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QLDcommunityPodcast2018-05-30

Farrell, Bethany Emily

21y · Female·drowning

Bethany Farrell, a 21-year-old UK tourist on her first scuba dive, became separated from her instructor in poor visibility (3m) at Blue Pearl Bay. She surfaced in distress for 40+ seconds but was not seen by the designat…

diving medicineoccupational and environmental healthdiagnosticprocedural
QLDhome2018-05-21

House, William John; White, Vanessa Joan; Smith, Jodie Anne and Milne, Daniel Keith

Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…

Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multiple doctors ('doctor shopping') without effective detection. Systemic failures include…

general practicepain medicinediagnosticmedicationfentanyl
QLD2018-05-16

Houdini, Franky

41y · Male·Hanging

Franky Houdini, aged 41, died by hanging in his prison cell at Wolston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner…

psychiatrycorrectional healthcommunicationsystemrisperidone
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…

general medicinegastroenterologydiagnosticcommunicationmovical
QLDhospital2018-05-04

LM - Non-inquest findings

1y · Female·Sepsis (Group A Streptococcus)

A nearly 16-month-old girl died from Group A Streptococcal sepsis after presenting to a regional private hospital emergency department. She had been seen multiple times by different GPs in the preceding weeks with viral …

general practiceemergency medicinediagnosticdelaymupirocin
QLD2018-04-24

Robert Charles Royston - Non-inquest findings

57y · Male·Drowning

Robert Royston, 57, drowned during a fishing trip when a newly purchased boat capsized in deteriorating sea conditions. The vessel, anchored by its stern in 2-metre swells, shipped water while retrieving the anchor as th…

system
QLD2018-04-13

Ross, Matthew Trent

25y · Male·Electrocution

Matthew Ross, 25-year-old carpenter, died from electrocution at 5:07 PM on 11 July 2013 while installing guttering on construction scaffolding. His body completed an electrical circuit between a metal scaffold pole (hand…

occupational and environmental healthforensic medicinesystemcommunication
QLDhospital2018-04-12

Mr RR - Non-inquest findings

86y · Male·Aspiration Pneumonia secondary to Recurrent Colorectal Carcinoma

An 86-year-old man died from aspiration pneumonia following bowel preparation for elective colonoscopy. He was admitted to an outlying ward rather than the gastroenterology unit, where nursing staff documented multiple e…

gastroenterologycardiologydiagnosticcommunicationondansetron
QLDaged care2018-04-09

Enid Patricia Hiddle - Non-inquest findings

81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…

An 81-year-old woman with Alzheimer's disease, osteoporosis, and severe coronary artery disease died from acute pyelonephritis (kidney infection) combined with coronary heart disease. She experienced multiple falls over …

general practiceemergency medicinediagnosticcommunication
QLDhome2018-03-28

Beale, Tracy Ann

Female·neck compression (asphyxia) with likely vasovagal reflex attack

Tracy Ann Beale died from neck compression (asphyxia) with likely vasovagal reflex triggered during a domestic violence incident. Her husband applied a chokehold for seconds using mild-to-moderate force, but this brief r…

forensic medicineemergency medicinealcohol
QLD2018-03-27

Brown, Stephen Ross

54y · Male·Pulmonary embolus

Stephen Ross Brown, a 54-year-old truck driver, died from pulmonary embolism following a heavy vehicle crash on 27 August 2014. His Goldmix Stock Feeds truck suffered catastrophic suspension failure when both right front…

emergency medicinetrauma surgery
QLD2018-02-28

Kennedy, Dale

Male·electrocution from contact with energised electrical cable and metallic componen…

Dale Kennedy, a 3rd year apprentice electrician, died from electrocution while installing data cables in a school ceiling space. He was moving across wooden planks when his body weight pressed a cable (circuit 22) agains…

systemdelay
QLDhospital2018-02-21

Barichello, Daniele Antony - Non-inquest findings

43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…

A 43-year-old man with a colloid cyst of the third ventricle presenting with progressive headache was admitted for planned endoscopic surgery. Surgery was delayed from Friday to Monday due to unavailability of specialist…

neurosurgeryintensive carediagnosticdelaytramadol
QLD2018-02-16

Cheney, Danny George

Male·Electrocution from electrical induction shock while installing spacers on high-v…

Danny George Cheney, a newly promoted Construction Manager and Stringing Supervisor with John Holland Group, died from electrocution while installing spacers on high-voltage transmission line conductors. Working from a c…

occupational and environmental healthdiagnosticprocedural
QLDhospital2018-02-06

Day, Robert Raymond

62y · Male·Metastatic prostate cancer

Robert Raymond Day, aged 62, died from metastatic prostate cancer while in prison custody. Diagnosed in 2013 with widespread bone, lymph node and liver metastases, he received high-standard palliative and oncological car…

palliative careoncologychemotherapy agents
QLD2018-02-06

Murray, Eric James

69y · Male·Ischaemic cardiomyopathy due to or as a consequence of coronary atherosclerosis …

Eric James Murray, a 69-year-old Indigenous man with severe ischaemic cardiomyopathy (previous triple coronary bypass in 2000), Type 2 diabetes, hypertension, hyperlipidaemia, and morbid obesity, died of acute myocardial…

cardiologyendocrinology
QLDmental health2018-02-05

Hitchins, Steven John; Gudge, Shawn Bradley Joseph

53y · Male·Steven Hitchins: plastic bag asphyxiation; Shawn Gudge: hanging

Two inpatient suicides in a Queensland mental health unit highlight systemic failures in environmental hazard management and observation practices. Steven Hitchins (age 53) died by asphyxiation with a plastic bag in 2014…

psychiatryemergency medicinesystemcommunicationrisperidone
QLDhospital2018-01-29

Osborne, Warren Andrew

45y · Male·The effects of restraint and drugs

Warren Osborne, a 45-year-old man affected by amphetamines and experiencing drug-induced psychosis, died during physical restraint at Caboolture Hospital. After being triaged in the Emergency Department, he accessed rest…

emergency medicinepsychiatryproceduralsystemmethamphetamine
QLDhospital2018-01-24

McLaughlin, Mark Ian

55y · Male·Glioblastoma multiforme

Mark Ian McLaughlin, a 55-year-old man in custody, presented with haematuria and neurological symptoms and was found to have a grade 4 glioblastoma multiforme on imaging and histopathology. He underwent appropriate neuro…

emergency medicineneurosurgery
QLD2018-01-24

Bernard, Peter Matthew

42y · Male·Coronary artery atheroma with arrhythmia

A 42-year-old Indigenous man with acquired brain injury and epilepsy died suddenly in custody from coronary artery atherosclerosis causing arrhythmia. He exercised vigorously the day before death, became pale and sweaty …

emergency medicineforensic medicinesodium valproate
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