536 results for “trauma assessment”
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …
27y · Male·Head injury
… did not cause or contribute to his death, as they followed intercept policy, conducted appropriate risk assessment, terminated the pursuit appropriately, and did not re-engage. Key clinical lessons: The collision result…
44y · Female·Combined drug toxicity (elevated pregabalin, temazepam, oxazepam, ibuprofen, mel…
…ofen, meloxicam). She survived a suicide attempt on 27 October 2018 and was discharged after psychiatric assessment. She died between 30 October–3 November 2018. Clinical lessons: (1) The coroner noted concerns about dis…
15y · Male·head injury from motorcycle accident resulting in extensive brain injury and bas…
Jack MacNicol, a 15-year-old boy working on his family's cattle station, sustained a fatal head injury after falling from a motorcycle while mustering cattle without wearing a helmet. He suffered a severe head injury wit…
5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …
…onia. Critical lessons: bruising in non-ambulant infants is a 'red flag' requiring specialist paediatric assessment; GPs must directly communicate with child protection services when concerns arise and should not offer r…
40y · Male·Penetrating wounds to the chest
…ulsivity, unregulated emotions). They did not utilise Mental Health Act 2014 powers to apprehend him for assessment. Police communications failures meant attending officers lacked critical safety information about the kn…
23y · Male·hanging
…ebruary 2019 with severe suicidal ideation and a reported self-harm attempt. Despite appropriate initial assessment by the admitting psychiatrist (Dr B.) and placement on Level 2 observations (15-minute checks), key syst…
74y · Female·haemothorax secondary to dissecting thoracic aorta
…ut adequate re-evaluation, and insufficient consideration of rare but lethal differentials in chest pain assessment.
0y · Male·unascertained; possibly asphyxiation related to sleeping position
…eding history). Had fractures been identified, notification to child protection authorities and forensic assessment would likely have followed, potentially altering Noah's care and home environment assessment. Contributi…
47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…
A 47-year-old man with morbid obesity presented with respiratory failure, productive cough, and calf swelling. His GP appropriately suspected both pneumonia and pulmonary embolism (PE), requesting urgent CTPA. At Townsvi…
23y · Male·Hypoxic-ischaemic encephalopathy due to hanging
…ure to share information on clinical grounds. Resource constraints caused a significant delay in medical assessment. The response by QCS staff to the hanging incident was immediate and appropriate. No evidence suggests p…
41y · Male·heart failure related to exsanguination due to traumatic rupture of an arteriove…
Nicholas Summers, a 41-year-old kidney transplant recipient, died from traumatic rupture of an arteriovenous fistula with massive hemorrhage on 16 February 2016. He had returned to Tas…
41y · Female·unable to determine
Carley Metcalfe, aged 41, was found deceased in the Brunswick River in November 2017, three weeks after disappearing. She had presented to Lismore Base Hospital on 1-2 November 2017 with acute psychosis related to schizo…
15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa
…redict continued food refusal at home; coercive interventions (restraint, nasogastric feeding) require reassessment if escalating; comorbid autism and depression demand earlier formal diagnosis and coordinated treatment;…
86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage
…ar-old man with Parkinson's disease and long-standing gastro-oesophageal reflux disease (GORD) sustained a traumatic brain injury from a fall at home on 3 July 2021. He was admitted to hospital on 6 July 2021 with subdur…
26y · Male·gunshot wound to the neck
…Crews in the neck causing unsurvivable vascular injuries. Systemic failures contributed: inadequate risk assessment methodology, poor supervision of planning, lack of uniformed officer visibility for identification, insu…
18y · Male·Heroin toxicity
Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a complex history of behavioural challenges,…
36y · Male·Drowning
…hologist's failure to read urgent referral documentation revealing longstanding suicidal ideation before assessment, preventing appropriate risk exploration; inconsistent and inadequately communicated risk assessments am…
30y · Male·Hanging
… a remand prisoner on charges of domestic violence. The coroner found critical failures in his admission assessment on 6 November 2017. Mr Stachor had a documented history of self-harm attempts and had previously been pl…
92y · Female·Consequences of an assault
… agitation. The deceased sustained a subdural bleed and fractures, was discharged after initial hospital assessment, but subsequently declined and died. Key failures included: absence of behaviour plan updates despite do…
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