450 results for “emergency procedures training”
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
…assessments, failure to involve family/carers, poor communication between services, lack of mental health training for general hospital staff, and failure to escalate to specialist psychiatric services. All three had doc…
18y · Male·respiratory failure secondary to closed chest trauma
…lant systems (forcing workers to manually apply lubricant in close proximity to spinning components), no emergency braking, and inadequate training. Workers wore unsecured dust coats creating additional entanglement ris…
31y · Male·hanging
B W, aged 31, died by hanging following emergency police removal of his daughter from his care under the Care and Protection Act. The removal occurred in …
75y · Female·cardiac arrest in the context of aortic stenosis (moderate to severe), coronary …
…-term steroids; MET call criteria must be documented when overridden; resuscitation teams require regular training in advanced life support and equipment.
53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures
…mings in disability-aware care but not causal to death. Key preventive actions: implement pain assessment training for cognitive impairment, use Health Passports to guide care planning, and engage Disability Liaison Offi…
38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…
…cited delirium combined with physical exertion and possible coronary artery disease. Police complied with training regarding monitoring breathing and minimising back pressure. Key clinical lessons: excited delirium carri…
44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…
…ing restraint in vulnerable prisoners with comorbidities; removing safety hoods when distress is evident; training officers to recognise respiratory distress beyond baseline; considering system-wide factors (phone access…
50y · Male·Gunshot wounds to the chest
Mark Sheppard, aged 50, died from gunshot wounds sustained during a police response to a hoax emergency call at a caravan park. He had terminal end-stage COPD with alpha-1 antitrypsin deficiency and was using…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma on biopsy but found at autopsy to be metastatic clear cell renal cell carcin…
66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…
…lance and police about injury risk could have prompted closer monitoring; (4) Police required more robust training on recognising conditions that mimic intoxication.
60y · Male·Multiple injuries sustained after jumping from 15th storey home unit
…ohol intoxication despite no objective evidence of alcohol use. The discharge violated Mental Health Act procedures requiring a consultant psychiatrist's second opinion. No follow-up care was arranged. Within three hours…
74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis
…t calls was not effectively transmitted to field officers. The coroner recommends improved documentation procedures, appropriate assessment of missing person concerns considering age and recent health issues, and basic s…
55y · Female·acute necrotising bronchopneumonia
MQ, 55, died of acute necrotising bronchopneumonia on 2-3 March 2023. She had developed community-acquired pneumonia from 21 February 2023, presenting initially with referred shoulder pain (later recognised as diaphragma…
30y · Female·bronchopneumonia complicating anoxic encephalopathy due to neck compression due …
…rging; interstate criminal databases with self-harm warnings must be accessed promptly; and staff require training on general self-harm risks in custody, especially for intoxicated or distressed individuals.
27y · Female·hanging
A 27-year-old woman with borderline personality disorder and adjustment disorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She had presented with acute suicidality following relationship…
21y · Male·Complications of blunt head injury resulting from at least two separate acts of …
…ot pursued despite suspicion of non-accidental injury being raised; mandatory child protection reporting procedures were not followed; and discharge on a 'gate pass' occurred without clear documentation of medical decisi…
36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein
Mulrunji (Cameron Francis Doomadgee), a 36-year-old Aboriginal man, died from intra-abdominal haemorrhage due to liver rupture following an encounter with Senior Sergeant Christopher Hurley at Palm Island Police Station …
28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…
…ear symptoms from 1:47am (swollen tongue, facial swelling, gurgling breathing). Adrenaline, the standard emergency treatment for anaphylaxis, was delayed until recognition of the condition. Clinical lessons: maintain hi…
26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis
Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…
42y · Female·hypovolaemic shock due to an acute ruptured subcapsular splenic haematoma in the…
Eve Brown, a 42-year-old Aboriginal woman, died of hypovolaemic shock from a ruptured splenic haematoma in the context of urosepsis at a regional hospital. She presented with UTI symptoms and was admitted to Lightning Ri…
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