1,048 results
36y · Male·Multiple gunshot wounds
Jason Paul Protheroe, a 36-year-old with a history of drug use and criminal convictions, was shot and killed by police constable Thomas Hess at a residence in Bracken Ridge on 17 April 2012. Protheroe was found in the ba…
12y · Male·Head injuries resulting from ride-on mower collision
Jake Garrett-Pratt, a 12-year-old boy, died from fatal head injuries sustained when he lost control of a poorly maintained ride-on lawn mower on a steep driveway. The rear axle drive chain broke due to inadequate mainten…
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 …
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…
44y · Female·Dilated cardiomyopathy
Hazel Marie Lalara, a 44-year-old woman with schizophrenia and peripheral neuropathy, was remanded in custody to The Park Centre for Mental Health in January 2009. She received psychiatric treatment for acute psychosis a…
25y · Female·severe coronary atherosclerosis
Maureen Ann Weazel, a 25-year-old Aboriginal woman with diabetes, family history of heart disease, and known smoking, presented to Cherbourg Hospital twice in the week before her death. She died from acute cardiac arrest…
15y · Female·Hypoxic brain injury due to hanging
Leanne Thompson, aged 15, was a severely troubled and vulnerable young woman under a Child Protection Order, living with 28-year-old Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, dr…
64y · Male·aspiration pneumonia following insertion of a jejunostomy tube
Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT) on 23 December 2004 to bypass his stomach and improv…
45y · Male·exsanguination due to incised wound to neck
Lawrence McCarty, a 45-year-old man in custody on remand, died by suicide in prison on 30 April 2011 by slashing his neck with a dismantled razor blade. Clinical lessons include: (1) reception staff failed to adequately …
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…
2y · Male·head injury due to accidental fall from bed
Luke Borusiewicz, a 2-year-old in foster care, died from severe head injuries sustained in an accidental fall from a bed on 12 January 2009. The foster carer, Joy (age 74), had taken him into care on 24 December 2008 aft…
19y · Female·severe head injury due to fall during gymnastics on Tumbl Trak, striking uncover…
A 19-year-old female gymnast died from severe head injury after falling from a Tumbl Trak apparatus and striking exposed concrete flooring at a gymnastics club. She was performing a complex sequence involving a round-off…
31y · Male·Chest injuries (principal cause) with autism and epilepsy as underlying causes
Stuart Lambert, a 31-year-old man with cerebral palsy, autism, and epilepsy, died from chest injuries sustained at his carer's semi-rural residence. He collapsed during or after a seizure and experienced multiple rib fra…
42y · Female·Head injury due to ejection of a section of steel pipe from slasher
A pedestrian was fatally struck by a metal pipe ejected from a slasher operating on a vacant urban block. The coroner found that while the incident occurred in an urban setting with foreseeable pedestrian presence, criti…
45y · Male·subdural haemorrhage sustained in a fall
Benjamin Ware, an intoxicated 45-year-old man, was taken by police to a diversionary centre in Cairns. He vomited several times during the evening and was monitored regularly by staff. The next morning, other clients wok…
18y · Male·Multiple injuries due to train over-run
Charles Ross Maxwell Morgan, an 18-year-old Aboriginal man, died when struck by a train near Zillmere Railway Station in January 2012. He was moderately intoxicated with alcohol and cannabis, with recent cannabis use. Th…
Owens: head injuries and blunt trauma from motor vehicle collision; Stiller: mul…
Two fatal motor vehicle crashes involving wide load escorts on Queensland's Bruce Highway. Kenneth Owens (84) struck a 5.4m-wide miner's hut protruding into his lane at night; contributing factors included poor visibilit…
26y · Female·intentionally inflicted gunshot wounds to the head
This complex triple-inquest into the deaths of two women in 1991 reveals systemic investigative failures and challenges the original murder-suicide finding. Julie-Anne Leahy and Vicki Arnold died from gunshot wounds on 2…
25y · Female·Chest injuries due to fall from height
Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda car park across from Princess Alexandra Hospital's Mental Health Unit within a 10-month period despite…
30y · Male·asphyxia due to hanging (suicide)
30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…
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