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QLDaged care2020-12-18

Murphy, Maxwell

89y · Male·multi-organ failure with pneumonia due to ingestion of a corrosive liquid (quate…

An 89-year-old man with severe dementia died from multi-organ failure following ingestion of concentrated Bacban (quaternary ammonium compound) left in his bathroom at an aged care facility. The cleaning staff member ina…

emergency medicineintensive carediagnosticcommunicationbacban
QLDhospital2020-12-17

Aitkenhead, Alexander David

86y · Male·Ischaemic heart disease on a background of valvular heart disease, prostatic enl…

An 86-year-old prisoner with multiple chronic illnesses (COPD, atrial fibrillation, emphysema) died of ischaemic heart disease in a palliative care unit. He was admitted to hospital on 21 April 2019 with end-stage COPD a…

palliative caregeriatric medicinewarfarin
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…

emergency medicinecardiologydiagnosticcommunicationaspirin
QLD2020-12-11

Martyn, John Francis Alex

75y · Male·Metastatic prostatic carcinoma

A 75-year-old Indigenous man died from metastatic prostate cancer while in prison custody. Diagnosed with cancer in 2012, he also had haemophilia A, ischaemic heart disease, and prior cerebrovascular accidents. By 2016, …

palliative careoncologyoxycodone
QLD2020-11-16

Haynes, Barry

58y · Male·Metastatic non-small cell lung carcinoma

Barry Haynes, a 58-year-old Aboriginal man, died of metastatic non-small cell lung carcinoma while on remand in custody. He had stage 4 lung cancer with brain metastases diagnosed in November 2016, shortly before his arr…

oncologypalliative caresystemdelay
QLD2020-11-06

Luhrs, Seth James

24y · Male·Multiple injuries from a fall from height (seventh-floor balcony), with multiple…

Seth Luhrs, 24, died from multiple injuries sustained in a fall from a seventh-floor hotel balcony on 1 April 2018, whilst under the influence of LSD (lysergic acid diethylamide) and MDMA. Seth had ingested more than a l…

forensic medicineemergency medicinelysergic acid diethylamide
QLDhospital2020-09-16

Inquest into the disappearance and suspected death of Daphne Hampstead

89y · Female·Liver metastasis and rectal malignancy

Daphne Pearl Hampstead died of rectal cancer with liver metastasis at Maryborough Hospital, Queensland on 7 November 2007, aged 89 years. She also had CREST syndrome. This inquest was convened to formally establish her i…

oncology
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol
QLDcommunity2020-08-27

Master Carr and Jaylen

17y · Male·multiple injuries due to motor vehicle collision

Two juvenile males, aged 17 and 16, died in a high-speed motor vehicle crash on the Gore Highway near Wyaga Creek on 21 April 2018. The vehicle, a stolen Holden Commodore, was traveling at approximately 170-175 km/h when…

forensic medicineproceduralsystemmethamphetamine
QLDhospital2020-08-26

Baby C - non-inquest findings

0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension

Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…

neonatologyobstetricsdiagnosticproceduralmorphine
QLDcommunity2020-08-21

Blackburn, Shandee Renee

23y · Female·Multiple stab wounds

Shandee Blackburn, 23, died on 9 February 2013 from multiple stab wounds inflicted while walking home from work in Mackay. The coroner concluded, on the balance of probabilities, that she was attacked by John Peros, with…

QLDcommunity2020-07-15

Kearney, Jesse

28y · Male·The cause of death remains undetermined. The coroner concluded it is likely that…

Jesse Kearney, age 28, disappeared on Tamborine Mountain on 19 February 2015 after using methylamphetamine for an extended period without sleep. He was observed behaving erratically in severe weather conditions (Tropical…

forensic medicinemethamphetamine
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…

psychiatryemergency medicinesystemcommunicationcannabis
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

Taare Rangi, a 44-year-old man with bipolar affective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely s…

psychiatryemergency medicinediagnosticprocedurallorazepam
QLDcommunityPodcast2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

A 60-year-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that…

emergency medicineneurologycommunicationsystem
QLD2020-06-08

Betts, Christopher

34y · Male·Gunshot wound to the head

Christopher Betts, a 34-year-old Australian private security contractor deployed to Iraq, died from a self-inflicted gunshot wound to the head on 12 May 2016. While on leave between deployments, Betts was in a colleague'…

systemcommunicationalcohol
QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

Mason Lee, aged 22 months, died on 11 June 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe per…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine
QLDhome2020-05-26

Mr M - Non-inquest findings

50y · Male·Stab wounds to chest and upper left limb

A 50-year-old man was stabbed to death by his partner's ex-partner, Mr F, in a premeditated attack at his home on 6 April 2015. The deceased and his partner had reported multiple threats and breaches of domestic violence…

diagnosticcommunication
QLDhospital2020-05-25

Smith, Lawrence Sylvester

81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease

An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hosp…

neurosurgerygeneral medicinemorphine
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

Mark Graham Newstead, a 51-year-old man with schizophrenia and untreated hepatitis C, died from metastatic small round cell tumour (Ewing's Sarcoma) while in custody. He presented with urinary retention and lower limb we…

orthopaedic surgeryspinal surgery
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