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QLDcommunity2019-10-18

Hunt, Thomas and Kim, Youngeun

Unknown·drowning (Thomas Hunt); drowning/immersion with head injury (Youngeun Kim)

Two young international visitors died by drowning at Josephine Falls in Queensland's wet tropics, separated by two years. Both were swept away by rapidly rising floodwaters in Bottom Pool after heavy rainfall in the Moun…

emergency medicineintensive carecommunicationdelay
QLDhome2019-10-02

Banjo, Neil Richard

53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…

Neil Banjo, a 53-year-old Aboriginal man, died from traumatic brain injury sustained during a police confrontation on 25 February 2016 in Normanton, Queensland. Officers attended a family birthday party to arrest his int…

trauma surgeryemergency medicinesystemdelay
QLD2019-09-06

Blair, Colin Wayne

44y · Male·Hanging

Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional Centre on 13 November 2015. He was on hourly observ…

psychiatrypsychologycommunicationsystem
QLDhospital2019-09-05

Mrs MDF - Non-inquest findings

76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…

A 76-year-old woman presented to hospital with abdominal pain and was found on CT scan to have ischaemic colitis with signs of profound shock. The Consultant Surgeon decided on conservative management with fluid resuscit…

surgeryintensive carediagnosticcommunicationtramadol
QLDhospital2019-09-03

Mr DAC - Non-inquest findings

51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …

A 51-year-old man with metastatic renal cell carcinoma died from sepsis following necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical less…

cardiologyvascular surgerydiagnosticproceduralpazopanib
QLDcommunity, community, community2019-08-30

Nebauer, Talieha; Fowell, William and Whiticker, Caitlin Wilkinson

18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…

Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…

psychiatrypsychologycommunicationsystem
QLDPodcast2019-08-30

Pike, Kerri Anne; Dawson, Peter Michael and Turner, Tobias John

Unknown·multiple physical injuries sustained in a mid-air collision during skydiving

Three skydivers died in a mid-air collision near Mission Beach, Queensland on 13 October 2017. Tandem instructor Peter Dawson and customer Kerri Pike (in drogue-fall) collided with solo sport jumper Tobias Turner whose m…

aviation medicineneurologysystemdelaynordiazepam
QLD2019-08-29

FV Cassandra and FV Dianne

FV Cassandra: vessel capsize likely whilst retrieving snagged trawl net from sea…

Joint inquest into eight fishermen lost at sea from FV Cassandra (2016, two deceased) and FV Dianne (2017, six deceased). FV Cassandra capsized while attempting to retrieve snagged trawl net caught on seabed reef; likely…

proceduralsystem
QLD2019-08-08

Viner, Stephen Leonard

57y · Male·Abnormal cardiac arrhythmia due to electric shock; contributing cause: coronary …

Stephen Leonard Viner, a 57-year-old handyman, died from an abnormal cardiac arrhythmia triggered by electrical shock while investigating a failed sump pump in a flooded basement. He turned on an isolator switch to a sup…

cardiologyoccupational and environmental healthproceduralsystemdoxepin
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

A 47-year-old woman died from an intentional overdose of prescribed hydromorphone while residing at a domestic violence refuge. She had a history of depression, previous suicide attempts, and was in crisis following sepa…

psychiatrygeneral practicediagnosticcommunicationhydromorphone
QLDhospital2019-07-24

Mr P - Non-inquest findings

47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…

A 47-year-old man with morbid obesity presented with respiratory failure, productive cough, and calf swelling. His GP appropriately suspected both pneumonia and pulmonary embolism (PE), requesting urgent CTPA. At Townsvi…

intensive careemergency medicinediagnosticcommunicationheparin
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

A 20-month-old Aboriginal boy died from lung infection on a background of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone ta…

general practiceforensic medicinediagnosticmedicationoxycodone
QLDaged care2019-07-12

Fenech, George - Non-inquest findings

89y · Male·Congestive heart failure due to or as a consequence of ischaemic cardiomyopathy

George Fenech, 89, died of ischaemic cardiomyopathy complicated by congestive heart failure after a fall at a nursing home. He suffered a cervical spine injury (C1-C2 subluxation) and head laceration during an unwitnesse…

geriatric medicineemergency medicinecommunicationdelaywarfarin
QLD2019-06-24

Scaturchio, Joseph Mark

22y · Male·Chest injuries

Joseph Scaturchio, 22, an experienced jet ski racer, died from severe chest injuries sustained in a collision during the 2012 Australian Watercross Nationals Pro Stock Race. Enhanced video and engine control unit data an…

QLDhospital2019-06-20

Burrell, Michael Leslie

58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…

Michael Leslie Burrell, a 58-year-old prisoner with terminal hepatocellular carcinoma secondary to hepatitis C and cirrhosis, died in the Princess Alexandra Hospital Secure Unit. He was admitted to the ED on 17 September…

emergency medicinegastroenterologydiagnosticcommunicationmorphine
QLD2019-06-20

Wise, Paul Robert

48y · Male·Coronary artery occlusion due to coronary artery atheroma

Paul Robert Wise, aged 48, died of natural causes from coronary artery occlusion due to severe atherosclerosis (85% narrowing of right main coronary artery) while in custody at Capricornia Correctional Centre. He was fou…

cardiologyforensic medicinequetiapine
QLD2019-06-20

Mallie, William Michael

58y · Male·Atherosclerotic cardiovascular disease

William Mallie, a 58-year-old Torres Strait Islander man, died of sudden cardiac arrest while receiving haemodialysis in prison. He had end-stage renal disease, long-standing poorly controlled type 2 diabetes since 1985,…

nephrologycardiology
QLDhospital2019-06-20

Lawless-Pyne, Timothy Paul

57y · Male·Bleeding oesophageal varices due to cirrhosis and metastatic hepatocellular carc…

A 57-year-old prisoner with hepatitis C, cirrhosis, and advanced hepatocellular carcinoma died from bleeding oesophageal varices. He was appropriately managed with aggressive treatment including TACE and variceal ligatio…

gastroenterologyhepatologymorphine
QLDaged care2019-06-17

Ms SME - Non-inquest findings

86y · Female·subdural haemorrhage due to or as a consequence of a fall

Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…

geriatric medicineemergency medicineproceduralsystemoxycodone
QLDcommunityPodcast2019-06-12

Brown, Holly Winta

17y · Female·Arrhythmia due to myocardial scarring secondary to past myocarditis, possibly fr…

Holly Brown, 17, died of fatal cardiac arrhythmia from undiagnosed heart scarring likely due to childhood rheumatic fever. She collapsed at a regional mass gathering event (2000+ attendees) in remote Laura, Queensland. C…

emergency medicinegeneral practicesystemcommunicationadrenaline
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