538 results for “observation”
78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…
Joan Dennison, aged 78, was discharged from Shellharbour Hospital emergency department on 16 November 2007 with a misdiagnosis of constipation, despite clinical and imaging features diagnostic of small bowel obstruction …
33y · Male·Self-inflicted hanging
Troy Crossman, a 33-year-old prisoner at Borallon Correctional Centre, died by hanging in his cell on 17 March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts.…
16y · Male·Peritonitis as a result of ruptured duodenum following blunt trauma of the torso
A 16-year-old boy died from peritonitis secondary to duodenal rupture two days after being treated and discharged from Campbelltown Hospital Emergency Department for a rugby injury. He sustained blunt abdominal trauma fr…
65y · Male·Self-inflicted incised and stab wounds to neck and incised wounds to wrists
James Robert Sowden, aged 65, died by self-inflicted neck and wrist wounds on 28-29 March 2018. He had a history of depression with paranoid features (diagnosed 2003) and autoimmune thyroiditis. In the week before death,…
43y · Male·Amitriptyline toxicity
Scott Alan Murdoch, a 43-year-old maximum-security prisoner with chronic suicidal ideation, borderline personality disorder, and a documented history of medication hoarding and overdose attempts, died from amitriptyline …
10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…
… on day 3 of pharyngitis with ulceration of the tonsillar fossae. The registrar suggested admission for observation and fluids, but the consultant approved discharge with conservative management. The differential diagno…
38y · Male·Exsanguination due to penetration of arm veins
Declan Brennan, a 38-year-old sentenced prisoner at Acacia Prison due for release on 30 April 2008, died by suicide on 27 April 2008 from exsanguination due to penetrating wounds to his arm veins. Brennan had a long-stan…
25y · Male·hanging
A 25-year-old university student with a complex history of schizoaffective disorder and substance misuse died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication…
32y · Male·1(a) Aspiration of gastric contents; 1(b) Combined drug toxicity
…tions with sedating effects. The coroner identified multiple deficiencies in care: an inadequate visual observations regime (particularly the last hours before death, where observations may not have been properly docume…
69y · Female·Asphyxiation consistent with hanging
A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…
37y · Male·Haemopericardium secondary to aortic dissection
…ial assessment including ECG and troponin testing, both normal. He diagnosed gastritis and admitted for observation. Costello collapsed in shower that evening and died from Type A aortic dissection with haemopericardium…
53y · Female·Hypoxic brain injury due to hanging
…died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her death, her husband reported new agitated pacing behaviour and significant anxiety b…
22y · Unknown·sudden death associated with volatile substance inhalation (butane and propane)
A 22-year-old Yolngu person with a well-documented history of volatile substance abuse (VSA) and mental illness was involuntarily admitted to Royal Darwin Hospital for acute psychosis. Due to COVID-19 bed-block, they wer…
34y · Male·Incision/stab wound to the neck
…nt should not rely solely on inmate self-report, particularly when inconsistent with records; prolonged observation cell placement is impractical but abrupt transition to unsearched regular cells creates risk; consisten…
11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle
An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…
0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…
…h persistent vomiting for 3 days. GP Dr R. diagnosed viral infection with possible reflux, admitted for observation, and managed conservatively. Critical urinalysis results on 14 October showed dehydration (ketones, spe…
65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…
A 65-year-old man with hypertension presented with acute cholecystitis, underwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two E…
68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…
Frank Mikhail, a 68-year-old prisoner with severe COPD, presented to St John of God Hospital on 29 January 2023 with haemoptysis and was discharged without admission. Critical clinical lessons include: (1) haemoptysis in…
25y · Male·Multiple system failure and ingestion of sodium nitrite
… Royal Melbourne Hospital. He presented to the ED with suicidal ideation and was admitted for overnight observation. He smuggled sodium nitrite into his room and ingested it at 10:03pm. He deteriorated to cardiac arrest…
37y · Male·hypoxic encephalopathy due to asphyxia from hanging
Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…
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