450 results for “emergency procedures training”
31y · Male·undetermined
…tion; (3) escalation should have occurred when respiratory rate entered the 'Red Zone' requiring medical emergency. The coroner found no suspicious circumstances and appropriate medications were used. Forensicare subseq…
70y · Male·Coronary atherosclerosis
Mirko Civic, a 70-year-old prisoner with a significant cardiac history including prior myocardial infarction, hypertension, and ischaemic heart disease, died of coronary atherosclerosis in September 2018. Critical clinic…
44y · Male·coronary artery disease superimposed upon chronic obstructive pulmonary disease …
…er, contravening legislation. The facility failed to complete assessment or understand statutory release procedures. Clinical learning: communication system failures in dispatch centres can have fatal consequences; polic…
38y · Male·ischaemic heart disease
Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, foll…
37y · Male·Coronary artery thrombosis resulting from coronary atherosclerosis with contribu…
…oner was reluctant to find the ambulance crew directly contributed to death, their failure denied timely emergency medical assessment. Key learning: paramedics must transport patients with unexplained chest pain for eme…
71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…
…ital may not have changed the outcome, early recognition and appropriate triage to a facility capable of emergency vascular surgery could have offered marginal survival benefit.
24y · Female·Immersion (drowning due to hypoxic brain injury)
Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…
Constable Arnold: single gunshot wound to the chest. Constable McCrow: gunshot w…
On 12 December 2022, two Queensland Police Constables (Matthew Arnold, Rachel McCrow) and a civilian (Alan Dare) were fatally shot at 251 Wains Road, Wieambilla by Gareth and Nathaniel Train while responding to a missing…
0y · Female·head and neck injuries
… neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physicians incorrectly assessed as accidental. The…
54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…
…r epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in his emergency treatment included: failure to recognise hypovolaemic shock by 9.30am (four hours after arrival); lack o…
5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…
…miliar drivers who aren't expecting trains. Poor maintenance of the semi-trailer's brakes and inadequate emergency response procedures contributed to the overall tragedy. Key preventable factors included: lack of proper…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…
Male·Neck injury in a man with atherosclerotic heart disease
… significant missed opportunity. While individual prison officers and medical staff provided appropriate emergency response and care, systemic failures in risk assessment and prisoner management directly enabled the hom…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…
Two Aboriginal brothers with chronic alcohol use disorder and cognitive impairment died in July and September 2023 in Alice Springs Hospital. Both had adult guardianship orders, NDIS packages, and aged care assessments r…
57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…
Kevin Bugmy, a 57-year-old Aboriginal man, died of severe coronary artery disease while in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inhalant use disorder was grossly in…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
4y · Female·aspiration of vomitus and its treatment due to rheumatic carditis against a back…
A 4-year-old Aboriginal girl from Doomadgee died on 23 July 2009 from aspiration of vomitus complicating rheumatic carditis with concurrent viral respiratory tract infection. She presented with fever and cough on 19, 21,…
74y · Female·Diabetic ketoacidosis
A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remained persistently elevated (>33 mmol/L) despite escalating…
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