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QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

Baby M died shortly after birth on 11 February 2016 at Gladstone Base Hospital from intracranial and intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal sepsis. A nur…

obstetricsmidwiferydiagnosticmedicationantibiotics
QLDcommunity2018-09-11

Giorgio, Pasquale

54y · Male·Ischaemic cardiomyopathy following a period of restraint on a background of morb…

A 54-year-old man with schizophrenia, homelessness, and morbid obesity was arrested for wilful exposure and disorderly conduct. During restraint in the prone position with handcuffs, he struggled for several minutes. Alt…

emergency medicineforensic medicinediagnosticcommunicationflupenthixol
QLD2018-09-11

Cooper, David

54y · Male·Pneumonia due to Staphylococcus aureus

A 54-year-old man died in custody from Staphylococcus aureus pneumonia. Over 11 days before death, he presented multiple times with respiratory symptoms and requested antibiotics, but was never seen by a doctor. Key clin…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
QLDPodcast2018-09-05

Maynard, Marcia Anne Kathleen

63y · Female·Insulin overdose (suicide)

Marcia Maynard, a 63-year-old registered nurse at Woodford Correctional Centre, died by insulin overdose on 3 October 2015 after self-administering the drug at a hotel. She was required to give evidence at an inquest int…

correctional healthgeneral practicecommunicationinsulin
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
QLD2018-08-10

Harmer, Jay Maree

38y · Female·Complications of decompensated liver failure due to cirrhosis secondary to Hepat…

Jay Maree Harmer, 38, died in custody from decompensated liver failure secondary to Hepatitis C cirrhosis. She had advanced hepatic encephalopathy, opioid dependence, and obesity. Despite specialist recommendations to re…

gastroenterologypalliative carecommunicationdelaybuprenorphine
QLD2018-08-08

Schuler, Bruce Gavin - Non-inquest findings

48y · Male·fatal shotgun wounds

Bruce Gavin Schuler, a 48-year-old builder, went missing on 9 July 2012 while gold detecting at Palmerville Station, Queensland. His body has never been found. Three witnesses observed Stephen Struber and Dianne Wilson-S…

QLDprison2018-08-03

Wright, Kenneth Douglas

71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…

Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensland Correctional C…

emergency medicinepalliative carediagnosticcommunication
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone,…

infectious diseasesemergency medicinecommunicationsystemfentanyl
QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
QLDcommunity2018-07-24

Thwaites, Andrew John

44y · Male·Carbon monoxide toxicity causing loss of consciousness and fatal drowning

A 44-year-old experienced recreational scuba diver, Andrew Thwaites, died during a dive on 10 August 2016 at Cherubs Cave, Moreton Bay, Queensland. He inhaled compressed air containing dangerously high levels of carbon m…

diving medicinehyperbaric medicinesystemmaintenance
QLD2018-07-23

Millard, Ross - Non-inquest findings

Male·Aerodynamic stall following partial engine power loss during takeoff, with impac…

Ross Millard, an experienced recreational pilot with 1687 hours experience, died when his Howard Hughes Lightwing GA-912 aircraft suffered partial engine power loss during takeoff and subsequently aerodynamically stalled…

proceduralcommunication
QLDhospital2018-07-09

AD - Non-inquest findings

75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…

A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …

emergency medicinecardiologydiagnosticcommunicationmorphine
QLD2018-07-09

Maisel, Bradford Zaiser – Non-inquest findings

50y · Male·Fatal injuries sustained as a consequence of a helicopter colliding with the oce…

A 50-year-old private pilot died when his Robinson R22 helicopter collided with the ocean near Cape Tribulation, Queensland. Mr Maisel was qualified only for daylight visual flight rules (VFR) operations but departed Coo…

proceduralsystem
QLD2018-06-28

Hamilton, Blair Andrew

54y · Male·Extensive burns due to detonation of LPG gas cylinder

A 54-year-old man with chronic severe depression, grief from his wife's sudden death, severe debilitating skin condition, and alcohol dependence called emergency services on 12 December 2015, warning them not to approach…

psychiatrygeneral practiceproceduralcommunicationvenlafaxine
QLD2018-06-20

Holstein, Zachary James David

23y · Male·Hypoxic-ischaemic encephalopathy due to hanging

Zachary James David Holstein, age 23, died by suicide by hanging in Woodford Correctional Centre on 8 February 2016 (declared extinct 12 February 2016). He had a history of substance abuse, self-harm, and mental health d…

psychiatrycorrectional healthdelaysystemmirtazapine
QLDcommunity2018-06-08

Duncan Cameron Wilmott - Non-inquest findings

16y · Male·Drowning

A 16-year-old male died by drowning in a disused quarry (Void 10) after jumping into deep water from an elevated position. He entered the water awkwardly during his first jump of the day, with witness observations sugges…

QLDaged care2018-06-05

Milward, Paul Joseph

53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…

Paul Joseph Milward, aged 53 with Huntington's disease causing cognitive impairment and swallowing difficulties, died from choking on a bread sandwich while unsupervised in his aged care room. His care plan specified min…

geriatric medicinespeech pathologycommunicationsystemsodium valproate
QLDcommunity2018-06-05

Smit, Bernardus Johan

50y · Male·Head injuries due to motor vehicle accident

A 50-year-old traffic controller was struck and killed by a motor vehicle driven by a woman with multiple serious medical conditions (end-stage renal disease, multiple myeloma) who was taking Panadeine Forte. The driver …

general practicehaematologysystemparacetamol/codeine
QLD2018-05-31

Friend, RS; Young, ER - Non-inquest findings

Unknown·Multiple injuries sustained in mid-air collision between two recreational aircra…

Two recreational pilots, aged 72 and 68, died in a mid-air collision near Townsville on 10 February 2015. The Thruster aircraft's propeller severed the Drifter aircraft's left wing support wires, causing the Drifter's le…

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