1,288 results for “emergency treatment”
37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…
… held at Dame Phyllis Frost Centre (DPFC) women's prison. She received inadequate medical assessment and treatment by Dr R., who conducted a rushed 13-minute reception assessment without proper physical examination or d…
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…
25y · Male·acute heat stroke
…ng exercise at Mount Bundey, NT. He collapsed during a patrol and despite rapid evacuation and intensive treatment including ice cooling and IV fluids, died at Royal Darwin Hospital. Multiple systemic failures contribut…
Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…
Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappeared and died; one absconded while detained and died. Clinical less…
41y · Female·complications of intracerebral haemorrhage due to ruptured aneurysm
… three hours of vomiting—a presentation consistent with possible subarachnoid haemorrhage that warranted emergency department evaluation. This presentation was inadequately assessed by the medical officer who did not re…
36y · Male·bronchial asthma
…om bronchial asthma in prison on 1 September 2018. His death exposed critical failings in both immediate emergency response and chronic disease management. On the night of his death, correctional officers took 11 minute…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
Andrea Lester, age 49, suffered a subarachnoid haemorrhage from a PICA aneurysm in March 2018 with delayed diagnosis. Following complex neurosurgery causing Wallenberg syndrome, she required tracheostomy for bulbar dysfu…
63y · Male·metastatic rectal carcinoma
… colonoscopy been offered and accepted in 2015, tumour may have been curable; if diagnosed in 2016-2017, treatment might have prolonged life and reduced suffering. The coroner identified systemic failures in referral tr…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
33y · Male·Pelvic crush injury sustained while working at an underground coal mine
…no-go zone delineation, narrow working space (4.8 metres) limiting safe positioning options, and lack of emergency extraction procedures. The incident reveals systemic vulnerabilities in change management during unexpec…
68y · Female·Coronary heart disease
A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive cardiac failure; troponins were no…
45y · Female·multiple organ failure following thermal injuries (severe burns)
Wendy Bearfoot, a 45-year-old DEC (Department of Environment and Conservation) employee, died from multiple organ failure following severe thermal burns (80% of body) sustained in a bushfire burnover on 12 October 2012. …
4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…
A 4-year-old girl died from aorto-oesophageal fistula and haemorrhage caused by a lithium button battery lodged in her oesophagus for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consi…
24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis
A 24-year-old Aboriginal man collapsed during football in extreme heat and presented to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV flu…
0y · Male·Traumatic head injury
BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fracture…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
Lyji Vaggs, a 28-year-old Aboriginal man with schizophrenia, died from hypoxic brain injury sustained during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED o…
57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…
Kevin Bugmy, a 57-year-old Aboriginal man, died of severe coronary artery disease while in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inhalant use disorder was grossly in…
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