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QLDhospital2015-03-30

Mulhall, Terrance - Non-inquest findings

48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension

A 48-year-old man died from myocardial infarction due to ischaemic heart disease and hypertension shortly after undergoing urology surgery. Critical failures in clinical communication prevented recognition of undiagnosed…

anaesthesiaurologycommunicationdiagnostictelmisartan
QLD2015-03-30

Bischoff, Noelene Gaye; Bischoff, Yvana Jean Yuri - Non-inquest findings

Female·Allergic type reaction (anaphylaxis), possibly secondary to scombroid syndrome (…

A mother and daughter died from severe allergic reactions to contaminated fish consumed at a Bali hotel restaurant on 3 January 2014. Both had underlying asthma, which increased anaphylaxis severity and treatment resista…

emergency medicineallergy and immunologyadrenaline
QLD2015-03-24

E, aged 14 - Non-inquest findings

14y · Male·hanging

A 14-year-old Aboriginal boy died by suicide by hanging at his school. He had experienced childhood trauma including neglect, domestic violence, and parental separation. He was living with his paternal grandmother after …

psychiatrygeneral practicediagnosticmarijuana
QLDhome2015-03-23

R, aged one day - Non-inquest findings

0y · Female·meconium aspiration

A full-term female infant (41 weeks 3 days) died from meconium aspiration during a planned home water birth attended by an experienced midwife. The mother had gestational diabetes and a history of macrosomic babies—risk …

midwiferyneonatologydiagnosticprocedural
QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

A 33-year-old man with paranoid schizophrenia, polysubstance dependence (amphetamines/cannabis), and chronic suicidal ideation died from a self-inflicted gunshot wound to the head. He had been prescribed risperidone and …

psychiatryforensic medicinemethamphetamine
QLDhospital2015-03-13

Cuttler, Melina Maree

29y · Female·Multiple injuries due to fall from height

A 29-year-old woman with rapidly deteriorating mental health presented to Ipswich Hospital ED triaged as ATS Category 3 requiring assessment within 30 minutes. Multiple systemic and clinical failures delayed appropriate …

emergency medicinepsychiatrydiagnosticcommunication
QLDcommunity2015-03-11

Kumar, Amit

34y · Male·The combined effects of restraint, coronary artery atherosclerosis and centripet…

A 34-year-old man died following 10 minutes of restraint by six people at a marina car park after assaulting two staff members. He had significant coronary atherosclerosis (70-75% narrowing) and centripetal obesity. Desp…

forensic medicineemergency medicineproceduralcommunicationmethadone
QLD2015-03-06

Dow, Audrey Anne

81y · Female·Multiple injuries due to motor vehicle trauma from collision

Audrey Dow, aged 81, died from injuries sustained in a motor vehicle collision on 31 July 2013 on Mulherin Drive, Mackay, Queensland. The at-fault driver, Aaron Kite, was a disqualified driver (court-ordered ban in force…

QLDcommunity2015-02-27

Brogden, Jay Anthony

21y · Male·Undetermined but of a suspicious nature

Jay Anthony Brogden, 21, disappeared on 21 April 2007 from Cannonvale, Queensland after assaulting his ex-partner Patricia Heath at a family barbeque. He left a friend's residence on foot and has never been seen again. T…

systemdelaycannabis
QLDcommunity2015-02-26

Newling, Robert William - Non-inquest findings

58y · Male·Chest injury sustained in a motor vehicle collision in which he was the pedestri…

A 58-year-old man died from chest injuries sustained when struck by a motor vehicle while washing cars on a busy roadside. He was performing car washing services on Riding Road, Balmoral, a 60 km/h zone with two travel l…

QLDcommunity2015-02-26

Low, Paul Michael

19y · Male·Head injuries due to motor vehicle accident (passenger)

Paul Low, 19, was a passenger in a vehicle driven by Peter Ollenburg at high speed through a residential area at 1:36am on 25 September 2012. Two police constables observed the vehicle accelerate as it passed them and in…

proceduralsystemmethamphetamine
QLD2015-02-20

Mapperson, Wayne George - Non-inquest findings

58y · Male·Multifocal bleed into brain (subarachnoid and subdural haemorrhage) from injurie…

A 58-year-old truck driver and forklift operator died from a severe head injury sustained in a workplace fall on 29 August 2012. He fell while using an unsuitable, unsecured ladder to access a mezzanine storage area. The…

trauma surgeryintensive caresystemprocedural
QLDcommunity2015-02-11

Dennis, Jerry Arthur - Non-inquest findings

17y · Male·drowning due to or as a consequence of cardiomegaly

A 17-year-old male member of a surf life saving club died by drowning during a flat-water paddle board training session in a canal. He reported feeling unwell and attempted to paddle back, but fell from his board and bec…

pathologycardiology
QLDcommunity2015-02-09

Cameron, Michael James

57y · Male·Massive soft tissue and bony injury from crush injuries sustained when a transmi…

Michael James Cameron, a 57-year-old experienced crane operator, died when a transmission tower section fell on him during a lifting operation. The crane's free fall function was supposed to have been disabled two years …

occupational and environmental healthproceduralsystem
QLDhome2015-01-29

Daw, Lilly Ella - Non-inquest findings

1y · Female·cystic encephalomalacia

Lilly Ella Daw, born at 27 weeks gestation as a monochorionic diamniotic twin following intrauterine death of her co-twin, died at one month of age from cystic encephalomalacia. The surviving twin had a documented 20% ri…

obstetricspaediatricscommunicationdelay
QLDhospital2015-01-29

Carpenter, Harold James

66y · Male·Coronary atherosclerosis with emphysema as secondary cause

Harold James Carpenter, a 66-year-old prisoner with significant comorbidities including ischaemic heart disease, emphysema, hepatitis C and possible malignancy, died from coronary atherosclerosis and emphysema. He presen…

emergency medicineorthopaedic surgeryoxycodone
QLD2015-01-23

Waugh, Harry McMaster Tickell

3y · Male·Massive cerebral trauma due to multiple fractures of the skull due to crush inju…

A three-year-old boy died after being run over by a reversing vehicle on a rural property. The child exited an unrestrained car seat while the driver refuelled the vehicle 50 metres away, likely accessing the front passe…

communicationdelay
QLDcommunity2015-01-23

Candlin, Geoffrey George

Male·Head injuries sustained in motor vehicle accident

Geoffrey Candlin died when struck by a heavy vehicle (B-double truck) on the Bruce Highway in poor weather conditions. The prime mover veered left off the wet road at 100 km/h, and whilst being steered back onto the road…

emergency medicinepathologysystemdelay
QLD2014-12-29

Uscinski, Barry Joseph

74y · Male·Multiple injuries as a result of aircraft crash

Dr U., a 74-year-old highly experienced pilot with 1,164 hours total flying time, died when his replica Spitfire aircraft crashed near Gympie Aerodrome on 22 October 2010 during a test flight. The crash resulted from mul…

systemprocedural
QLD2014-12-17

Canisi, Kyle Leslie

24y · Male·Head injuries from blunt force trauma

Kyle Canisi, a 24-year-old remanded prisoner with a violent history, died from severe head injuries sustained in an unprovoked assault by fellow inmate Scott O'Connor on 27 December 2011 at Arthur Gorrie Correctional Cen…

correctional healthforensic medicinecommunicationsystem
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