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QLD2025-06-18

Inquest into the deaths of Anthony Michael Charlwood and Krystal Renee Evans

Multiple injuries due to motor vehicle collision

Two persons died following a high-speed motorcycle crash while evading police interception. Anthony Charlwood (36) and Krystal Evans (35) collided with a light pole at high speed on Helensvale Road. The motorcycle was be…

amphetamine
QLDhospital2025-06-02

Non-inquest findings into the death of Mr B.

42y · Male·Multiple organ failure due to iatrogenic phenol overdose due to metastatic pancr…

A 42-year-old man with metastatic pancreatic cancer died from multiple organ failure caused by iatrogenic phenol overdose during a celiac plexus block for pain management. The radiologist administered 40ml of 80% phenol …

radiologyintensive carediagnosticmedicationphenol 80%
QLDhospital2025-05-26

Findings into the death of Trevor Charles Stone

57y · Male·Metastatic lung adenocarcinoma (stage IVA non-small cell lung cancer)

Trevor Charles Stone, a 57-year-old First Nations man imprisoned for sexual offences, died from metastatic lung adenocarcinoma with contributing comorbidities (diabetes, hypertension, dyslipidaemia, ischaemic heart disea…

oncologypalliative carecarboplatin
QLD2025-05-19

Non-inquest into the death of Francis Robert Falappi

Male·Head and neck injuries due to mountain bike collision (rider)

Francis Robert Falappi, a highly experienced mountain biker and Queensland Police officer, died from head and neck injuries sustained while attempting to navigate 'Mick's Drop' on Worlds Downhill Track at Smithfield Moun…

QLDcommunity2025-05-02

Non-inquest findings into the death of Mr T.

49y · Male·undetermined

A 49-year-old man with paranoid schizophrenia on clozapine became non-compliant with mental health appointments in July 2021. After threatening clinic staff while acutely psychotic, mental health services and police atte…

psychiatrysystemcommunicationclozapine
QLDhospital2025-05-01

Non-inquest findings into the death of an Indian citizen

23y · Male·Hypoxic ischaemic encephalopathy due to near-drowning

A 23-year-old Indian citizen drowned at an unpatrolled, hazardous beach on Stradbroke Island after becoming caught in a rip current. He was unable to swim. Despite prompt CPR by lifeguards and paramedics with return of s…

emergency medicineintensive care
QLDcommunity2025-04-17

Inquest into the deaths of Raghe Mohamed Abdi, Zoe Dorothea Antill and Maurice Frederick Antill

22y · Male·Gunshot wounds to the torso (Raghe Abdi); Multiple blunt and sharp force injurie…

This inquest examined three deaths: elderly couple Maurice (87) and Zoe Antill (86) who were stabbed to death at their home on 16 December 2020, and Raghe Abdi (22), a radicalised young man on bail being monitored by cou…

system
QLDaged care2025-04-17

Non-inquest findings into the death of Mr H.

89y · Male·combination of biochemical consequences of colonic pseudo-obstruction and faecal…

An 89-year-old man with multiple comorbidities including previous colon cancer died from faecal impaction and stercoral colitis. He resided in a residential aged care facility (RACF) where staff failed to recognize that …

geriatric medicinegeneral practicediagnosticcommunicationmacrogol
QLDhospital2025-03-31

Inquest into the death of Jamie Brian Campbell

43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…

A 43-year-old man with methamphetamine toxicity was restrained by police and given two doses of droperidol by paramedics who failed to recognize he was critically unwell. The first dose was clinically indicated, but the …

emergency medicinetoxicologydiagnosticmedicationmethamphetamine
QLDhospital2025-03-14

Non-inquest findings - a 5 year old boy

5y · Male·Complications of burns

A 5-year-old boy died from complications of severe burns sustained during a fuel ignition incident at his father's rural property. While refuelling a small motorcycle, the father failed to shut off the engine and did not…

plastic and reconstructive surgeryintensive careprocedural
QLDcommunity2025-02-11

Inquest into the death of Mohamad Ikraam Bahram

24y · Male·Multiple gunshot wounds

Mohamad Ikraam Bahram, a 24-year-old man with schizophrenia managed under a community treatment authority, died after being shot by police on Mary Street Brisbane following an unprovoked assault on a tourist. He had pres…

psychiatryforensic medicinesystemcommunicationaripiprazole
QLDhospital2024-12-16

Inquest into the death of Shane Anthony May

61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…

Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…

emergency medicinerespiratory medicineamlodipine
QLD2024-12-12

Inquest into the passing of Robert George Kenneth Malayta

18y · Male·Drowning

An 18-year-old First Nations male died by drowning in the Ross River after fleeing from police following deployment of a tyre deflation device on a stolen vehicle. The deceased was a passenger in a car driven by his olde…

methamphetamine
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate falls prevention after a second fall on …

geriatric medicineemergency medicinediagnosticmedicationaspirin
QLDhome2024-12-06

Inquest into the death of Audrey Yvette Carrick

83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…

An 83-year-old woman with severe aortic stenosis, atrial fibrillation, and heart failure died from pulmonary embolism one day after discharge following transcatheter aortic valve replacement (TAVI). Clinical lessons cent…

cardiologycardiothoracic surgerycommunicationdocumentationwarfarin
QLDhospital2024-11-20

Non-inquest findings into the death of Mr W

82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis

An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-risk for pressure injury, he was …

general medicinegeriatric medicinediagnosticcommunicationendone 2.5mg
QLDcommunity2024-11-18

Inquest into the death of Ashley Charles Washington

31y · Male·Undetermined

Ashley Washington, a 31-year-old Kamilaroi man, died after police restraint and sedation during arrest in Toowoomba. He was apprehended following a report of property theft and stabbed a police dog and officer with sciss…

emergency medicineparamedicinediagnosticcommunicationmethamphetamine
QLDhospital2024-11-08

Non-inquest findings into the death of SD

61y · Male·Lymphoma (CD30 positive T-cell lymphoproliferative disorder), medically managed

A 61-year-old man died from CD30-positive T-cell lymphoproliferative disorder (PTCL) after being incorrectly diagnosed and treated for Hodgkin lymphoma. Critical diagnostic information—a negative PAX5 immunohistochemistr…

haematologypathologydiagnosticcommunicationprednisolone
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…

psychiatryemergency medicinecommunicationsystemmethamphetamine
QLD2024-10-28

Non-inquest findings into the death of a commercial aerial spraying pilot

32y · Male·Multiple injuries from light aircraft collision following bird strike

A 32-year-old experienced commercial aerial spraying pilot died when his Air Tractor AT-502B aircraft struck a Plains Turkey (Australian Bustard) while conducting low-level spraying at approximately 8 feet above ground a…

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