450 results for “emergency procedures training”
24y · Male·Gunshot wound to the chest inflicted by Senior Constable Rich of New South Wales…
…cked adequate justification for the initial chase. The case highlights critical failures in mental health training for police and insufficient de-escalation of a mentally ill person in crisis. Better communication betwee…
48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…
…ical lessons: disability support workers caring for NIV-dependent patients require structured, accredited training beyond brief 'train the trainer' approaches; new backup ventilators of different models require comprehen…
31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…
…res included: inadequate induction assessment due to unavailable custodial history and insufficient staff training; lack of structured medical management despite identified substance abuse and insomnia; unavailable prior…
43y · Male·Crush injuries (chest and abdominal injuries and chest compression) sustained in…
…ewton force. Multiple safety failures contributed: inadequate machinery design and installation, no staff training on isolation procedures, failure to dissipate stored energy, and lack of proper guarding and interlocks. …
41y · Male·injuries sustained when he fell from height into a pit full of water
… approach the pit edge for geological inspection—an inherently unsafe practice despite his experience and training. Critical systemic failures included: no effective missing persons protocol (11+ hours elapsed before dis…
32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma
…t was unavailable locally. The case highlights systemic failures in prisoner risk assessment and custody procedures.
Quad bike and side-by-side vehicle rollover accidents resulting in drowning, asp…
…elmets or seatbelts, children using vehicles despite manufacturer age warnings, and lack of formal safety training. Direct causes included drowning from head injury, asphyxiation from crush injuries, and traumatic brain …
33y · Male·stab wound to the chest
…contributing to his desperation for diverted medication. Systemic failures in risk assessment, searching procedures, cell management, and healthcare delivery created conditions enabling this preventable death.
47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…
Ian Fackender, aged 47, died from gunshot wounds during a Community Treatment Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident…
23y · Male·drowning
…boat lacked a mandatory safety knife that could have freed him quickly; the first safety boat crew lacked training and experience in rescue procedures; and safety boats were not equipped with working cutting tools. The c…
43y · Male·Hanging
…al response: the Senior Corrective Officer and two junior officers did not carry the mandatory 911 tool (emergency cutting device), resulting in a 10-minute delay before attempting resuscitation. The coroner emphasised …
3y · Male·asphyxia secondary to epilepsy
…are in Yamba, NSW. He had epilepsy managed by a paediatrician with medications (Tegratol, Trileptac) and emergency rectal diazepam. On the day of death, he presented with a fever of 37.4–37.5°C; his mother warned the ca…
39y · Female·smoke inhalation
…ssion (TAC), which funded her care, was unaware she lived alone overnight. Carers received no fire safety training and smoke alarm testing was inadequate. The coroner found no individual clinical error by providers but i…
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…
39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
…logist; staff unaware of dietician's recommendations to cut food into bite-sized pieces; absence of staff training in managing choking risks; inadequate supervision during meals. Although a Nutrition and Swallowing Issue…
44y · Female·Mixed drug toxicity (methylamphetamine, amphetamine, tramadol)
…sponsive; CPR was commenced but she was likely already deceased. Clinical lessons include: inadequate CPR training of watchhouse staff (only 3 of 10 had current training), poor knowledge of emergency equipment location, …
45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…
…ma disability support staff who dressed the wound on 4-5 July 2024 had not completed formal pressure care training, the coroner found this misstep was not causal to her death. Kristy was on an end-of-life trajectory due …
Unknown·Ms Choi: hypoxic brain damage due to drowning/immersion due to rafting accident;…
…sk controls for raft collisions were weak, relying on undefined 'river etiquette' rather than documented procedures. Guides had different understandings of traffic management at the rapid. The coroner recommended formal …
85y · Male·Incised wounds to the wrist
…ID restrictions) contributing to hopelessness. The coroner made recommendations for improved suicide risk training, mental health service access pathways, and psychosocial support protocols in aged care settings.
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
Justin Fraser, a 35-year-old male with first-episode psychosis, died in restraint at Frankston Hospital psychiatric ward on 26 October 2007. He was found attempting suicide by hanging, became agitated and threatening, le…
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