300 results for “acute trauma”
Troy Thomas Lee: acute neck compression due to hanging; Scott Leslie Matthews: m…
…vised intervention programs. Key clinical lessons: depression and anxiety require active follow-up; recent trauma/stressors increase risk; medication prescriptions for depressed patients need careful monitoring; and suic…
45y · Male·Intra-abdominal haemorrhage due to ruptured spleen due to splenomegaly due to ci…
…re was either spontaneous or a secondary delayed rupture from minor/silent injury. Expert review found his acute medical care appropriate. Key clinical lessons: prisoners with cirrhosis and splenomegaly require regular …
76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy
A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became misoriented in the inflamed surgical field and divided the com…
81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…
An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …
29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …
…nning out of fuel with his nephew near Bourke, NSW, Dion ventured onto remote West Mooculta property while acutely paranoid and drug-affected. A coordinated police Land Search and Rescue (LANDSAR) operation was unnecess…
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 …
17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…
…ad consumed cannabis and alcohol that evening and upon return to care at approximately 2.55am, experienced acute psychotic symptoms (hearing voices). She became aggressive, assaulted her carer, then locked herself in he…
32y · Male·Head and neck trauma (train impact)
Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 December 2008. He had been discharged from…
23y · Male·hanging
…nging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicidal ideation and a reported self-harm attempt. Despite appropriate i…
23y · Male·Hypoxic-ischaemic encephalopathy due to hanging
…sychiatric evidence (Dr R., Dr A.) supported OHS staff that requesting mirtazapine alone does not indicate acute suicide risk and sharing such non-specific requests would be inappropriate—many prisoners seek sedating me…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …
74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…
Ms Papanastasiou, a 74-year-old aged care resident confined to a wheelchair, died from bilateral femoral fractures sustained when she fell from her wheelchair during sudden bus braking. The wheelchair was secured using o…
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old …
38y · Female·Multiple injuries sustained in a motor vehicle accident in which the deceased wa…
Rita Dandy, a 38-year-old Aboriginal woman with chronic alcohol use disorder, died from multiple injuries after being struck by a motor vehicle while lying on the Stuart Highway near Darwin. She had been released from pr…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during trans…
41y · Male·ligature compression of the neck (hanging)
…ide regular follow-up; and rapid situational stressors (legal issues, relationship separation) can trigger acute risk escalation in chronically vulnerable individuals. The coroner found the care was reasonable within re…
0y · Male·Complications following forceps delivery
A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…
Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…
…owding, housing inadequacy, limited health literacy, staff turnover, fly-in/fly-out models, and historical trauma affecting trust. Critical lessons included the need for integrated care coordination, timely specialist re…
30y · Male·Gunshot wounds to the chest
Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mother at John Coutts Reserve. Clinical lessons inclu…
17y · Female·Neck compression by hanging (suicide)
XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …
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