215 results for “emergency triage”
70y · Male·Cyanide Toxicity
…ance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emergency Department. He had been placed on an involuntary psychiatric Assessment Order after expressing suicidal …
67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…
…al Health Screening Unit after three months of observation. However, critical failures occurred: (1) his emergency contact details were not recorded in the prison system despite protocol requiring this; (2) his family w…
34y · Female·Hanging with combined effects of ethanol and benzodiazepines
Lisa Sharp, 34-year-old woman on a Community Treatment Order for schizophrenia, depression, and anxiety, died by hanging on 16-17 December 2007. She was in severe distress over losing custody of her children, with a cour…
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 …
43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…
43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cell alarm system at 9:17pm and 9:23pm, …
38y · Female·complications following a ruptured ectopic pregnancy
Veronica Campbell, age 38, died on 31 December 2008 from complications of a ruptured ectopic pregnancy. She presented to Cobram District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requi…
Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…
…obile phone prevented escalation. Jasmyn Carter, 17, presented with fever and hypotension documented as 'emergency' on the Q-ADDS observation tool, but staff did not activate the required emergency response. She deterio…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
…rted 2.5 hours late on 17 September targeting aspiration rather than atypical organisms; (5) inappropriate triage and lack of vital sign monitoring. Early diagnosis and appropriate broad-spectrum antibiotics on 16 Septem…
28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…
…streptococcus pneumonia) that developed from a middle ear infection. She presented to Bankstown Hospital Emergency Department with a first-time seizure, fever, severe headache and ear pain. Despite multiple clear danger…
Deaths from injuries sustained in a mass stabbing attack
…ing general practitioner education and support, expanding mental health outreach services, and improving emergency services coordination. This case exemplifies the critical importance of medication compliance and struct…
43y · Female·acute toxic effects of amitriptyline
A 43-year-old woman with depression was admitted to Gold Coast University Hospital with suspected amitriptyline overdose. After 11 hours of ED monitoring, she was medically cleared and transferred to a mental health asse…
24y · Female·hypoxic brain injury secondary to hanging
Chrystal Ross, a 24-year-old woman, died by hanging in hospital in January 2015 after a catastrophic chain of communication failures and care coordination errors. She had been admitted to Mount Barker Hospital for anxiet…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…
14y · Female·electrocution
… of self-harm and suicidality. At the time of death, Heidi was in the guardianship of the Minister in an emergency care placement with rotating commercial carers. The coroner found her death was misadventure, not suicid…
76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…
Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…
13y · Male·chest and abdominal injuries sustained in collision between semi-trailer and tra…
…conspicuity for truck drivers and failure to replace incandescent lights with LEDs before the collision. Emergency response issues included tension pneumothorax development during air transfer. Lessons include improving…
42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…
Tania Pauline Lioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental heal…
41y · Male·Stab wound to the chest
Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had …
37y · Male·stab wound to the chest penetrating the heart
…people wanted to harm him and command hallucinations instructing self-harm. On 20 April, he presented to emergency department with suicidal ideation and to his psychiatrist with delusional paranoia—neither event prompte…
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