450 results for “emergency procedures training”
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…
Male·drowning due to immersion in stormwater while trapped in a drain
…isks are insufficient. The coroner emphasised need for independent expert risk assessment, site-specific emergency planning for extreme storms, elimination of policy conflicts, and mindfulness-based safety training usin…
40y · Male·Self-inflicted gunshot wound to the head
…nding dismissal likely exacerbated his condition. The coroner found multiple system failures: inadequate procedures for managing employees with overlapping disciplinary and mental health issues, and failure to inform pol…
15y · Female·Hanging
…endations emphasize improved family violence risk assessment, inter-agency protocols, cultural competency training, and dedicated resources for Aboriginal youth mental health services in the Mildura region where suicide …
34y · Male·Foreign body aspiration
A 34-year-old man died by foreign body aspiration while in custody at a correctional centre, three days after arrest for a serious violent crime. He fashioned an airway obstruction from toilet paper and meal pack plastic…
50y · Male·unascertained
…elayed coronial investigation and caused family distress, highlighting importance of prompt notification procedures, evidence preservation, and disclosure of proximate police contact.
94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…
Charles Rowan McCulloch, aged 94, died from blunt head and neck trauma sustained in an assault by another dementia resident in Jindalee Aged Care Residence, ACT. He was admitted on 20 January 2012 and found deceased on 2…
34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…
…ine in specialist burns units; (3) significant failures in disability services including inadequate carer training, no reading of individual care plans despite industry standards, poor handovers, and lack of alarm system…
22y · Male·Ligature Compression of the Neck (Hanging)
Dean Kieran Lauder, aged 22, died on 31 May 1998 at Canning Vale Prison by ligature strangulation (hanging) while in a punishment cell. He was serving a 7-day sentence for cannabis possession offences. He had a history o…
19y · Female·combined drug effect and myocarditis
A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…
89y · Female·Complications of fractured neck of femur in the setting of a fall in a woman wit…
An 89-year-old woman with dementia and high falls risk sustained a fall at an aged care facility on 24 August 2019. The enrolled nurse in charge, on her third unsupervised shift, lacked electronic medical record access a…
49y · Male·Global cerebral hypoxia due to cardiac arrest and drowning, with bilateral bronc…
Mark Murphy, an experienced diver with 657 logged dives, died during an occupational diving course when his full face mask became accidentally dislodged underwater, resulting in sudden cold-water exposure. This triggered…
48y · Male·Acute cardiac dysrhythmia of unknown cause; acute alcohol toxicity was a signifi…
…particularly for acutely intoxicated persons at risk of medical emergencies; (2) the need for functional emergency communication systems in custody settings; (3) proper orientation of staff to safety equipment like dure…
73y · Male·ischaemic heart disease due to coronary atherosclerosis
…th physical exertion during restraint precipitated fatal cardiac ischaemia. Security staff with first aid training failed to initiate resuscitation when he collapsed. Legal analysis revealed the security officer had no v…
25y · Male·Dehydration with contributory causes of severe mental health conditions and hype…
Darren Higgins, a 25-year-old Wiradjuri man with treatment-resistant schizophrenia and polysubstance abuse disorder, died from dehydration and hyperthermia in Moira State Forest after absconding during escorted weekend l…
28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…
…vided appropriate care with available information. Key systemic failures involved inadequate call-taking procedures, failure to escalate appropriately to aeromedical services, and absent head injury detection policies in…
38y · Female·neck compression due to hanging
…d when discovered. The coroner found this death was substantially preventable had proper risk assessment procedures been followed, and criticised 'gross incompetence' in admission procedures.
57y · Female·Injuries sustained when struck by a train
Mairi Elizabeth Noble, a 57-year-old woman with a history of alcoholism who achieved sobriety, presented to the Northern Hospital ED twice in the days before her death by suicide. She was discharged prematurely on 21 Feb…
54y · Male·Multiple injuries from collision with motor vehicle
Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lacked required authorization. The supervisor cited Mr Gr…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…
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