332 results for “emergency patient transfer”
74y · Male·small intestinal ischaemia caused by aortic atherosclerosis
…of hypotension, normalising low blood pressure parameters, calling the HMO instead of MET, and failure to transfer to ICU when clinically indicated. Earlier recognition and ICU transfer at 3:30am would have provided a gr…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
…s before proceeding with procedures; and maintain high vigilance for communication gaps in inter-hospital transfers.
77y · Male·septic shock due to cellulitis of the left forearm
…nd after he collapsed from his wheelchair. The family reported he had complained of arm tenderness during transfer from hospital to the nursing home. Despite admission to hospital with cellulitis diagnosis and intravenou…
18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…
…uld have revealed the enlarged heart. Expert evidence suggests earlier imaging might have enabled earlier transfer for ECMO or transplant consideration, though survival prospects were poor given extent of myocardial dama…
43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…
…RVOT), possibly from the drainage needle inserted without ultrasound guidance. Despite resuscitation and emergency transfer to a tertiary cardiac centre, he suffered irreversible hypoxic brain injury. Key clinical lesso…
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
…SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital on 9 October 2013. Despite emergency repair with an inferior mesenteric vein graft and transfer to Sutherland Hospital ICU, the graft occlude…
86y · Male·head injury with acute subdural haemorrhage
…t morning, noted confusion possibly from head trauma or infection, prescribed antibiotics, and instructed transfer to hospital if no improvement. Staff provided appropriate monitoring and Mr Langlands' concerns prompted …
74y · Female·right lower lobe pneumonia (Staphylococcus aureus)
…ath. Contributing factors were medication name similarity, lack of drug familiarity, time pressure before transfer to another facility, and relative inexperience of junior nurse. Coroner commended hospital's remedial act…
76y · Female·Complications of head and neck injuries sustained in a fall
…limiting assessment capability. A call was made to the attending general practitioner whose advice not to transfer was reasonable based on information conveyed, but the coroner found the initial assessment deficient. The…
Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease
…nd lack of available ventilated ICU bed at Hervey Bay, she was deemed too high-risk for local surgery and transferred by helicopter to Nambour General Hospital. During flight, she vomited, aspirated, and deteriorated. Sh…
55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…
… severity of persistent hypotension (70/40 mmHg initially, dropping to 50/35), and critically, failure to transfer the patient to an intensive care unit despite objective deterioration and abnormal pathology results show…
70y · Male·haemoperitoneum and ruptured spleen following colonoscopy
…ge information was vague about internal bleeding symptoms and failed to clearly distinguish when to call emergency services versus a GP. When Mr Stewart's wife called Nurse-on-Call that evening reporting breathlessness …
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
…ttempts occurred on 15 July 2005: an unsuccessful attempt by an RDNS nurse followed by a procedure by the patient's GP. Subsequently, massive haematuria developed. An ambulance was initially called but cancelled on the …
59y · Male·complications of viral liver cirrhosis with hepatocellular carcinoma
…ay 2017 abnormal findings until July 2018); inadequate communication of serious ultrasound results to the patient, leading to informed refusal of further imaging; gaps in clinical handover between facilities and staff t…
48y · Male·drowning
…, 48, died by drowning after absconding from a mental health waiting room at Bayview House while awaiting transfer to hospital. He had returned from Ireland with acute psychosis triggered by his mother's sudden death, a …
34y · Male·sepsis due to extensive small bowel infarct caused by bowel incarceration within…
…ion of surgical abdomen pathology. By 2pm on 6 February, suspected bowel obstruction should have prompted transfer to North West Regional Hospital for CT imaging and potential emergency surgery. The coroner found this de…
46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…
…ang level crossing in Victoria, killing 11 train passengers immediately and one more (Harold Long) during transfer. The driver (Mr Scholl) failed to see the flashing warning lights at the level crossing despite them bein…
30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…
…d to afternoon staff, who relied on incomplete verbal handovers rather than reading clinical records; (4) transfer from secure psychiatric intensive care to an open ward without intensive supervision was inappropriate fo…
18y · Male·Multi organ failure due to sepsis from a Group A streptococcus infection
…ed vital signs measurement at triage was a systemic failure—full vital signs should be routine for all ED patients; (2) vital signs were not taken on 20 September despite early clinical indicators (patient reported knee…
52y · Male·Hanging
…following acute suicidal behavior including threatening self-harm with weapons. Police explicitly warned Emergency Department staff he was high-risk and knew how to deceive doctors into releasing him. While intoxicated …
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