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QLDhospital2011-06-09

Tranby, James Errol

64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…

James Tranby, a 64-year-old Indigenous diabetic prisoner, presented with a fish bone lodged in his rectum on 3 December 2008. Following removal on 5 December, he developed progressive sepsis leading to necrotising fascii…

general surgerycolorectal surgerydiagnosticdelayinsulin
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-operative MRI of her spine. A paediatric…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
QLD2010-10-18

Paterson, Gregory Clifford

56y · Male·Pulmonary thromboemboli due to deep vein thrombosis due to immobility due to hea…

A 56-year-old concreter died from pulmonary embolism secondary to deep vein thrombosis and immobility following a severe head injury sustained when struck by a concrete pump hose that had undergone hose whip. The hose bl…

neurosurgeryintensive carecommunicationsystemthrombolysin
QLD2010-06-17

Challis, George Edgar

40y · Male·Head injury from assault

George Edgar Challis, a 40-year-old remand prisoner, died on 12 July 2006, eleven days after being assaulted by another inmate at Woodford Correctional Centre. He sustained a severe head injury from stomping to the head,…

trauma surgeryneurosurgerycommunicationdelay
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
QLD2010-04-16

Nguyen, Luong Bang

31y · Male·Subarachnoid haemorrhage due to or as a consequence of a ruptured large fusiform…

A 31-year-old man with long-standing intravenous drug use and hepatitis C died in prison custody from a ruptured mycotic aneurysm causing subarachnoid hemorrhage. He collapsed in his cell after lock-down without prior wa…

emergency medicineintensive carequetiapine
QLDhospital2009-12-16

Davidson, Yvonne Alice

75y · Female·Septicaemia as a result of lobar pneumonia; congestive heart failure also presen…

A 75-year-old woman died from septicaemia following a percutaneous tracheostomy procedure performed by a locum consultant on a Sunday. The procedure deviated significantly from the established ICU protocol: it was perfor…

intensive careanaesthesiaproceduralcommunication
QLDhospital2009-12-08

Congoo, Sharon Faye

40y · Female·Bacterial septicaemia from an unknown organism

Sharon Faye Congoo died from overwhelming bacterial septicaemia of unknown origin at age 40. She presented to Mareeba Hospital (a small rural facility) on three occasions with non-specific viral-like symptoms and leg pai…

emergency medicineintensive caresystemcommunication
QLDhospital2009-11-20

Johnston, Margaret Allan

82y · Female·Complications from hypoglycaemic brain damage and cerebral vascular accident

Margaret Allan Johnston, 82-year-old admitted for UTI and confusion, was found comatose on 4 September 2006 with severe hypoglycaemia (glucose 0.8 mmol/L) despite being non-diabetic. Blood tests revealed high insulin and…

anaesthesiaendocrinologymedicationsysteminsulin
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
QLD2009-08-21

Oram, Ronald Thomas

49y · Male·Coronary artery occlusion due to, or as a consequence of, coronary artery athero…

Ronald Thomas Oram, a 49-year-old Aboriginal man, died in custody from natural causes—severe coronary artery atheroma with coronary artery occlusion. He presented to the prison nurse on 5 January 2008 with chest pain, wh…

emergency medicinecardiologydiagnosticsystemparacetamol
QLDhospital2009-02-09

Clarke, Jon Edward Norman

22y · Male·multi-organ failure secondary to heatstroke

Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…

psychiatryintensive caresystemdelayclozapine
QLDhospital2008-12-15

Van Putten, Patricia

49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …

Patricia Van Putten, a 49-year-old retired teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization for a serious self-harm attempt (throat lacerat…

psychiatrygeneral practicecommunicationsystemdosulepin
QLDhospital2008-08-25

Benson, Leim Matthew

33y · Male·cerebral hypoxia due to compression of the neck (suspension)

Leim Matthew Benson, 33, died from cerebral hypoxia due to neck compression by suspension on 4 April 2007. He died 3 days after being found hanging from a residential balcony on 1 April 2007 following an argument with hi…

emergency medicineintensive carevenlafaxine
QLDhospital2008-07-22

Shelley, Chloe Louise

20y · Female·Head injuries due to or as a consequence of motor vehicle accident

Chloe Louise Shelley, aged 20, died from head injuries sustained in a motor vehicle crash on 9 February 2007, succumbing to her injuries on 5 April 2007. The driver, Ms Angela Connor, was travelling faster than the speed…

emergency medicinetrauma surgery
QLDhome2008-04-10

Bond, Jakai Ryan

0y · Male·Positional asphyxia contributed to by bronchopneumonia and head injuries

Jakai Ryan Bond, a 10-week-old infant, died from positional asphyxia on 25-26 May 2006 while in his father's care. The father fell asleep holding the baby in a lounge chair; the infant was found face down on his father's…

paediatricsforensic medicinedelaycannabis
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
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical …

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
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
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

Karl Scholz, 31-year-old male, died from upper airway obstruction due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures …

intensive careanaesthesiadiagnosticcommunicationamoxicillin
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