Coronial
QLDhospital

Clarke, David Michael

Deceased

David Michael Clarke

Demographics

56y, male

Date of death

2010-01-30

Finding date

2016-08-04

Cause of death

intra-abdominal haemorrhage due to splenic rupture due to blunt force injury to the back

AI-generated summary

David Michael Clarke, aged 56, died from intra-abdominal haemorrhage due to splenic rupture following blunt force injury to his back. The fatal injury occurred after he was kicked by Jeffrey Zinn during a violent altercation at 12:50am on 27 January 2010 outside his unit complex on the Gold Coast Highway. Mr Clarke had advanced liver cirrhosis, which significantly weakened his spleen, making it susceptible to rupture from blunt trauma that might not have injured a healthy spleen. He was seen by police and ambulance paramedics within hours but declined medical assistance. The coroner found no adverse findings against hospital or health service staff, but recommended that hospital-police information sharing protocols be reviewed in cases involving potential criminal conduct. The failure to escalate his injuries for earlier investigation did not materially affect outcome.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • advanced cirrhosis of the liver causing splenic weakness and susceptibility to rupture
  • blunt force kick delivered by Jeffrey Zinn with momentum to left side of back
  • impaired coagulation due to chronic liver disease allowing continued bleeding
  • high blood alcohol intoxication at time of injury and subsequent medical encounters
  • patient refusal of medical assistance at initial police attendance
  • failure to escalate injury concerns through police chain of command
  • delayed recognition of serious injury by paramedics and hospital at initial assessment

Coroner's recommendations

  1. The inquest should be used as a case study to inform the ongoing review of the Memorandum of Understanding between the Chief Executive of Queensland Health and Queensland Police Service
  2. The review should consider the merits of sharing information with police in circumstances where a patient's condition is potentially the result of criminal conduct, together with appropriate protocols for doing so
Full text

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