132 results for “emergency sedation”
33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…
…nize and respond to clinical deterioration (agonal breathing misinterpreted as compliance); inappropriate sedation without proper assessment; failure to monitor vital signs adequately; failure to reposition from prone po…
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
…ly one hour later he suffered cardiorespiratory arrest and subsequently died from ARDS. The coroner found sedation from multiple CNS depressants combined with his comorbidities (chronic obstructive airways disease, morbi…
64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…
…to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but critical care gaps emerged. Dr P.'s observation that the pa…
19y · Female·combined drug effect and myocarditis
A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…
42y · Female·pneumonia with diffuse alveolar damage in the setting of mixed drug toxicity (Ba…
…n monitoring in the mental health unit due to agitation; failure to escalate care despite non-response to sedation and inability to obtain vital signs; and unclear use of the term 'medically cleared' which created false …
55y · Female·Unascertained
Elizabeth Ewart, aged 55, died at The Melbourne Clinic on 27 February 2017. She had bipolar disorder, anxiety and schizoaffective disorder. After administering PRN Olanzapine 2.5mg at 4:35pm for agitation, Nurse Cook was…
39y · Male·Coronary thrombosis caused by coronary atherosclerosis
…drome. During attempted medical evacuation by aircraft to Mount Isa, he became violently agitated despite sedation with diazepam and haloperidol. The pilot refused to transport him on safety grounds, and he was returned …
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
…hizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of advanced emphysema and acute bronchopneumonia. He was admit…
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
…schizophrenia and a forensic history suffered cardio-respiratory arrest during prone restraint in a busy emergency department after his mental health community treatment order was revoked. He was admitted to the ED rath…
42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…
…dmitted to hospital on 12 October 2018 with acute pancreatitis and bowel obstruction, treated in ICU with sedation and intubation, then self-extubated on 14 October. Despite appearing stable on 15 October, he deteriorate…
15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa
Olivia Evans, 15, died from paracetamol toxicity in the setting of anorexia nervosa after intentionally overdosing. She had 38 inpatient admissions over two years with escalating food refusal, self-harm, and suicidal beh…
42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …
Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his …
47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …
Peter Shishko, a 47-year-old man with bipolar affective disorder, died in a mental health facility while in involuntary detention. He suffered a fatal cardiac arrhythmia on a background of severe coronary atherosclerosis…
45y · Male·Coronary Atherosclerosis
David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Grayla…
23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…
…he poorly ventilated police vehicle, the prone restraint in hospital lasted only about four minutes while sedation was administered. The coroner found no evidence of excessive restraint or procedural errors by hospital s…
59y · Male·Intracerebral haemorrhage
…re management. Despite medical intervention, his neurological recovery was poor. After 48 hours of ceased sedation showed no improvement, discussions with family led to a decision for palliative care. He died 11 days lat…
48y · Male·undetermined
…rehended by police. At the hospital, he received multiple doses of benzodiazepines and antipsychotics for sedation/behavioural management. He experienced respiratory depression from midazolam which was reversed with flum…
50y · Female·Cardiac hypertrophy in the setting of epilepsy
Louise Anne Turner, a 50-year-old woman with cerebral palsy, intellectual disability, schizophrenia, epilepsy and dysphagia, died from cardiac hypertrophy in the setting of epilepsy. She experienced falls and declining m…
37y · Female·Hypoxic ischaemic brain injury complicating aspiration of gastric contents
…nted history of homelessness, substance abuse, and psychiatric illness. Paramedics appropriately withheld sedation due to airway concerns after observing vomiting. The coroner found all emergency service interventions re…
62y · Female·general inanition on a background of end-stage dementia
Merilyn Jane Fort, aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance…
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