Coronial

185 results for triage assessment

ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

Bradyn Dillon, aged 9, was brutally beaten to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him …

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
VICcommunity2013-10-21

Finding into death of Margaret Eunice Wishart

78y · Female·Blunt force trauma to the head caused by a compressor from a refrigeration unit …

…pany, poor level crossing infrastructure (particularly lighting focus and conspicuity), ineffective risk assessment models (ALCAM) that failed to predict collisions based on human factors, lack of standardised human fact…

emergency medicinetrauma surgerysystemprocedural
NSWhospital2018-10-22

Inquest into the death of Sandra Cree

71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…

… While transfer to a tertiary hospital may not have changed the outcome, early recognition and appropriate triage to a facility capable of emergency vascular surgery could have offered marginal survival benefit.

emergency medicinevascular surgerydiagnosticcommunicationgentamicin
NSWmental health2026-02-05

Inquest into the deaths at Westfield Bondi Junction Executive Summary

41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…

On 13 April 2024, Joel Cauchi stabbed 16 people at Westfield Bondi Junction, NSW, fatally wounding six: Dawn Singleton, Jade Young, Yixuan Cheng, Ashlee Good, Faraz Tahir, and Pikria Darchia. Cauchi was shot and killed b…

psychiatrygeneral practicediagnosticcommunicationclozapine
NT2013-11-20

Inquest into the death of Sara Lorraine Hampel

21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…

…re direct consultant access via dedicated lines, document all clinical advice, use telehealth for visual assessment, lower triage heart rate criteria to 110 bpm, and escalate atypical presentations of sepsis immediately.

obstetricsemergency medicinediagnosticcommunicationparacetamol
1910

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