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QLDhospital2024-07-02

Non-inquest findings into the death of Child Q

2y · Female·Complications of bacterial chest infection (Staphylococcus aureus)

A 2-year-old Aboriginal and Torres Strait Islander girl died from complications of bacterial chest infection (Staphylococcus aureus) with concurrent Human metapneumovirus infection, presenting as left empyema and bilater…

emergency medicinepaediatricscommunicationamoxicillin
QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit ident…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
QLD2024-06-18

Inquest into the deaths of Shiralee Deanne Tilberoo and Vlasta Wylucki

Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…

Two women died of natural causes in Queensland police watchhouses but supervisory failures raised serious concerns. Ms Wylucki (50) died from ischaemic heart disease after inadequate cell checks failed to detect her vomi…

cardiologyaddiction medicineproceduralcommunicationdiazepam
QLD2024-06-11

MUHAMMAD, Mahsan

48y · Male·Undetermined; most likely drowning at sea

Mahsan Muhammad, a 48-year-old Indonesian deckhand, fell overboard from a commercial fishing trawler (K-VERN) in rough seas off Queensland on 18 May 2020. He was working on a boom arm 10 metres outboard, attempting to re…

occupational and environmental healthemergency medicineproceduralsystem
QLDhospital2024-06-10

SHELTON, Lester Gilmore

84y · Male·Chronic small bowel obstruction

Lester Gilmore Shelton, aged 84, died of chronic small bowel obstruction on 4 October 2022 whilst in custody at Princess Alexandra Hospital (PAH), where he had been transferred from prison for end-of-life care. He had a …

palliative caregeriatric medicineascorbic acid
QLDcommunity2024-06-06

WATCHO, Constance

36y · Female·Undetermined

Constance May Watcho, a 36-year-old Aboriginal woman, was last seen alive on 27 November 2017 in South Brisbane and reported missing on 8 February 2018. Her remains were discovered on 10 September 2018 in a holdall bag a…

forensic medicinemethamphetamine
QLDcommunity2024-05-20

PHILLIPS, Sharron

20y · Female·Undetermined

This coronial finding concerns the 1986 disappearance and suspected murder of 20-year-old Sharron Phillips. No medical or clinical issues are central to this case. The inquest examined evidence that Raymond Mulvihill, a …

systemdelay
QLD2024-05-13

HARVEY, Thompson

33y · Male·Neck compression (hanging)

Thompson James Harvey, aged 33, died by hanging in his cell at Capricornia Correctional Centre on 13 November 2017, four days after remand for serious offences including attempted murder. He had a recent suicide attempt …

psychiatrypsychologycommunicationdiagnosticmorphine
QLD2024-04-30

WILLIAMS, Russell James

51y · Male·Incised wound to the right arm

Russell Williams, aged 51, died by suicide in a Queensland prison on 15 May 2018 by cutting his right arm with a disposable razor blade. He was remanded on two historical murder charges and had spent 15 years in prison o…

psychiatrypsychologydiagnosticsystem
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

A 48-year-old woman with morbid obesity and smoking history presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, no venous thromboembolism (VTE) risk assessment was performed d…

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
QLDcommunity2024-04-16

Non-inquest findings into the death of Mr G

Male·Drowning

A Japanese national drowned at Crystal Cascades Waterhole after jumping from a waterfall into a waterway where swimming was prohibited. He initially surfaced but struggled to swim to the bank, going under multiple times …

QLDhome2024-04-08

Non-inquest findings into the death of Tyson

Male·Burns

A young man died from severe burns sustained in a fire caused by an uncontrolled thermal runaway event in lithium-ion batteries of an e-scooter being charged with an incompatible charger. The e-scooter was rated for 52V/…

QLD2024-04-05

Non-inquest findings into the death of PJR

68y · Male·Traumatic asphyxia due to entrapment between shipping container wall and semi-tr…

A 68-year-old man with 17 years' experience died from traumatic asphyxia when unloading semi-trailer axles from a shipping container at work. He failed to position the forklift tines to support the axle pack as required …

proceduralsystem
QLDhospital2024-03-22

Ms S

Female·Hypoxic ischaemic encephalopathy due to hanging

Ms S died by suicide while experiencing severe postnatal depression eight weeks after giving birth. She presented to the ED with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Heal…

psychiatryobstetricssystemcommunication
QLD2024-03-07

BROWN Samuel Timothy

20y · Male·Head injury from motor vehicle collision

Samuel Timothy Brown, age 20, died from severe head injury sustained in a motor vehicle collision on 25 November 2012. He was found lying on the Gold Coast Highway with a blood alcohol level of 0.241% (approximately 4 ti…

emergency medicineintensive carealcohol
QLDhospital2024-03-07

KLUMPER Joshua William

17y · Male·Hanging

17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), multiple suicide attempts, and…

psychiatryemergency medicinecommunicationsystemcannabis
QLD2024-02-26

13 year old boy

13y · Unknown·Drowning

A 13-year-old child in state care died by drowning at Cedar Creek Falls on 8 April 2021. The coroner found that the youth worker Mr La's decision-making was reasonable, including not using physical restraint when the boy…

paediatricsoccupational and environmental healthsystem
QLDcommunity2024-02-15

TE PAA Aaliyah; ROBERTSON Cayenne Murial; COOLWELL Rayvenna Tyrone; BAREFOOT

Unknown·Multiple injuries sustained as passengers in a motor vehicle collision

Four teenagers died when a 14-year-old boy drove a stolen vehicle at excessive speed (111-128 km/h in a 70 km/h zone) through suburban Townsville, losing control at a roundabout and crashing. The vehicle disintegrated, e…

forensic medicineemergency medicine
QLDcommunity2023-12-21

GREER, Tina

32y · Female·Unknown

Tina Louise Greer, 32, disappeared on 18 January 2012 and is presumed deceased, killed by her partner Leslie Sharman who was involved in her coercive and controlling relationship, including domestic violence. The coroner…

paediatricsaddiction medicinediagnosticcommunication
QLDPodcast2023-12-01

KOHL Jennifer

27y · Female·Traumatic asphyxia

A 27-year-old German backpacker died when a ride-on mower she was riding as an unauthorised passenger rolled on a steep slope. She and her boyfriend were employed in exchange for board and food picking avocados. After co…

communication
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