332 results for “emergency patient transfer”
32y · Male·Valproic Acid Overdose
…uggesting possible involuntary admission if he attempted to leave again, he was discharged as a voluntary patient on 18 March without risk assessment or discharge medications. Critical clinical failures included: mischa…
52y · Female·laceration of the superior vena cava and right atrium during defibrillator lead …
…the vessel wall, causing a large laceration. This led to massive bleeding and cardiac tamponade. Despite emergency sternotomy, the patient died from exsanguination approximately 40 minutes after cardiac arrest. The coro…
62y · Female·Hypoxic brain injury complicating mixed drug toxicity
…ing a polypharmacy overdose on 6 September 2011, two days after discharge from the Mildura Base Hospital Emergency Department. She had presented after a suspected overdose of prescription medications on 5 September in t…
26y · Male·bronchopneumonia following severe head injury
…en admitted to Longreach Hospital on 30 December 2002 for involuntary psychiatric assessment and awaiting transfer to Rockhampton Mental Health Unit. Despite receiving multiple sedative medications (Midazolam, Acuphase, …
31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…
…ented with severe facial cellulitis and abscess following dental procedures on 17 May 2002 and underwent emergency drainage surgery. Critical issues included: premature extubation on 19 May (only 15 hours post-op) witho…
41y · Male·Subdural haematoma
…il changes, and progressive drowsiness. A subdural haemorrhage (acute on chronic) was not diagnosed until transfer to a regional hospital, by which time he had deteriorated with aspiration pneumonia and brain herniation.…
19y · Female·combined drug effect and myocarditis
…combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Royal Flying Doctor Service from Broome to Perth. A critical medication error occurred: nursing st…
52y · Male·multiple injuries including right ventricular rupture
A 52-year-old volunteer race marshal was fatally struck by a detached Formula One race car wheel that passed through a gap in the debris fence at the 2001 Australian Grand Prix at Albert Park. The wheel was travelling at…
62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …
…, correctly diagnosed with major depression with psychotic features, and treated with Risperidone. He was transferred to St Luke's hospital where psychiatrist Dr J. downgraded the diagnosis to severe anxiety disorder and…
Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…
Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two died by s…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
…sepsis recognition, real-time vital signs monitoring, and appropriate analgesia would have been standard emergency care.
34y · Male·Incision/stab wound to the neck
A 34-year-old male remandee died by self-inflicted neck wound while in custody at Metropolitan Remand and Reception Centre. He had been discharged from Risk Intervention Team management following a self-harm incident 7 d…
68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…
Frank Mikhail, a 68-year-old prisoner with severe COPD, presented to St John of God Hospital on 29 January 2023 with haemoptysis and was discharged without admission. Critical clinical lessons include: (1) haemoptysis in…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
…n delay imposed by operational constraints. While RNH staff made heroic efforts with limited resources, a patient with 50% burns would have 90-95% survival with timely specialist care. Early contact after the mental hea…
57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…
A 57-year-old man with bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on adm…
5y · Male·multiple stab wounds
…referred to a different Local Health District's community mental health team (Hills MHT), but information transfer between services was incomplete, with the complete discharge summary not reaching Hills MHT until 30 May.…
3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…
Baby R, born at 38 weeks gestation to a mother with previous pregnancy losses, was small-for-gestational-age (SGA, 10th centile). The mother was appropriately excluded from the hospital-supported home birth program due t…
78y · Male·Heart failure or arrhythmia, secondary to ischaemic heart disease
Peter Woodcroft, 78, suffered a medical emergency (heart failure or arrhythmia secondary to ischaemic heart disease) at 4:32am and called Triple Zero but …
50y · Male·Gunshot wound to the head
A 50-year-old RAAF Flight Sergeant with Major Depressive Disorder and anxiety died from a self-inflicted gunshot wound to the head after police responded to a domestic disturbance. He had received appropriate, evidence-b…
35y · Female·Pulmonary thromboembolus and pulmonary infarction
A 35-year-old woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident wor…
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