450 results for “emergency procedures training”
87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…
…ights critical failures in post-procedure monitoring, recognition of medical emergencies, and inadequate emergency equipment and staffing at a private radiology practice.
9y · Female·complications of thermal injury
…afe evacuation. Key failures included: property manager's failure to escalate safety concerns, inadequate training of real estate agents in fire safety obligations, lack of professional testing/certification requirements…
45y · Male·single penetrating stab wound to the chest
James Smith, a 45-year-old man with a history of violence and alcohol use, died from a penetrating stab wound to the chest sustained during an altercation with his partner Jacqui Holmes in January 2008. The incident occu…
45y · Male·Head injury from motor vehicle rollover
…breath test on an unsealed road north of Kununurra; Mr Toby failed to stop and was pursued at Priority 2 emergency driving level. His vehicle rolled on a left-hand bend after he lost control. Critical clinical lessons i…
53y · Male·Multiple gunshot injuries
53-year-old man with longstanding unresolved childhood trauma, affected by COVID-19 pandemic restrictions, developed acute paranoia and anxiety. Believed people were hacking his devices and tracking him. When school welf…
45y · Male·gunshot wound to the chest with associated significant blood loss
…he findings emphasise that better risk assessment, alternative execution methods, and cultural competency training could have prevented this tragic outcome.
18y · Male·rupture of a left frontal cerebral abscess
An 18-year-old male detainee at Ashley Youth Detention Centre died from rupture of a left frontal cerebral abscess likely caused by sinus infection. Craig was admitted on remand in early October 2010 and presented with i…
Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…
…opriate but their implementation failed, and made recommendations for enhanced medical staffing, improved training, reduced watchhouse detention periods, and external oversight.
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
Lyji Vaggs, a 28-year-old Aboriginal man with schizophrenia, died from hypoxic brain injury sustained during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED o…
27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…
… Contributing failures included: police maintaining prone restraint after patient became immobile despite training requirements to move him; paramedics' inadequate vital sign monitoring and failure to advocate for positi…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an o…
19y · Male·Traumatic asphyxia
…ough chest compression preventing ventilation; (2) crush injuries may rapidly become unsurvivable before emergency services arrive; (3) dispatcher protocols for crush entrapment need review to balance patient safety wit…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
…rectional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital following emergency cardiac stenting. The coroner concluded the PAH provided appropriate cardiac care and the stent angiogra…
Kayla Ewin: Unascertained (SUDI 0+); Iziah O'Sullivan: Unascertained (SUDI 0)
…uded incomplete medical histories (less than 50% provided to forensic pathologists), lack of standardised training for staff supporting bereaved families, and absence of early interagency clinical review meetings. Recomm…
0y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…
… infant's head became deeply impacted in the maternal pelvis after prolonged second-stage labour. During emergency disimpaction attempts, a midwife applied excessive focused pressure using two fingers (rather than a cup…
55y · Male·hypothermia
…nquest identified systemic failures in communication between the private ferry operator and PWS, lack of emergency procedures, poor inter-agency relations, and gaps in the Walker Safety Checklist. Preventive measures sh…
43y · Male·asphyxia due to hanging - suicide
Brandon Sager, 43, died by suicide at the Brian Hennessy Rehabilitation Centre while subject to a psychiatric treatment order. He had a long history of schizophrenia and prior suicide attempts but had shown no signs of s…
59y · Male·Hanging
…fer from standard clinical practice. Improvements since death include enhanced medication reconciliation procedures, updated withdrawal management policies, and ligature-risk reduction in cells. The death highlights the …
45y · Male·Multiple injuries sustained when struck the water after the boat lost control du…
…pportunities for improvement including speed restrictions in unlimited and super class racing, mandatory emergency equipment (spinal boards, neck braces, defibrillators) with staff training, improved debris clearance me…
55y · Male·Drowning following fall into the sea during pilot transfer operations
…to enforce personal flotation device (PFD) wear, poor vessel maintenance and safety culture, lack of crew training, and regulatory oversight failures. The vessel had numerous defects including fire hazards, compromised w…
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