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QLDcommunity2026-02-24

Non-inquest findings into the death of Pedro Miguel Ventura Enes

54y · Male·Blunt force head injury due to hit by rock while driving

A 54-year-old Portuguese tourist driving a rental car on the Bruce Highway was struck by a rock that penetrated the windscreen while overtaking a heavy vehicle. The rock, approximately 190mm x 160mm, had become lodged be…

neurosurgerytrauma surgerysystem
QLDhospital2025-10-24

Non-Inquest findings into the death of Ms G

76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…

A 76-year-old woman died from complications of a severe head injury sustained in a motor vehicle collision. She was initially managed conservatively at a regional hospital, but her condition deteriorated markedly at 9pm …

neurosurgeryemergency medicinecommunicationdelay
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

Faysal Ishak Ahmed, a 30-year-old Sudanese refugee, died from traumatic brain injury sustained in a fall down stairs at Manus Island Regional Processing Centre on 22 December 2016. He collapsed and fell while alone, like…

emergency medicineintensive caredelaymannitol
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
QLD2023-10-24

CUMMINS, James

48y · Male·Subarachnoid haemorrhage

James Cummins, a 48-year-old prisoner, died of subarachnoid haemorrhage from a ruptured cerebral aneurysm while in the exercise yard at Townsville Correctional Centre. He had chronic spinal stenosis managed with pregabal…

neurosurgeryemergency medicinepregabalin
QLDaged care2023-07-26

Redmond, Elaine

81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy

An 81-year-old woman with atrial fibrillation and Alzheimer's disease fell at home on 21 December 2020, sustaining a subdural haematoma. Nambour Hospital appropriately ceased her anticoagulant (rivaroxaban) and planned c…

emergency medicineneurosurgerymedicationcommunicationrivaroxaban
QLDhospital2021-07-26

Saunders, Cary James

57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…

Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…

cardiologyinfectious diseasesampicillin
QLDhospital2020-05-25

Smith, Lawrence Sylvester

81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease

An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hosp…

neurosurgerygeneral medicinemorphine
QLDhome2019-10-02

Banjo, Neil Richard

53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…

Neil Banjo, a 53-year-old Aboriginal man, died from traumatic brain injury sustained during a police confrontation on 25 February 2016 in Normanton, Queensland. Officers attended a family birthday party to arrest his int…

trauma surgeryemergency medicinesystemdelay
QLDaged care2019-07-12

Fenech, George - Non-inquest findings

89y · Male·Congestive heart failure due to or as a consequence of ischaemic cardiomyopathy

George Fenech, 89, died of ischaemic cardiomyopathy complicated by congestive heart failure after a fall at a nursing home. He suffered a cervical spine injury (C1-C2 subluxation) and head laceration during an unwitnesse…

geriatric medicineemergency medicinecommunicationdelaywarfarin
QLDaged care2019-06-17

Ms SME - Non-inquest findings

86y · Female·subdural haemorrhage due to or as a consequence of a fall

Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…

geriatric medicineemergency medicineproceduralsystemoxycodone
QLDhome2019-04-04

Blackmore, Rinabel Tiglao - Non-inquest findings

44y · Female·Head injury sustained when exiting a moving vehicle

A 44-year-old Filipino woman died from head injuries after exiting a moving vehicle travelling at 100 km/h during an episode of domestic violence. Ms Blackmore had reported non-lethal strangulation and threats to police …

forensic medicineparamedicinecommunicationsystem
QLDhospital2018-02-21

Barichello, Daniele Antony - Non-inquest findings

43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…

A 43-year-old man with a colloid cyst of the third ventricle presenting with progressive headache was admitted for planned endoscopic surgery. Surgery was delayed from Friday to Monday due to unavailability of specialist…

neurosurgeryintensive carediagnosticdelaytramadol
QLDhospital2018-01-24

McLaughlin, Mark Ian

55y · Male·Glioblastoma multiforme

Mark Ian McLaughlin, a 55-year-old man in custody, presented with haematuria and neurological symptoms and was found to have a grade 4 glioblastoma multiforme on imaging and histopathology. He underwent appropriate neuro…

emergency medicineneurosurgery
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

A 76-year-old man with significant comorbidities including severe obstructive sleep apnoea, obesity, aortic stenosis, and ischaemic heart disease died from acute coronary atherosclerosis 36 hours after elective sacroilia…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
QLD2017-11-09

Ackerman, James William

25y · Male·Traumatic subarachnoid haemorrhage due to right intracranial internal carotid ar…

A 25-year-old semi-professional rugby league player died from a traumatic subarachnoid haemorrhage following a carotid artery dissection sustained during a tackle in a June 2015 match. The injury mechanism involved a sho…

emergency medicinesports medicinesystemdelay
QLDhospital2017-10-06

Parsons, Ann

59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…

59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…

neurosurgeryintensive carediagnosticcommunicationdexamethasone
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

A 63-year-old man with Parkinson's disease died by suicide three days after discharge from hospital following reimplantation of a Deep Brain Stimulation (DBS) device. His initial DBS surgery in 2013 was successful, but d…

neurosurgeryneurologysystemcommunicationcitalopram
QLDhospital2017-05-24

PG - Non-inquest findings

75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery

A 75-year-old man with complex comorbidities including Parkinson's disease and cognitive impairment underwent two-stage lumbar spine surgery for degenerative disc disease with stenosis. Post-operatively, he developed a r…

neurosurgeryintensive carediagnosticdelayheparin
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

A 41-year-old Aboriginal man with excessive alcohol use presented four times to a rural hospital over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite …

emergency medicineneurologydiagnosticcommunicationdiazepam

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