167 results for “acute mental health deterioration”
18y · Male·neck compression due to hanging
…accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emergency department presentations and psychiatric admiss…
27y · Male·cardiac arrhythmia during restraint; mechanism involved hypoxia and asphyxiation…
…raining, procedural safety, and inadequate monitoring of access to alcohol and drugs that precipitated his acute deterioration.
35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…
…en Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestinal hy…
41y · Male·sympathomimetic syndrome
…s pulled from the van unconscious. Despite immediate first aid and later ambulance treatment, he died from acute dysregulation of his homeostatic system caused by high-level methamphetamine intoxication. Key clinical le…
37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…
…ty Corrections management of both offenders' orders. MWJ failed to engage with mandated drug treatment and mental health services despite strong recommendations from ASCO for GP referral for mental health care plan. EW s…
61y · Male·hanging
…ranged. Despite appearing positive and future-focused at a counselling appointment on 7 January, he became acutely distressed following a café meeting on 13 January where he expressed emotional pain regarding his back c…
14y · Male·head injuries when struck by a train
…. He had recently been distressed about a reported pregnancy with a girlfriend and experienced a rapid deterioration following his girlfriend ending their relationship. His presentation to Monash on 9 November 2010 with…
39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…
… died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergency. Clinical lessons i…
36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…
Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia.…
62y · Male·cardiac arrest complicating psychotic episode
…observation while restraining (no clinician maintained head-of-stretcher position), failure to apply supplemental oxygen despite visible cyanosis, and lack of awareness that psychiatric patients and antipsychotic medicat…
27y · Male·ligature strangulation
…th treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental health facility. The deceased had multiple admissions for medication non-compliance and psychotic relapse.…
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
…al care deficiencies: inadequate urine output monitoring (no urinary catheter despite critical illness and acute kidney injury); delayed and sub-optimal antibiotic dosing and timing; failure to place arterial line for c…
Female·bilateral acute bronchopneumonia
Ivy Pearl Ghobrial died from bilateral acute bronchopneumonia at a nursing home in September 2001, following a hypoxic brain injury sustained from a ha…
48y · Female·Head injury
…ied from head injuries after being struck by a train on 30 October 2011 while on unescorted leave from the mental health unit at Kalgoorlie Regional Hospital. She was an involuntary patient under the Mental Health Act 19…
39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…
Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazol…
49y · Male·hanging (suicide)
…EACIS telephone support only, no guaranteed home visit; (5) system failure—unavailable beds in appropriate acute wards forced prolonged inappropriate admission. The coroner emphasised that proper evaluation and transfer…
87y · Male·infective exacerbation of chronic obstructive lung disease
…learning: elderly patients with significant smoking histories may have undiagnosed lung disease presenting acutely postoperatively; early recognition of hypoxia and appropriate escalation to ICU was undertaken correctly…
47y · Female·Acute external blood loss and multiple stab wounds to the neck
A 47-year-old woman was killed by her estranged husband in a family violence homicide. The perpetrator had a history of back injury leading to depression, unemployment, and financial dependence. Key risk factors included…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, s…
38y · Male·Exsanguination due to penetration of arm veins
…the months before death, he became non-compliant with psychiatric medication despite treatment from prison health services. Although reviewed by a mental health nurse specialist on 24 April 2008 who noted fleeting suicid…
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