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QLD2015-07-03

Payne, Emily Jade

16y · Female·Massive head injury due to motor vehicle accident

Emily Jade Payne, 16, died from massive head injuries sustained when the vehicle she was travelling in crashed into a tree on a rural unsealed road near Chinchilla. The driver, her 18-year-old cousin, lost control of the…

QLDhome2015-06-30

Beckman, Seth David - Non-inquest findings

34y · Male·Drowning due to shallow water blackout

A 34-year-old man died from drowning in a residential swimming pool while practicing breath-holding with hyperventilation, a technique he had used since childhood for spearfishing competitions. The coroner concluded deat…

forensic medicineemergency medicinecommunicationsystem
QLDcommunity2015-06-19

Fenton, Peter Raymond

67y · Male·Multiple injuries due to impact by falling container

Peter Raymond Fenton, 67-year-old master of the tug Kiandra, died when a 98kg insulated food storage container fell 12-13 metres from a ship's crane while being returned to his barge. The container was improperly slung u…

occupational and environmental healthcommunicationprocedural
QLDhome2015-06-19

Sweeney, Michael Shawn

42y · Male·Gunshot wound to the head

Michael Sweeney, aged 42, died from a self-inflicted gunshot wound to the head on 8 February 2013 while on parole. He attended his ex-partner's home in violation of a Domestic Violence Order to see their infant son. Afte…

psychiatrygeneral practicedelaymethamphetamine
QLDhospital2015-06-12

McIntosh, Robert Dennis

55y · Male·gastrointestinal haemorrhage due to oesophageal varices due to hepatocellular ca…

Robert McIntosh, a 55-year-old prisoner with undiagnosed cirrhosis of the liver, hepatitis C, and hepatocellular carcinoma, died from gastrointestinal haemorrhage and oesophageal varices. While the coroner found that med…

hepatologygastroenterologysystem
QLDcommunity2015-06-12

Wilson, Brad Maxwell

49y · Male·Coronary artery thrombosis due to coronary atherosclerosis

Brad Wilson, 49, collapsed and died from acute coronary thrombosis approximately 40 minutes after police arrest at a polling booth on 7 September 2013. He had severe pre-existing triple-vessel coronary atherosclerosis, s…

cardiologyemergency medicinecannabis
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl
QLDmental health2015-06-10

McDonnell, Kevin Joseph John

80y · Male·Drowning

An 80-year-old man with severe depression, suicidal ideation, and probable vascular dementia died by drowning after leaving a psychiatric ward. He was appropriately treated with ECT, medication, and placed on an ITO. How…

psychiatryemergency medicinedocumentationcommunicationolanzapine
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

Two Indigenous young men, JE (16 years) and JJ (16 years), both died by hanging within four months during a suicide cluster in Mackay, Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alco…

psychiatryemergency medicinediagnosticcommunicationalcohol
QLDcommunity2015-06-09

Reading, Neville Royston

37y · Male·Cardiac dysrhythmia during restraint against a background of significant alcohol…

Neville Reading, a 37-year-old male, died following cardiac dysrhythmia during restraint on 2 November 2013. He had consumed extremely high quantities of alcohol (blood level 0.26) over 22 hours and became violent, assau…

forensic medicineemergency medicineproceduralcommunicationalcohol
QLD2015-05-28

Vetters, Farrin John

26y · Male·Neck compression from hanging

A 26-year-old man died by hanging in his correctional centre cell on 26 October 2011. He had a history of mixed personality disorder, anxiety, opiate dependence and previous suicide attempt (age 13), but was not assessed…

psychiatrycorrectional healthsystemcommunicationfluvoxamine
QLDhome2015-05-27

A, a six year old child

6y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 6-year-old boy in foster care drowned in a backyard pool after removing his flotation device while his carer was distracted by a visitor. The carer, sitting on a veranda rather than in the pool enclosure as usual, was …

systemcommunication
QLDhospital2015-05-26

SM - Non-inquest findings

32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf

A 32-year-old man died from pulmonary embolism six days after emergency appendectomy for perforated appendicitis. VTE prophylaxis was appropriately prescribed. However, the clinical team failed to investigate persistent …

general surgeryanaesthesiadiagnosticcommunicationheparin
QLDhospital2015-05-08

Marr, Hunter Campbell

9y · Male·asthma - acute episode of asthma which became increasingly resistant to Ventolin

Hunter Campbell Marr, a 9-year-old with episodic asthma, was admitted on 2 January 2014 with asthma exacerbation. His parents denied or minimised his asthma diagnosis despite previous PICU admission in 2011. During the J…

paediatricsrespiratory medicinecommunicationsystemsalbutamol
QLDcommunity2015-05-01

Fenton, Rebecca Louise

Female·Multiple injuries due to motor vehicle trauma

Rebecca Louise Fenton died in a motor vehicle collision on the Capricorn Highway near Blackwater, Queensland when her vehicle rear-ended a stationary utility waiting to turn right at an inadequately designed intersection…

systemdelay
QLD2015-04-29

McKenzie, Brett Alexander Kevin; Ezzy, Abigail Denise; Nolan, Nicholas James; Thorley, Maxwell Ernest

Multiple injuries sustained in motor vehicle collision; Brett McKenzie was opera…

This finding concerns a reopening of an inquest into four deaths resulting from a multi-occupant motor vehicle crash on 5 January 2008. The original 2012 inquest concluded that Brett McKenzie was the driver of a Honda se…

QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

Tamiya Calais Lievesley, a six-month-old infant, died from morphine toxicity on 2 March 2004. She ingested a fatal dose of morphine, likely administered by one of her parents who were both morphine-dependent. The coroner…

paediatricsgeneral practicemedicationdiagnosticmorphine
QLDcommunityPodcast2015-04-24

Bayliss, Mark Geoffrey

47y · Male·massive haemorrhage due to a tear to the aorta sustained from blunt force chest …

A 47-year-old commercial realtor was fatally struck by an aluminium privacy screen dislodged from a 22-storey apartment building during severe weather (wind gusts of 96 km/h). The screen was inadequately fixed to the bal…

systemcommunication
QLD2015-04-10

Peng, Sun

28y · Male·Undetermined but suspicious

Sun Peng, a 28-year-old Chinese national crew member on the vessel Great Talent, disappeared from the ship anchored at Weipa on 23 March 2014. He had sustained a hand laceration after smashing a bowl during an altercatio…

emergency medicinecommunicationdelayalcohol
QLDcommunity2015-03-31

Boyles, William Roger - Non-inquest findings

65y · Male·Drowning

William Boyles, aged 65, drowned after attempting to cross Edwards Bridge on his motorcycle during severe flooding on 27 January 2013. Despite road closures being in place and firefighters actively managing the flooded a…

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