1,288 results for “emergency treatment”
28y · Female·compression of the neck and hanging
28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…
55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…
…ained hospitalised, the rupture likely would have been detected clinically and may have been amenable to emergency surgical repair. Key failures included failure to document the procedural complication, absence of enzym…
24y · Female·hypoxic brain injury secondary to hanging
Chrystal Ross, a 24-year-old woman, died by hanging in hospital in January 2015 after a catastrophic chain of communication failures and care coordination errors. She had been admitted to Mount Barker Hospital for anxiet…
43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…
A 43-year-old man with a colloid cyst of the third ventricle presenting with progressive headache was admitted for planned endoscopic surgery. Surgery was delayed from Friday to Monday due to unavailability of specialist…
39y · Male·Effects of fire (self-immolation)
William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
Ms Sobb, a 25-year-old woman with spondylo-epi-metaphyseal dysplasia causing severe airway abnormalities and subglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU with as…
39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…
…er Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, he underwent inc…
47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis
Christopher Hammett, a fit 47-year-old, died from aspiration pneumonia with contributing coronary atherosclerosis following routine L5-S1 disc replacement. A critical oxygen desaturation (64%) occurred during transfer fr…
74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…
A 74-year-old man with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while in aged care. Key cl…
0y · Female·dehydration
…. The coroner found her death was preventable—admission to hospital would likely have enabled diagnosis, treatment, and if needed, retrieval to higher care.
41y · Female·neck compression
Kim Lynch, 41, died from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence inc…
26y · Male·ligature compression of the neck (hanging)
Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisoci…
38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)
…a registrar not visiting the patient or reviewing notes; and failure to recognise and respond to medical emergency criteria. The coroner found this a preventable death and made eight recommendations including mandatory …
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…
26y · Female·Multiple drug toxicity
Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …
Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…
Four Anangu (Aboriginal) young men died between May 2003 and March 2004 on the Anangu Pitjantjatjara Lands in South Australia. Three deaths were by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked …
53y · Male·fentanyl and oxycodone toxicity
Stephen Robert Atkins, 53, died from fentanyl and oxycodone toxicity after admission to Flinders Medical Centre for investigation of Horner's syndrome and radiculopathy. Over three days, escalating opioid doses were pres…
39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…
…r activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergency. Clinical lessons include: (1) excited delirium with amphetamine toxicity is potentially lethal and requ…
34y · Female·multiple blunt force injuries
Camilla Margolis, 34, died by suicide at Echo Point Lookout in the Blue Mountains hours after discharge from mental health inpatient care. She had complex borderline personality disorder with chronic suicidality across 2…
31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…
Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…
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