332 results for “emergency patient transfer”
31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…
…st-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at Peel Health Campus, experiencing heavy blood loss (estimated 15…
65y · Female·Liver failure secondary to paracetamol toxicity
…acture. Critical pathology results showing markedly abnormal liver function (AST 2907) were faxed to the emergency department but not communicated by telephone despite exceeding the laboratory's own critical notificatio…
3y · Female·massive air embolism
Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred when a paramedic re-spiked a partial…
29y · Male·head injury
…uck by a reversing VicRoads maintenance van while retrieving a fallen surfboard from the Princes Highway emergency lane. The van driver had hearing difficulties and could not hear the reversing sensor alert. Despite bei…
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
…clude: (1) the importance of accessing prior medical records—the prescribing physician was unaware of the patient's previous hyponatraemia diagnosis due to hospital record management failures; (2) recognising that both …
17y · Male·Diabetic ketoacidosis
…ner found his death was preventable: the significantly abnormal respiratory rate alone warranted hospital transfer for investigation. Paramedics failed to recognise the constellation of vital sign abnormalities as indica…
48y · Female·Head injury
…e on unescorted leave from the mental health unit at Kalgoorlie Regional Hospital. She was an involuntary patient under the Mental Health Act 1996. The coroner found the quality of care was objectively unsatisfactory du…
56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy
…ings must correlate with clinical presentation; headache without focal signs is atypical for stroke; when patients deteriorate on anticoagulation, therapy should be ceased and imaging repeated immediately, not escalated…
49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…
…unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on 15 July 2020 with acute man…
89y · Male·Cervical spine trauma
…nother dementia-affected resident in an aged care facility. He was assessed overnight at the facility and transferred to hospital the following morning when neck pain developed, where imaging revealed a high cervical fra…
84y · Female·ischaemic heart disease
…btained a Mental Health Act detention order when she refused transport despite clinical necessity. During transfer to the ambulance, she suffered cardiac arrest, likely precipitated by the distressing circumstances. Resu…
31y · Female·incised wounds to the neck and arms
…nd sought a psychiatric assessment. The on-call psychiatrist spoke to the RMO by phone without seeing the patient, and despite evidence of the RMO's hesitation and concern about suicide risk, made the decision to send h…
5y · Female·myocarditis
…hepatomegaly). Earlier recognition and appropriate management including fluid restriction and timely NETS transfer might have provided a chance of survival with ECMO support in Sydney.
78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…
Joan Dennison, aged 78, was discharged from Shellharbour Hospital emergency department on 16 November 2007 with a misdiagnosis of constipation, despite clinical and imaging feature…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated tropon…
26y · Female·Asphyxiation due to Ligature Compression of Neck
…erate risk and placed on 15-minute observations. Dr A. instructed close monitoring and mentioned possible transfer to Graylands mental health unit. However, the room assigned was not optimally visible from the nurse's st…
55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…
…did not document this complication or provide clear clinical direction for post-procedure management. The patient was discharged the next morning without appropriate cardiac enzyme testing or extended observation despit…
63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…
…e injuries, but critical imaging results (MRI and CT angiogram) were delayed approximately 4.5 hours. The patient deteriorated acutely around 5:15pm during further imaging. While early transfer to Royal Melbourne Hospit…
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 …
24y · Male·bronchopneumonia complicating oxycodone toxicity
Matthew Neil Hardy Tonkin was a 24-year-old Australian Army veteran with post-traumatic stress disorder and chronic pain who died from bronchopneumonia complicating oxycodone toxicity. He engaged in prescription shopping…
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