215 results for “emergency triage”
4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer
…orm fresh assessment of the clinical picture but were influenced by preceding teams' reassurance; (5) tele-triage nurses lacked specific training in assessing non-verbal developmentally delayed children for serious patho…
72y · Female·Pneumonia in the setting of multiple rib fractures and chronic obstructive pulmo…
A 72-year-old woman with COPD and diabetes presented to the emergency department on Good Friday with severe (9/10) right-sided chest pain from multiple rib fractures sustaine…
46y · Male·asphyxia by hanging
… phone consultation where he declined further involvement. When his brother Nedan called the mental health triage on 12 December reporting deterioration, hallucinations, and weight loss, the clinician (Gunasekera-Ranga) …
51y · Female·Multiple injuries sustained when struck by a car while lying on the Mornington P…
Lee Collings, 51, died by suicide after absconding from an Emergency Department. She presented with suicidal ideation and was triaged as Mental Health Category 4. Key failur…
51y · Male·ischaemic heart disease with myocarditis
…er assessment and could not be resuscitated. The coroner found the medical care satisfactory, noting the emergency response was appropriate and well-escalated, and that sudden cardiac death in his condition could not ha…
28y · Male·Peritonitis and septic shock complicating perforation of the terminal small bowe…
…sy, microcephaly, and epilepsy presented to the ED with abdominal pain, fever, and signs of deterioration. Triaged as Priority 3 despite these concerning features, he was not seen by a doctor within the required 30 minut…
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
…to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department. She presented with gastrointestinal symptoms, fever, cold extremities and lethargy but was t…
42y · Female·Traumatic right subdural haematoma
…e at 5.14pm reporting a major head injury with swollen face and severe headache, but the service failed to triage appropriately as an emergency requiring ambulance attendance. Instead, a doctor was assigned 3 hours later…
77y · Male·traumatic closed head injury due to a fall from standing
…revealed extensive intracranial haemorrhage and he died on 19 September. The ambulance delay was caused by triage error (incorrect priority coding), failure to upgrade priority after failed call-back, and system factors …
44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …
…ode 3 by an Ambulance Victoria clinician who was reassured by her recent hospital attendance. The referral triage operator then cancelled the ambulance, advising her to self-present to the ED within four hours. She walke…
42y · Male·ischaemic heart disease due to coronary atherosclerosis
… morning of 19 May) with prior stent history. Critical communication and history-taking failures occurred: triage notes were inaccurate, nurse Wu misinterpreted timing of pain episodes, and Dr N. failed to obtain complet…
29y · Female·Multiple injuries due to fall from height
A 29-year-old woman with rapidly deteriorating mental health presented to Ipswich Hospital ED triaged as ATS Category 3 requiring assessment within 30 minutes. Multiple systemic and clinical failures delayed…
39y · Male·Effects of fire (self-immolation)
…ning, and hallucinations. His GP's referral letter documented significant safety concerns. However, he was triaged as Category 4 despite appearing well and driving himself. Mental Health Triage assessment was delayed due…
30y · Male·unascertained
…h self-inflicted lacerations. His brother Adam contacted the Mental Health Service twice seeking help. The triage service failed to mobilise a home assessment team, instead requesting the patient attend a clinic—unrealis…
24y · Male·Aspiration pneumonia secondary to drug abuse and overdose of multiple drugs
…auditory hallucinations and presented to his mother's home sedated. His mother contacted the mental health triage service; the practitioner advised half-hourly observations at home rather than hospital admission. The mot…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
…nical lessons include: (1) ED overcrowding resulted in a one-hour delay before medical assessment; (2) her Triage Code 3 may have been inappropriately conservative given severe pain warranting Code 2; (3) severe pain cou…
51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…
…preventable with earlier recognition of airway compromise, altered consciousness, and appropriate use of emergency services. Deficiencies included inadequate CHAL nurse training in telephone triage, lack of communicatio…
0y · Female·Myocardial infarction
…dics should record all observations and clinical findings in patient care reports, not just interventions; triage systems must account for neonatal presentations which differ from adults; early senior neonatal input is e…
25y · Male·Ligature compression of the neck (hanging)
…resented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and psychotic symptoms. A triage nurse (Marcelle Rust) attempted to assist but lacked legal authority to detain him. The hospital referred …
21y · Female·Compression of the neck secondary to hanging
… her former teacher Ms Heale, disclosing medication overdose. Ms Heale called 000 at 5:31 am. The call was triaged as Priority 3 (non-urgent) and referred to ambulance Secondary Triage service. Despite multiple attempted…
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