49 results for “emergency alerting”
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…
53y · Female·Heatstroke
Thi Qui Tran, a 53-year-old woman with schizophrenia on antipsychotic medications (zuclopenthixol and olanzapine), died of heatstroke on 9 February 2018 after collapsing on a street during extended unescorted leave from …
0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …
…nderstand critical information about the cord abnormality even though it was mentioned; (3) protocols for alerting key personnel to emergency caesareans must be followed to ensure special care nursery is prepared; and (4…
84y · Male·Complications of hypertensive and atherosclerotic cardiovascular disease
…determined no action could have prevented the death. Systemic improvements were identified: protocols for alerting staff about special transport needs, OIMS system updates, and hospital procedures for managing deceased p…
32y · Male·Drowning
Andrew Powell, a 32-year-old volunteer lifesaver, drowned on 21 April 2019 while performing a rescue operation in rough seas at Port Campbell, Victoria. A tourist became trapped in strong currents at Sherbrook Beach. The…
42y · Female·Smoke inhalation caused by house fire
…vacuation due to the resident's attempt to extinguish the fire with a garden hose rather than immediately alerting sleeping occupants, and insufficient public awareness of fire dangers. Working photoelectric smoke alarms…
30y · Male·Electrocution from contact with 22,000 volt overhead power lines
Dallas Anderson, a 30-year-old truck driver, was fatally electrocuted on 9 January 2006 when his lime-delivery tipper trailer contacted 22,000-volt overhead power lines on a rural Victoria farm. He had received general i…
89y · Male·Congestive heart failure due to or as a consequence of ischaemic cardiomyopathy
George Fenech, 89, died of ischaemic cardiomyopathy complicated by congestive heart failure after a fall at a nursing home. He suffered a cervical spine injury (C1-C2 subluxation) and head laceration during an unwitnesse…
30y · Male·mixed drug toxicity (MDMA, methylamphetamine and methoxyamphetamine)
…medical help. When Charles stopped breathing at 3.35am, inmates promptly initiated CPR and activated the emergency alarm. Correctional officers and nursing staff responded appropriately within minutes. Expert evidence c…
85y · Male·Heat stroke
…dential aged care facility. The resident self-propelled his wheelchair outside and was not located until emergency services were called. The coroner found this tragedy was preventable. A critical failure occurred: the m…
17y · Female·Complications of acute asthma in the setting of an allergic response
Catherin D'Rozario, 17 years old, died from complications of acute asthma triggered by anaphylaxis after consuming food containing sesame at a restaurant on 25 August 2019. Despite known allergies to nuts, sesame, fish a…
23y · Female·drowning and citalopram overdose
…ealthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she was assessed by an RMO and mental health nurse but crucially not by a ps…
24y · Female·multi organ failure due to meningococcal septicaemia
24-year-old woman presented to ED with fever (40.1°C), headache, myalgia and mild photophobia. RMO Dr R., relatively inexperienced (5 weeks in Australia), examined her thoroughly but focused on excluding meningitis throu…
25y · Male·Multiple system failure and ingestion of sodium nitrite
BT, a 25-year-old man with bipolar affective disorder and long-standing depression, died from intentional sodium nitrite ingestion while an inpatient in the Behavioural Assessment Unit at Royal Melbourne Hospital. He pre…
0y · Female·unascertained
…and violence, police not consistently reporting to child protection, missed opportunities to escalate to emergency services, delayed processing of reports at the DCJ helpline, and information not being shared effectivel…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
…the fall with head strike; inadequate medication reconciliation and communication; and system failures in alerting clinicians to existing anticoagulation. Multiple clinical handovers failed to highlight anticoagulation s…
11y · Male·Multiple injuries sustained when struck by train
Alex Raichman, 11, died when struck by a train after absconding from respite care at Civic Disability Services. Alex had autism, intellectual disability, and seizure disorder with documented absconding risk. Civic knew w…
0y · Female·Cerebral hypoxia due to placental abruption
Sophie Sparreboom died from cerebral hypoxia secondary to placental abruption following emergency caesarean section. Gestational diabetes indicated planned induction at term. At 2050 hours, antepartum h…
57y · Male·immersion (drowning) - for Turner confirmed by post mortem; for Carter and Fairl…
…n about fuel tank capacity was not accurately communicated; the vessel monitoring system operator delayed alerting rescue authorities by two days. Stability testing would have identified and necessitated rectification of…
12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …
A 12-year-old Aboriginal girl with a bicuspid aortic valve and autism spectrum disorder presented with a week of fever and non-specific symptoms (cough, vomiting, abdominal pain, chest pain) to a rural hospital. Despite …
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