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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
QLDhospital2014-12-08

Gulliver, Graeme Barry; Harrison, Joanne Lee; Morten, Aileen Margaret

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…

emergency medicineinfectious diseasesdiagnosticsystem
QLD2014-11-25

Peter, John Kelly

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…

cardiologygeneral medicine
QLDhospital2014-03-31

Platt, Christopher Robert Edmund - Non-inquest findings

69y · Male·Perforated bowel/septicaemia as a result of diverticulitis

A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days later critically unwell and died of per…

emergency medicinegeneral surgerydiagnosticcommunicationsodium citrate enema
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative bronchospasm complicated clinical assessment, leading focus on respiratory …

general surgerycolorectal surgerydiagnosticcommunication
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted …

psychiatrygeneral medicinesystemcommunicationmirtazapine
QLDhospital2013-05-22

Thoresen, Cynthia

88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall

Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…

orthopaedic surgeryemergency medicinedelaysystemmorphine
QLDhospital2013-04-16

Hornby, Geoffrey John

58y · Male·Respiratory failure due to or as a consequence of Chronic Obstructive Pulmonary …

Geoffrey Hornby, a 58-year-old prisoner with significant COPD, ischemic heart disease, and multiple comorbidities, died from respiratory failure secondary to COPD. He was admitted to hospital with COPD exacerbation and d…

respiratory medicineemergency medicinecommunicationdelaysalbutamol
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

Rex Harold, a 59-year-old Aboriginal man with schizophrenia, alcohol-induced brain injury, chronic obstructive airways disease, and diabetes, died in custody from disseminated small cell lung carcinoma. He was transferre…

general medicinecardiologydiagnostic
QLDhospital2012-09-06

Parry, Nerida Ann

63y · Female·bile peritonitis as a complication from a laparoscopic cholecystectomy

A 63-year-old woman died from bile peritonitis following laparoscopic cholecystectomy. The surgeon's intraoperative management was appropriate with no identified injuries. However, critical clinical deterioration on post…

general surgeryanaesthesiadiagnosticcommunication
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…

general practicecardiologydelaycommunicationamoxicillin
QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

Mrs Kathleen Anne Conlan, 70, died from cardiac arrest caused by gastric haemorrhage and pneumonia on a background of coronary artery disease. She presented with severe epigastric pain and was appropriately admitted for …

emergency medicinesurgerydelaymorphine
QLDhospital2010-05-07

Cramb, Fay - aka Valmae Beck

64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis

Fay Cramb, a 64-year-old woman imprisoned for 20+ years, died on 27 May 2008 from coronary atherosclerosis with haemorrhage into atheromatous plaque. She suffered an acute cardiac event on 5 May 2008 requiring emergency …

cardiologyintensive caresystem
QLDhospital2009-12-03

Heywood, John Martin

68y · Male·Abnormal heart rhythm (arrhythmia) precipitated by coronary atherosclerosis and …

John Martin Heywood, a 68-year-old prisoner, died of natural causes (arrhythmia precipitated by coronary atherosclerosis and phaeochromocytoma) while in custody at the Princess Alexandra Hospital Secure Unit. He had been…

cardiologyendocrinology
QLDhospital2009-11-11

Baker, Philip

55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease

Philip Baker, a 55-year-old man with multiple comorbidities including hypertensive heart disease, atherosclerosis, and chronic kidney disease requiring dialysis, was admitted to Rockhampton Hospital with severe headache …

emergency medicinegeneral medicinemorphine
QLDhospital2009-08-13

Duggan, David John

60y · Male·Hypertensive heart disease with chronic fatty liver as other significant conditi…

David Duggan, a 60-year-old man with hypertensive heart disease and cardiomegaly, was admitted to Caloundra Hospital on 10 January 2007 for management of severe acute back pain caused by a suspected L3/4 disc herniation …

emergency medicinegeneral medicinesystemcommunicationoxycodone
QLDhospital2009-06-01

Woo, June

82y · Female·Hyperkalaemia due to acute renal failure on a background of end stage pulmonary …

An 82-year-old woman with terminal pulmonary fibrosis and chronic respiratory failure presented with chest pain, hyperkalaemia and metabolic acidosis. She became combative and was given haloperidol and morphine for agita…

emergency medicinerespiratory medicineaspirin
QLDhospital2008-10-03

McKenzie, Jillian Peta

47y · Female·Cardiac arrhythmia due to severe coronary artery atherosclerosis

A 47-year-old woman presented to a level one rural hospital with chest pain. The doctor diagnosed muscular pain (99% certain) and discharged her without troponin testing or admission, despite chest pain being the present…

emergency medicinecardiologydiagnosticcommunicationibuprofen
QLDhospital2007-12-20

Newman, Patricia Dell

72y · Female·Congestive cardiac failure due to or as a consequence of essential hypertension

Patricia Dell Newman, aged 72, was admitted to Rockhampton Base Hospital on 11 March 2006 with profound hypotension, acute renal failure, severe malnutrition, and multi-organ failure that had developed over weeks to mont…

general medicinerespiratory medicinecommunication
QLD2007-11-28

Tanner, Marjorie Joyce

Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease

Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…

general medicinesurgerydiagnosticsystemmetoclopramide

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