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QLDhospital2021-01-20

Palhares, Fabiana - Non-inquest findings

34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…

A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death followed escalating domestic and family violence (DFV) including phy…

emergency medicinepsychiatrydiagnosticcommunicationmirtazapine
QLDhospital2020-12-17

Aitkenhead, Alexander David

86y · Male·Ischaemic heart disease on a background of valvular heart disease, prostatic enl…

An 86-year-old prisoner with multiple chronic illnesses (COPD, atrial fibrillation, emphysema) died of ischaemic heart disease in a palliative care unit. He was admitted to hospital on 21 April 2019 with end-stage COPD a…

palliative caregeriatric medicinewarfarin
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…

emergency medicinecardiologydiagnosticcommunicationaspirin
QLDcommunity2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

A 60-year-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that…

emergency medicineneurologycommunicationsystem
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

Matthew Russo, a 37-year-old man, died from sepsis and cardiac failure secondary to bilateral bronchopneumonia within 18 hours of consultation with Dr M.. The coroner found the medical treatment inadequate and inappropri…

general practicerespiratory medicinediagnosticcommunicationamoxicillin
QLDhome2020-03-11

Roulant, Daniel Christopher

22y · Male·Meningococcal meningitis and sepsis

Daniel Roulant, 22, died from meningococcal meningitis and sepsis within 24 hours of symptom onset. He presented to his GP on 23 November 2017 with a viral head cold, low-grade fever (37.4°C), and normal ENT/chest examin…

general practiceinfectious diseases
QLD2020-01-24

Willersdorf, Maria

87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…

An 87-year-old woman died following a CT-guided epidural injection at a private radiology clinic. Although she had undergone the procedure for spinal pain, the radiologist performed an epidural injection at the T12 level…

radiologypain medicinediagnosticproceduralbupivacaine
QLD2019-12-05

Harrison, Steven Leslie

61y · Male·Coronary atherosclerosis

Steven Harrison, aged 61, died of sudden coronary atherosclerosis while incarcerated at Wolston Correctional Centre. He had multiple cardiovascular risk factors including Type 2 diabetes, heavy smoking history, and intra…

cardiologygeneral practicediagnosticsystemmetformin
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

A 47-year-old woman died from an intentional overdose of prescribed hydromorphone while residing at a domestic violence refuge. She had a history of depression, previous suicide attempts, and was in crisis following sepa…

psychiatrygeneral practicediagnosticcommunicationhydromorphone
QLDhospital2019-07-24

Mr P - Non-inquest findings

47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…

A 47-year-old man with morbid obesity presented with respiratory failure, productive cough, and calf swelling. His GP appropriately suspected both pneumonia and pulmonary embolism (PE), requesting urgent CTPA. At Townsvi…

intensive careemergency medicinediagnosticcommunicationheparin
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

A 20-month-old Aboriginal boy died from lung infection on a background of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone ta…

general practiceforensic medicinediagnosticmedicationoxycodone
QLD2019-06-20

Wise, Paul Robert

48y · Male·Coronary artery occlusion due to coronary artery atheroma

Paul Robert Wise, aged 48, died of natural causes from coronary artery occlusion due to severe atherosclerosis (85% narrowing of right main coronary artery) while in custody at Capricornia Correctional Centre. He was fou…

cardiologyforensic medicinequetiapine
QLDcommunity2019-06-12

Brown, Holly Winta

17y · Female·Arrhythmia due to myocardial scarring secondary to past myocarditis, possibly fr…

Holly Brown, 17, died of fatal cardiac arrhythmia from undiagnosed heart scarring likely due to childhood rheumatic fever. She collapsed at a regional mass gathering event (2000+ attendees) in remote Laura, Queensland. C…

emergency medicinegeneral practicesystemcommunicationadrenaline
QLD2019-05-08

Malone, Terrence Michael

54y · Male·incised wound to the neck

Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Centre on 8 November 2014, three days after re-incar…

psychiatryemergency medicinediagnosticcommunicationalcohol
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriat…

emergency medicineparamedicinediagnosticcommunicationmidazolam
QLDaged care2019-02-12

Quayle, Betty Christine - Non-inquest findings

89y · Female·Blunt force head injury on a background of ischaemic and valvular heart disease

An 89-year-old woman with dementia and cardiac disease died from blunt force head injury sustained during an assault by another resident with alcohol-related dementia in an aged care facility. The resident had a document…

geriatric medicinegeneral practicesystemcommunication
QLDaged care2018-12-19

Simons, Kathleen

96y · Female·Pseudomonas aeruginosa sepsis secondary to infected leg ulcers, complicated by m…

A 96-year-old woman with diabetes, dementia and a chronic blistering skin condition developed progressively worsening leg ulcers with exposed tendons while resident in an aged care facility. Despite multiple medical revi…

geriatric medicinegeneral practicediagnosticcommunicationcefalexin
QLDaged care2018-12-14

Hamilton, Stella

72y · Female·undetermined

Stella Hamilton, 72, died at Ozcare Malanda aged care facility on 31 July 2016. She had advanced Alzheimer disease, undiagnosed necrotising bronchopneumonia, and coronary atherosclerosis. She was receiving palliative car…

geriatric medicinepalliative caresystemmorphine
QLD2018-12-12

Winks, Russell

65y · Male·Gunshot wound to the right upper chest

Russell Winks, a 65-year-old man experiencing cumulative stress from family and health crises, died from a gunshot wound inflicted by police during an armed confrontation at his rural property. After retrieving a rifle h…

emergency medicinegeneral practiceantidepressant medication
QLD2018-09-11

Cooper, David

54y · Male·Pneumonia due to Staphylococcus aureus

A 54-year-old man died in custody from Staphylococcus aureus pneumonia. Over 11 days before death, he presented multiple times with respiratory symptoms and requested antibiotics, but was never seen by a doctor. Key clin…

emergency medicinegeneral practicediagnosticcommunicationparacetamol

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