215 results for “emergency triage”
46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…
…lack of robust human factors research informing safety systems, deficient trailer brake maintenance, and emergency response issues including inappropriate transfer of a trauma patient by fixed wing aircraft without crit…
1y · Male·Staphylococcus aureus septicaemia of unknown origin
…cott, a 15-month-old boy, presented to Geelong Hospital with fever, lethargy, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at 5:50 AM showed…
34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm
A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both times, before a c…
Blunt force trauma sustained in level crossing collisions between heavy vehicles…
…g distances (requiring 131+ metres); inadequate semi-trailer brake maintenance; and critical failures in emergency medical response including inappropriate fixed-wing aircraft transfer of trauma patient without Mobile I…
48y · Male·Drowning
…matic alcohol use, and recent onset paranoid ideation and auditory hallucinations presented twice to the Emergency Department on the morning of his death. Despite expressing suicidal intent with specific plans on first …
8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma
…herapy vomiting, then septic shock—both reasonable diagnoses given available information. Although she was triaged as category 4 rather than category 3, this minor delay did not affect outcome. Transfer to Royal Darwin H…
35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…
…ly healthy male sustained blunt chest trauma during an assault. He presented to ED with chest pain but was triaged as category 4. After collapse and retriage to category 3, he received an ECG at 1:05 AM but results were …
0y · Female·Unascertained
…s found not breathing on the morning of 17 August 2014. The exact time of discovery remains unclear, but emergency services were not called until 11:11am. Autopsy findings were inconclusive. The coroner identified a fai…
56y · Male·hypothermia
Robert Glaisher, a 56-year-old man with depression and significant alcohol abuse, presented to the ED on 5 July 2010 with acute confusion, agitation and visual hallucinations. He had a history of heavy alcohol consumptio…
0y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…
… vomiting and signs of dehydration. Clinical lessons: the delay in medical assessment (55-58 minutes for a triage category 3 patient with critical cardiac disease) was less than acceptable. The absence of a communication…
17y · Male·Diabetic ketoacidosis
Caleb Pearson, a 17-year-old with undiagnosed Type 1 diabetes, presented with pharyngitis and was diagnosed and treated for a throat infection by his GP on 25 May 2015. Over the following two days he deteriorated with vo…
38y · Male·stab wound to abdomen
…it primarily involves a criminal matter resulting in acquittal. However, it highlights the importance of emergency responders' rapid assessment of injuries incompatible with life, appropriate triage decisions, and the p…
42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…
…CG changes suggesting life-threatening electrolyte disturbance, staff failed to recognise severity, didn't triage as category 2, and delayed treatment until asystole occurred. The coroner found a failure to recognise det…
25y · Male·traumatic basal subarachnoid haemorrhage due to vertebral artery dissection
…ield Shield match. The injury was unsurvivable regardless of medical response. However, systemic gaps in emergency response procedures were identified: ambulance was not called for over 6 minutes, the initial 000 call l…
26y · Male·Multiple injuries from collision between semi-trailer and train at level crossin…
…rs; LEDs had been recommended but not upgraded pre-collision), the risk assessment model's failures, and emergency response issues. The investigation emphasises that level crossing safety involves coordinated attention …
69y · Male·subarachnoid haemorrhage with contributing cardiomegaly
…sm on the anterior communicating artery. The general practitioner sent a detailed referral letter to the Emergency Department and informed the neurosurgical registrar. However, the referral letter was not aligned with t…
32y · Male·Multiple injuries sustained when struck by semi-trailer at level crossing
…rs in circumstances where they are familiar with but not expecting a train, vehicle maintenance defects, emergency response systems, and the appropriateness of air transport of a critically injured patient without param…
43y · Male·exsanguination from incised wounds to the arms - self inflicted
A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He had been discharged from psychiatric inpatient care on 1 February 2020…
Multiple penetrating knife wounds with hemorrhagic shock and traumatic cardiac a…
…pidly, fatally shooting Cauchi within two minutes of entering the centre, preventing further casualties. Emergency responders provided exemplary first aid, but significant inter-agency communication failures occurred re…
35y · Female·Pulmonary thromboembolus and pulmonary infarction
A 35-year-old woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident wor…
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