450 results for “emergency procedures training”
33y · Male·Neck compression (hanging)
Thompson James Harvey, aged 33, died by hanging in his cell at Capricornia Correctional Centre on 13 November 2017, four days after remand for serious offences including attempted murder. He had a recent suicide attempt …
38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…
…culty assessing breathing through windows of sleeping patients. Though staff generally followed existing procedures, changes have since been implemented including mandatory pair entry for sleeping patient checks, better …
68y · Male·Ischaemic small and large intestine complicating cardiogenic shock in the settin…
Ignac Lecek, 68, with hypertension and gout, collapsed in custody and died of ischaemic bowel complicated by cardiogenic shock in the setting of ischaemic heart disease. He complained of feeling ill on 2 October while in…
38y · Female·Multiple injuries sustained when struck by a train
…oing physical pain and workplace distress, contributed to severe major depression. Despite attendance at emergency department in March 2021, no adequate psychiatric assessment occurred. She died by suicide in May 2021. …
Unknown·multiple physical injuries sustained in a mid-air collision during skydiving
Three skydivers died in a mid-air collision near Mission Beach, Queensland on 13 October 2017. Tandem instructor Peter Dawson and customer Kerri Pike (in drogue-fall) collided with solo sport jumper Tobias Turner whose m…
60y · Female·strangulation and suffocation by James Mulhall
…ervention order. The coroner found that Victoria Police officers did not adhere to existing policies and procedures. While Victoria Police has since made substantial improvements including creation of a Family Violence C…
71y · Male·hypoxic brain injury due to hanging
…mful items during admission. The hospital subsequently improved its admission processes, risk assessment procedures, and physical environment safety audits.
30y · Male·global hypoxic ischaemic brain injury and aspiration pneumonitis secondary to se…
Michael Ley, aged 30, died from aspiration pneumonia secondary to severe alcohol intoxication after being arrested for public drunkenness. He was brought to a police watch house in an unconscious state. Despite suggestio…
46y · Male·Methylamphetamine toxicity and coronary atherosclerosis
A 46-year-old man died in police custody following a domestic violence order breach arrest in Rockhampton, Queensland. The death resulted from a combination of methylamphetamine toxicity, significant coronary artery dise…
29y · Male·mixed drug toxicity including heroin
…reventable systems failures in observation protocols, risk assessment following drug discovery, and staff training on overdose recognition, though unable to determine intent.
17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…
…ry and safety plan failed to recognise elevated suicide risk or communicate this to police; police lacked training on vulnerable youth and were unaware of relevant protocols; Territory Families provided inadequate case m…
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
Beverly Ann Murphy, 70, underwent hysterectomy for endometrial carcinoma on 2 April 2008 at Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound de…
27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…
…nings. Systemic failures included inadequate staffing with inexperienced probationary constables, lack of training on duty of care, failure to implement previous coronial recommendations from 2010 Cedric Trigger inquest,…
57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…
…nd nasogastric tube inserted on 18 July, death would likely have been prevented. Key lessons: specialist procedures require specific knowledge among ED staff; critical instructions must be clearly documented; failed clin…
56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…
A 56-year-old man with diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. The anaesthetist failed to conduct an adequate pre-operative assessment, u…
27y · Male·Chest and abdominal injuries from motor vehicle collision
…ged in a pursuit without proper qualifications. The coroner was critical of the Western Australia Police Emergency Driving Policy for being overly complex and providing insufficient clarity on when officers should disen…
48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…
Garry Ronald Appleton, a 48-year-old Indigenous man with schizophrenia, emphysema, and coronary disease, died from hypovolaemic shock after cutting his forearms with a prison-issue razor blade while in custody at Brisban…
40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …
…n. Critical system failures included: defective cell intercom not repaired despite known faults; initial emergency call garbled and not properly escalated; delays in code blue activation (five minutes); and lack of cont…
35y · Male·Cardiorespiratory arrest in the setting of acute agitation and physical and chem…
…hen patient is unconscious; inadequate communication between security and medical staff; lack of specific training for nurses on restraint asphyxia and cell extraction incidents.
54y · Female·Effects of fire in a woman with past right middle cerebral artery territory stro…
…with left-sided paralysis from a prior stroke died in a house fire started by smoking in bed. She called emergency services at 2:42am reporting her blanket was on fire, but firefighters attended the wrong address (38A i…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.