394 results for “intensive care admission”
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
… CPR commenced. The coroner emphasized that appropriate environmental management and specialist psychiatric care in a dedicated facility would likely have prevented the death.
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
…embolism; Bernard Skeffington (89) died from aspiration pneumonia after waiting 1 hour 43 minutes before admission; Graham Jessett (64) died from ischaemic heart disease complicated by undetected hyperkalaemia. Panella'…
65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …
…osteomyelitis following a prolonged lie at home. She had been largely bedridden for years, refusing medical care and in-home supports. Her husband, who had undergone lung transplantation, was her sole carer and unable to…
41y · Male·complications in association with effects of fire, with terminal palliative care
…ity Treatment Order. Wilson was discharged from Graylands Hospital on 29 October 2021 following a 12-day admission for management of psychosis and recent suicidal behaviour (drain cleaner ingestion). Key deficiencies in…
61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…
…m diffuse alveolar damage. The coroner found the surgery was inappropriate at a day centre without critical care facilities for an ASA-4 (high-risk) patient. The surgeon failed to properly assess her fitness, the anaesth…
1y · Male·Complications of blunt head injury resulting from at least two separate acts of …
…non-accidental and resulted from significant force. Critical failures occurred during his first hospital admission on 22-24 November 2013: a subdural haematoma and occipital fracture visible on CT imaging were not diagn…
20y · Male·Ligature compression of the neck (hanging)
Allan Kevin Hudson, a 20-year-old male with a history of depression, suicidality, substance abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatric ward D20. He …
45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…
…ureus foot infection with bacteraemia. Blood cultures confirmed life-threatening infection on day 2-3 of admission. After 72 hours of meropenem without clinical improvement and overnight fever spikes, the treating physi…
45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia
…transferred between wards without proper clinical handover of concerning findings, disrupting continuity of care. Lessons include: formal pre-operative risk assessment for high-risk patients, adherence to PCA safety prot…
Unknown·asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
… October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital Mental Health Unit; discharged from Yarrabah hospita…
64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…
… a patent foramen ovale allowing a blood clot to cross from right to left circulation. Transfer to tertiary care was delayed over 9 hours due to poor communication between hospital and ambulance services about clinical u…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
…recognition, real-time vital signs monitoring, and appropriate analgesia would have been standard emergency care.
4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…
…f melaena and appropriate investigations (or endoscopy consideration) might have led to earlier hospital admission and possible survival, though even then outcomes were slim.
17y · Female·Neck compression by hanging (suicide)
XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of …
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