Deceased
Peter Wiryal
Demographics
48y, male
Date of death
2003-04-26
Finding date
2005-04-06
Cause of death
Cerebrovascular Accident (stroke) caused by subdural haemorrhage, which resulted from being struck by a motor vehicle
AI-generated summary
Peter Wiryal, 48, was struck by a white van driven by an intoxicated Daniel Johnson along George Crescent, Fannie Bay at approximately 12:30am on 4 April 2003. He was discharged from Royal Darwin Hospital on 4 April after initial assessment showed minor injuries (Glasgow Coma Score 13→15). However, he deteriorated over the following days and was admitted to Danila Dilba on 8 April with suspected subdural haematoma, requiring emergency craniotomy on 9 April. He appeared to recover initially but suffered a catastrophic secondary haemorrhage on 24 April, dying on 26 April 2003. Clinical lessons: (1) The initial ED assessment and discharge at 1750 hours was premature without adequate observation period for head injury; (2) No neurosurgical review was documented before discharge; (3) The discharge occurred at 1750 hours when the patient was unattended; (4) Family attempts to access follow-up care over 4 days were not adequately documented or acted upon; (5) No safety-netting advice given regarding worsening symptoms.
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Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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