215 results for “emergency triage”
0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease
… care was the critical clinical error, compounded by poor documentation and lack of adherence to available triage guidelines requiring doctor notification for all infants under 6 months.
47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …
Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented to Austin Hospital ED on 22 February 200…
34y · Male·Cardiac tamponade due to hemopericardium from acute aortic dissection of the asc…
…failures: lack of real-time communication of significant radiological findings, failure to perform full re-triage on representation, and absence of system tracking of radiology reports. Clinical lesson: sudden-onset ches…
47y · Male·Sudden cardiac death in association with COVID-19 infection
…, oxygen saturation) were performed after his positive test, contrary to Justice Health policies. A remote triage was conducted by Justice Health identifying him as Category 2 (medium risk) requiring twice-daily observat…
59y · Male·Hanging
… mental health nurse conducted only an informal assessment despite policy requiring completion of either a triage or assessment form. The psychiatry registrar noted a need for review 'possibly on Monday' but this did not…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
… on 29 April 2016 from multiorgan failure. Critical clinical lessons include: (1) inadequate mental health triage—his self-referral for psychology on 26 April was not followed up with direct contact despite a known high-…
20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station
Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…
34y · Male·Hypoxic-ischaemic brain injury caused by hanging
…ed to the fatal delay. This case highlights the importance of including scissors or cutting equipment in emergency first aid kits and ensuring suicidal patients maintain mental health engagement.
76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease
… died at home the next morning from acute coronary syndrome. Coroner identified multiple failures: delayed triage, unsupervised student assessment, failure to recognise elevated troponin, non-compliance with serial tropo…
2y · Male·Asphyxiation due to neck and/or chest compression
…er file was closed in September 2009 without attempting contact. When her partner called the Mental Health Triage Service the evening before her child's death, the call was poorly handled with discouraging responses. Sys…
0y · Female·acute necrotising pneumonia
… 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days but never being seen by a doctor for formal assessment. On her first…
17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis
…t the ED, James developed wheeze and cough just before entry—a sign of recurrent anaphylaxis. However, the triage nurse assigned ATS Category 3 rather than Category 2; whether he was informed of the wheeze is disputed. W…
25y · Male·Multiple injuries sustained in a fall from a height
…ospitals over four days with escalating mental health symptoms. At St Vincent's Hospital on 11 June he was triaged as category 3 (requiring assessment within 30 minutes) for mental health concerns but left without being …
19y · Female·asphyxiation
A 19-year-old university student with chronic bilateral uveitis presented to university counselling with depression. She disclosed detailed written suicide plans (helium asphyxiation) to the Head of Counselling, who appr…
47y · Male·neck compression due to hanging
…tidepressant prescription without proper assessment at their first consultation. The ED doctor dismissed a triage note of suicidality without psychiatric consultation, documenting insufficient mental state examination de…
56y · Male·Benzalkonium chloride toxicity
…ed from acute lung injury due to aspiration of the irritant substance. Critical lessons include: (1) the emergency dispatch system's reliance on symptom-based triage is fundamentally inadequate for poisoning cases where…
11y · Male·Sepsis
… at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures included: delayed triage (20-minute wait), failure to involve senior staff early despite recognising sepsis in a high-risk neonate,…
4y · Male·Severe rhabdomyolysis due to LPIN1 gene mutation
Tom Olive, aged 4, died from severe rhabdomyolysis caused by a rare LPIN1 gene mutation. Over 12 months before death, he presented with recurrent episodes of dark urine, muscle pain, and lethargy. Multiple GPs and a paed…
5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…
…miliar drivers who aren't expecting trains. Poor maintenance of the semi-trailer's brakes and inadequate emergency response procedures contributed to the overall tragedy. Key preventable factors included: lack of proper…
43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)
Cameron Boyes, a 43-year-old man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivati…
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