450 results for “emergency procedures training”
55y · Male·Cardiac tamponade due to ruptured aortic dissection (Type A) against a backgroun…
Rick Dickinson, a 55-year-old man, presented to St Andrew's War Memorial Hospital after experiencing severe central chest pain and lower back pain with numbness at the gym. The treating senior doctor failed to adequately…
83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…
… immediately from trauma, while others died from severe injuries with poor prognosis despite appropriate emergency response. Harold Long developed a tension pneumothorax during fixed-wing air transport to Melbourne with…
32y · Male·Multiple injuries sustained in a motor vehicle collision during bushfire fightin…
…ccident and identified multiple safety issues: inadequate incident management documentation and handover procedures; radio communication failure; unclear command structures; unsafe practice of firefighters travelling unr…
17y · Male·bacterial meningitis
A 17-year-old Aboriginal student died from bacterial meningitis after three clinic presentations in Yuendumu over four days. The critical failure occurred on 1 April when fever (38.3°C), persistent headache, and positive…
91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…
A 91-year-old man with known diltiazem allergy was prescribed diltiazem by a geriatrician despite documented allergy records. The geriatrician relied on the patient's verbal denial of allergies despite significant dement…
41y · Male·Subdural haematoma
A 41-year-old Aboriginal man with excessive alcohol use presented four times to a rural hospital over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite …
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
…ailures in communication between services, medication management, psychiatric involvement, and restraint procedures.
68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…
Cyril Churchill, a 68-year-old man with multiple comorbidities, died from surgical complications after laparoscopic cholecystectomy for acute cholecystitis. Postoperatively, he developed profound hypotension. The treatin…
77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…
A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
Jezelle Lisa Gordon, a 1-year-old child, died of staphylococcal pneumonia on 26 February 2006 in Port Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate…
Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…
…lude: inadequate police response to Kunmanara Ken's disappearance (two-day delay in escalating search to emergency status despite extreme heat and severe disability); failure to implement disability respite services des…
26y · Male·multiple injuries from fall from height
…ntervention. He was homeless and experiencing significant psychosocial stressors. He re-presented to the emergency department twice in the following two days but was not comprehensively reassessed. His discharge plan fa…
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of adv…
0y · Male·Severe acute dehydration and acute malnutrition
An eight-month-old boy died from severe acute dehydration and malnutrition after receiving no or minimal fluid or food intake during a three-day drug binge by his mother and her partner. Child Safety was involved with th…
43y · Male·acute neck compression due to hanging
Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…
23y · Female·Natasha Maggs, Kody Holland-Williams, and Allan Sullivan died of head injuries s…
…13 19 40), insufficient warning signage on the motorway, lack of public awareness about breakdown safety procedures, and the limited geographic coverage of the Motorway Breakdown Response Service. The coroner recommended…
Unknown·Multiple causes including neck compression due to hanging (Ward, Ryan, Cooper) a…
…rge planning or transport to his required residence. Key clinical and systemic failures included delayed emergency response to missing person, inadequate discharge planning for psychiatric patients, lack of interpreter …
37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…
Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…
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