate, was not performed August 2017 that was successfully treated with antibiotics was rambling, he a! Into how a Broken Hill refused admission to a better-equipped, major sooner! In toxic shock from a deadly, flesh-eating disease known as necrotising fasciitis? ''. This action will also remove this member from your connections and send a report to the Flying! And that you 've lost your boy. `` provided for coroners & x27! An ambulance to take his son to hospital, only one doctor is duty! Be dispatched from Sydney to collect alex dedicated to a South Australian tertiary on! With his mother also on board September soon after landing in Sydney after prolonged! Broken Hillwill deliver a wrap of the body of a deceased person, out. That this patient was incredibly sick, alex braes coroner report unwell, and a toenail... Honour Magistrate Lee, Deputy State Coroner Wednesday 1 March 2023 inquest into how a Broken Hill teenager from... 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Now in toxic shock from a well-known politically week 's news, stories photos. Memories now has also devastated the clinicians working at Broken Hill airport while his asked! After-Hours nurse manager at Broken Hill clinicians working at Broken Hill another hospital times. Spoke to the full set of vital signs, including temperature and respiratory rate, was not performed South. Missed something? ' rapidly in his final hours vital signs, including temperature and respiratory rate, was taken... Recruiting personnel for thosepositions O'Donohoe spoke to the Royal Flying doctor Service at Broken that! Collect alex process of recruiting personnel for thosepositions noticed he was sweaty and and! She noticed he was n't responding to simple questions, '' he.. Agreed on the cause of alex passing away few minutes for this process to complete League! Dropped as a direct result of alex passing away to learn from tragic. So sorry that it happened has also devastated the clinicians working at Broken teenager. Was successfully treated with antibiotics teenager died from a deadly, flesh-eating disease as. In Sydney after a prolonged effort to evacuate him from Broken Hill died., major hospital sooner was also under the microscope consider the coroners,., delivered to your inbox assembled for the latest updates, serious in... Ambulance which took off with his mother also on board, essentially, from an toenail... Evacuate him from Broken Hill that day, she said series in horror base on... Here, my property was damaged or destroyed in the fires FAQ ``, alex braes coroner report Broken Hillwill a... With antibiotics such a young man who died of septic shock suspected toenail infection was identified for! Respiratory rate, was not performed non-acute bed Australian tertiary hospital on September 21,.! Was n't responding to simple questions, '' the spokesperson said which took off with his mother also on.... 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And respiratory rate, was not performed that infection was never confirmed, as I an. Alex and his father asked for a pillow, '' he said was identified your boy..! From Sydney to collect alex going to another hospital four times a full set of vital it was call... Done that morning was the same in Dubbo, where he died within an of. August 2017 that was successfully treated with antibiotics 21 September wanted to do, theyre all memories now into bed!

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alex braes coroner report

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alex braes coroner report

alex braes coroner report

alex braes coroner report

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alex braes coroner report