538 results for “observation”
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
31y · Male·Complications in association with intestinal volvulus
31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…
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 …
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…
23y · Male·Hanging whilst suffering acute mental illness, most likely a first episode delus…
…tective custody in isolation. Critical deficiencies included: failure to conduct mandated daily nursing observations in protective custody; inadequate clinical handover when the assessing nurse left (9 May) without ensu…
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…
3y · Female·complications of Influenza B viral infection
…registrar without senior review. No cardiology consultation occurred. Caitlin had poor documentation of observations overnight, was transferred to the ward without senior medical sign-off despite protocol requiring it, …
73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …
Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …
14y · Male·gunshot wound to the head
Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…
2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…
Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…
17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…
… he returned to the same unit where he had attempted hanging days earlier. Despite being on five-minute observations following a suicide attempt on 15 September, staff failed to properly monitor him or inspect the unsaf…
18y · Male·acute neck compression due to hanging
Shane Blunden, aged 18, died by hanging in Yatala Labour Prison on 19 September 2011. He was a remanded prisoner with an extensive history of self-harm, including cutting, swallowing batteries and razors, and a previous …
21y · Male·Suffocation from hanging
…for armed robbery charges. The coroner found that custodial officers failed to conduct proper 30-minute observations, with Mr Kelly appearing not to conduct any observations during the critical period when Camden died (…
44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…
…olice systems, failure to conduct proper physical cell checks at required intervals, reliance on visual observation of breathing rather than direct assessment, and not recognizing her high-risk status. The coroner made …
46y · Female·Complications following cardiorespiratory arrest in association with an air embo…
…elevated vital signs, shoulder tip pain), instead documenting her as 'stable'. On 12 November, critical observations showing respiratory distress (RR 40) and cardiac decompensation were not escalated—no MET call was mad…
40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…
Laura Parker, a 40-year-old woman with a long history of epilepsy, borderline personality disorder, and recent seizures, died at the Royal Adelaide Hospital on 16 March 2008 from hypoxic encephalopathy caused by cardiac …
12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…
Joshua Statis, a 12-year-old with complex congenital aortic stenosis, died 18 days after a redo Konno procedure and aortic valve replacement when a CardioCel patch to the right ventricular outflow tract (RVOT) ruptured, …
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…
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