1,048 results
51y · Male·Coronary atherosclerosis
A 51-year-old Aboriginal man with a 26-year prison history died from coronary atherosclerosis while incarcerated. He had extensive cardiac disease documented since 1996, with multiple heart attacks in 2011-2012, yet rema…
44y · Male·End stage non-small cell lung carcinoma
Victor Courtney, aged 44, died from end-stage non-small cell lung carcinoma with hepatic metastases while incarcerated at Wolston Correctional Centre. He was diagnosed with lung cancer in November 2012 after presenting w…
23y · Female·drowning due to or as a consequence of scuba diving
Ms Xia Dai, a 23-year-old first-time scuba diver with no ocean swimming experience, died by drowning during a resort dive on the Gold Coast. Critical clinical/safety lessons: inadequate pre-dive instruction on emergency …
3y · Female·massive air embolism
Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred when a paramedic re-spiked a partially-used IV saline bag (containin…
5y · Female·Sudden Infant Death Syndrome (Classic Type 1a)
A 5-month-old infant died suddenly at a family day care facility on her first day of formal care, with autopsy findings consistent with Sudden Infant Death Syndrome (SIDS). The child had been fully swaddled with arms enc…
68y · Male·head injury from crush trauma between forklift mast components
A 68-year-old experienced forklift operator died after being crushed between the mast and operator's cage of a TCM Series 700 forklift at a trucking business. The evidence suggests Mr. Rowe's feet slipped on the forklift…
0y · Male·subdural haemorrhage due to blunt force trauma to the head
LB, a six-week-old infant, died from a subdural haemorrhage caused by blunt force trauma to the head inflicted by his mother. Autopsy revealed bilateral subdural haemorrhage, brain tears, and rib fractures sustained over…
Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome
A full-term baby born at 39 weeks died from hypoxic-ischaemic encephalopathy due to meconium aspiration. Critical failures in fetal monitoring were identified: the admission CTG was abnormal but not recognised as such by…
21y · Male·Sepsis caused by Leptospirosis (Graeme Gulliver); Group A streptococcal meningit…
Three young patients died from severe bacterial infections at rural Queensland hospitals (Mossman and Atherton). All three received delayed diagnoses and treatment. The first patient (21-year-old with leptospirosis) pres…
51y · Male·Multiple injuries arising from collision between bicycle and semi-trailer vehicl…
Malcolm Kamp, an experienced recreational cyclist, was struck and killed by a semi-trailer on the Warrego Highway near Ipswich on 5 June 2011. The coroner found the driver failed to provide sufficient clearance when over…
42y · Female·Smoke inhalation caused by house fire
A house fire in Slacks Creek, Queensland killed 11 people including 8 children in August 2011. The exact cause of the fire could not be conclusively determined but likely originated at a desk lamp in the downstairs offic…
45y · Male·Multiple injuries due to fall from height
Mathew Richardson, a 45-year-old man with untreated antisocial personality disorder living in remote Queensland, died by suicide during a police arrest attempt. After failing to appear in court on charges involving alleg…
25y · Female·mixed drug toxicity
Rachel Smith, a 25-year-old woman with chronic migraines and depression, died from mixed drug toxicity after consuming multiple prescription medications including oxycodone, codeine, tramadol, diazepam, amitriptyline and…
22y · Male·mixed drug toxicity due to methadone, codeine, and morphine (metabolite), compou…
William Wallrock, 22, died from mixed drug toxicity four days after wisdom tooth extraction. He was initially appropriately advised to use paracetamol and ibuprofen. When inadequate pain relief prompted him to seek furth…
62y · Male·Congestive cardiac failure due to ischaemic heart disease
John Kelly Peter, a 62-year-old man, died in Lotus Glen Correctional Centre from congestive cardiac failure secondary to ischaemic heart disease. He had multiple chronic conditions including diabetes, hypertension, and h…
39y · Male·Hypoxic-ischaemic encephalopathy (aetiology not determined); cardiorespiratory a…
Stephen Nash, a 39-year-old man, died after being restrained face-down by security providers and hotel staff at the Union Jack Hotel in Cairns following an altercation where he punched a security officer. The restraint l…
43y · Male·Mechanical asphyxia
Karl Wright, a 43-year-old man with moderate intellectual disability and a fascination with ski clothing, was found dead in his family shed on 29 July 2013, encased in multiple layers of clothing, sleeping bags, bound wi…
36y · Female·traumatic head injuries from multiple assaults perpetrated by domestic violence …
Noelene Beutel died from severe head injuries inflicted by her domestic violence partner in 2011. Although she had engaged with police, GPs, hospitals, and domestic violence agencies in the six months before her death, s…
82y · Male·Ischaemic cardiomyopathy resulting from coronary atherosclerosis (with previous …
An 82-year-old man with longstanding cardiac disease and renal failure died in custody from acute heart failure. He had been imprisoned for 3 years with well-documented cardiac history requiring 42 hospital transfers. In…
Female·Head injuries sustained in motor vehicle accident
Lydia Spencer, a UK national holidaying in Australia, died from head injuries sustained in a motor vehicle accident on the Hann Highway near Hughenden, Queensland. The vehicle, driven by her fiancée William Poffley, left…
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