361 results for “critical illness”
Unknown·Sally-Anne Wills: multiple stab wounds to the chest; Christopher Polden: single …
…e attacks appeared random with no identifiable motive. The coroner noted the possibility that psychiatric illness may have contributed to Mohammed's actions but acknowledged insufficient evidence to quantify this.
36y · Female·Effects of fire (schizophrenic psychotic episode); for children: effects of fire…
…she was on risperidone. The coroner found Kylie killed her children during an apparent psychotic episode. Critical clinical lessons include: (1) discharge planning must confirm actual GP engagement before closure, (2) me…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
…comorbid substance abuse disorder, personality disorder, and poor impulse control. The coroner identified critical system failures: absence of long-term involuntary detention facilities for dual diagnosis patients; clini…
31y · Male·gunshot wounds to chest
…ement of specialist mental health crisis teams, and more coordinated incident management. The coroner was critical of police failure to establish containment and prevent pedestrian access to the incident scene, failure t…
34y · Female·morphine toxicity (morphine probably ingested as heroin), accidental death
…cidental heroin overdose). While no deficiency in clinical care was identified, the coroner highlighted a critical gap in information sharing: family members were actively engaged by mental health services to assist with…
Female·Multiple injuries
…ving. Although she was granted leave as part of a therapeutic strategy to encourage treatment engagement, critical procedural failures occurred. No documented risk assessment was conducted before granting leave or allowi…
<1y · Female·Pneumococcal meningitis
…miting guideline rather than the fever guideline, did not escalate despite clinical indicators of serious illness, and left the mother with the impression of a simple stomach virus. An experienced paediatrician testifie…
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
…1, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing electrolyte imbalance and weakne…
36y · Male·Immersion (drowning)
…ied. The coroner found appropriate clinical care was delivered within available resources, but identified critical system-level deficits: a severe lack of suitable supported accommodation services for people with chronic…
49y · Male·Complications of heatstroke; Hyperthermia
…nable to access water from his blocked CamelBak pouch, and eventually collapsed with signs of severe heat illness including dizziness, vomiting, rapid heart rate and disorientation. He suffered cardiac arrest and died d…
3y · Female·Streptococcus pyogenes septicaemia
A three-year-old girl with Down syndrome died from Group A Streptococcus septicaemia after a 10-day illness. She presented four times to hospital (ED and rapid review clinic) over three days with fever, rash, and …
21y · Female·Multiple blunt trauma with acute alcohol toxicity as a significant contributing …
…factor to her death; one officer (Senior Constable Curyer) was working while suffering significant mental illness and depression, taking antidepressant medication, which impaired his judgment; police General Order D7 re…
47y · Female·INCISED INJURY TO THE NECK
…ised injury to the neck. She had been prescribed escitalopam on 10 September 2010 for emerging depressive illness following her parents' deaths and increasing social isolation. Two days before her death, a case manager …
63y · Male·ruptured abdominal aortic aneurysm
…) radiating to his back, dizziness, and sweating. He had a blood pressure of 80/50 by 10am. Despite these critical signs of a time-critical illness, he was not seen by a medical practitioner until 4:20pm—a delay of over …
39y · Male·Injuries sustained in a fall from the Camberwell train station bridge
…enia, died by suicide after jumping from a railway bridge on 13 February 2020. He had a history of mental illness since 2016, multiple psychiatric admissions, and police contact. Critical clinical lessons include: (1) A…
63y · Female·Multiple stab wounds to neck and chest
… Cook on 23 July 2016, one day after his release from prison. Cook suffered from serious untreated mental illness, evidenced by extensive prison records documenting paranoia, hallucinations, aggression and self-harm thr…
40y · Male·gunshot wound to head
Trevor Frawley, a 40-year-old man with a history of psychiatric illness and documented suicide risk, died from a self-inflicted gunshot wound to the head while attending pistol …
15y · Male·Hypoxic-ischaemic encephalopathy complicating cardiac arrest in the setting of b…
… initially. On 28 June, while obtaining a fit-to-fly certificate, he collapsed outside a doctor's clinic. Critical learning points: (1) the Vienna GP performed no physical examination before prescribing Lorazepam for tra…
46y · Male·cause of death cannot be determined
…cal lessons include the importance of maintaining engagement with vulnerable patients with chronic mental illness, particularly those at risk of social isolation, and ensuring robust follow-up systems for patients who d…
4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer
…aemoglobin (61 g/L), very low sodium (114 mmol/L), elevated white cell count, and persistent tachycardia. Critical clinical lessons: (1) multiple clinicians failed to appreciate how critically unwell he was, resulting in…
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