32 results for “medical escort”
66y · Male·infectious complications of plasmablastic myeloma
…tradictory SOPs conflicting with Directives, inadequate staff training, and correctional officers lacking medical expertise to assess medical discretion criteria.
76y · Male·small bowel obstruction in the setting of terminal metastatic neuro-endocrine tu…
…small bowel obstruction from metastatic neuro-endocrine tumour after spending nearly two years requesting medical help in prison without receiving a doctor's review. Between October 2015 and November 2017, he submitted …
47y · Male·Intracerebral haemorrhage secondary to heroin withdrawal in a patient with sever…
…n was delayed 32 hours per standard practice. The coroner found the death was from natural causes with no medical neglect contributing to the fatal outcome. However, clinical lessons include: (1) heroin withdrawal manag…
58y · Male·metastatic adenocarcinomatosis with unknown primary source
A 58-year-old prisoner died of metastatic adenocarcinoma with unknown primary. In September 2006, significantly abnormal liver enzymes (GGT 2093) and hyperglycemia were detected. A December 2006 ultrasound identified an …
35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm
…ion, hyperventilation and claustrophobia, but correctional officers failed to recognise these as signs of medical emergency. Eric was not seen by clinic staff until 8:00am—three vital hours later. By then, he was incont…
52y · Male·Hanging
…after acute suicidal behaviour including self-harm. He was brought to Casey Hospital ED with active police escort at 9:55 PM on 22 January 2011. Despite explicit police warnings about his stated intention to obtain relea…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…
25y · Male·Multiple injuries sustained in a fall from a height
…ospital on 12 June, he was assessed, accepted voluntary admission, but left the Emergency Department while escorted for fresh air by a psychiatric nurse. Key lessons: mental health patients triaged but not seen should tr…
76y · Female·Acute renal failure due to dehydration due to upper gastrointestinal bleed
…etween doctors, actively monitor patients with reduced intake/mobility, and enhance communication between medical staff and escalation pathways.
22y · Male·hypoxic ischaemic encephalopathy as a result of hanging
Tane Chatfield, a 22-year-old Aboriginal man, died by hanging in his prison cell at Tamworth Correctional Centre on 20 September 2017. He had been admitted to hospital the preceding night with seizures, assessed as unlik…
64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…
Marlene Kenny, 64, presented to Orbost Hospital on 8 January 2007 with chest tightness, breathing difficulties and low oxygen saturation (83-86%). A doctor diagnosed panic attack and discharged her without investigation.…
31y · Male·Complications in association with intestinal volvulus
31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…
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