536 results for “trauma assessment”
34y · Female·multiple drug toxicity
Katherine Alexander, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died from multiple drug toxicity on 7-8 Feb…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…lenge of assessing deeply disabled children and the importance of using diagnostic imaging when clinical assessment is difficult, particularly in regional settings with limited specialist support.
27y · Male·Effects of fire
… follow-up. No interstate agreement existed between Tasmania and Victoria to facilitate apprehension and assessment protocols. Clinicians could have initiated higher-level professional contact, provided explicit follow-u…
44y · Female·Hanging
…removed for court. The coroner found the death may have been preventable, with failures in mental health assessment processes, record review, escalation protocols, and risk assessment communication between services.
39y · Male·Effects of fire (self-immolation)
…. However, he was triaged as Category 4 despite appearing well and driving himself. Mental Health Triage assessment was delayed due to resource constraints. Critically, William was permitted to leave the ED unsupervised …
53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…
Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…
53y · Male·severe burns
…atening to self-immolate due to distress about power cuts at his caravan park causing darkness (triggering trauma from childhood sexual abuse). Police transported him to Bairnsdale Hospital but failed to contact mental h…
59y · Female·head injury
Ms Athiel Deng, a 59-year-old Sudanese refugee, was fatally assaulted by her son Majang Ngor during an acute psychotic episode induced by cannabis and methamphetamine use. Ngor had a documented first psychotic episode in…
48y · Female·Neck and chest injuries sustained in the incident with the cherry picker. Mechan…
… Prevention required proper equipment selection, operator training, load calculation, and workplace risk assessment.
35y · Male·Head injury sustained in a bicycle accident
…ld a valid driver's licence. The inquest focused on Victoria's licensing regime and the fitness-to-drive assessment system. Key findings revealed gaps in the system: reliance on self-reporting by drivers, absence of mand…
32y · Male·Head and neck trauma (train impact)
Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 December 2008. He had been discharged from…
35y · Male·multi-drug toxicity
CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incidents, dis…
23y · Female·Multiple injuries from a fall of approximately 30 metres from a cliff to rocks b…
Zoe Woolmer, a 23-year-old tourist, died after falling approximately 30 metres from a cliff ledge at Kestrel Falls in Kings Canyon while being guided by The Rock Tour Company. The tour guide had demonstrated and encourag…
48y · Male·gunshot wound to chest
Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …
41y · Female·secondary haemorrhage following gastric banding surgery
…ing routine notification of operating surgeons when post-operative patients attend ED, even when initial assessment seems reassuring. The coroner noted the discharge protocol was ambiguous and inadequate.
42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…
…amily violence victims, particularly vulnerable women with substance use histories. Key learning: proper assessment of predominant aggressors requires comprehensive victim engagement, consideration of visible injuries, a…
11y · Male·Craniocervical trauma
…gnificant system failures in Victoria's family violence response. Key clinical lessons include: (1) risk assessments conducted by different agencies (police, Child Protection, courts) operated in isolation without inform…
38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…
…rtion of a dislodged PEG tube on 21 March 2001. Clinical lessons include: (1) A casual medical officer's assessment at the Royal Adelaide Hospital was inadequate, focusing on respiratory causes while missing abdominal cl…
32y · Male·neck compression in the circumstances of hanging
Jesse Bird, a 32-year-old Torres Strait Islander veteran, died by suicide in June 2017 after struggling to navigate the Department of Veterans' Affairs (DVA) compensation system. He served in Afghanistan in 2009, develop…
37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)
…gabalin, clonazepam) after ingesting unknown quantities of his own medications in an ED. He presented with trauma symptoms four days post-motor vehicle accident and was observed taking Targin (oxycodone/naloxone) at 9:50…
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