215 results for “emergency triage”
33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)
Desmond Jack, a 33-year-old with longstanding bipolar affective disorder and psychotic symptoms, died from a single gunshot wound to the anterior trunk after being shot by police officer Senior Constable Harrison on 28 M…
22y · Male·Hypoxic ischaemic encephalopathy complicating hanging
Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…
39y · Male·Cardiac arrhythmia following violent exertion necessitating physical restraint i…
…ons were lawful and reasonable. Clinical lessons include recognising drug-induced psychosis as a medical emergency, implementing 'did not wait' policies for ED patients, improving Aboriginal liaison officer availability…
40y · Male·Subarachnoid haemorrhage due to ruptured right middle cerebral artery aneurysm
… presented to the ED with sudden-onset severe headache, slurred speech, and vomiting. He was appropriately triaged and quickly diagnosed with subarachnoid haemorrhage due to ruptured middle cerebral artery aneurysm on CT…
5y · Female·myocarditis
…Hospital. The diagnosis was delayed over 7 hours from initial presentation. Critical failures included: ED triage Category 3 assignment but no medical review for 5 hours (required within 30 minutes); misinterpretation of…
54y · Male·Pneumonia due to Staphylococcus aureus
…outine use of deterioration detection tools, SBAR communication protocols, and revised health request form triage processes.
16y · Male·Peritonitis as a result of ruptured duodenum following blunt trauma of the torso
…tis secondary to duodenal rupture two days after being treated and discharged from Campbelltown Hospital Emergency Department for a rugby injury. He sustained blunt abdominal trauma from a tackle on 19 June 2010, presen…
24y · Female·multi organ failure due to meningococcal septicaemia
24-year-old woman presented to ED with fever (40.1°C), headache, myalgia and mild photophobia. RMO Dr R., relatively inexperienced (5 weeks in Australia), examined her thoroughly but focused on excluding meningitis throu…
62y · Male·cardiac arrest complicating psychotic episode
Michael Adams, aged 62 with chronic treatment-resistant schizophrenia, died from cardiac arrest complicating psychotic episode at a supported residential facility. During escalating psychotic behaviour, paramedics applie…
24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm
…e number or updated residential address across all three presentations. This prevented the Child and Youth Triage Team from contacting him as part of the discharge plan. The coroner found Jackson self-inflicted the fatal…
17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…
Lee Rebecca Halford, a 17-year-old girl, died of acute diabetic ketoacidosis (DKA) following undiagnosed Type 1 diabetes. She initially presented to a GP with vomiting on 27 February 2007, diagnosed with gastroenteritis.…
48y · Male·undetermined
…nsidering respiratory sensitivity is essential; coordination between services (local hospital, psychiatric triage, retrieval services) requires defined leadership and protocols.
32y · Male·Head and neck trauma (train impact)
Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 December 2008. He had been discharged from…
16y · Female·consequences of acute asthma with hypoxic encephalopathy
Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…
26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…
…ication between practitioners. The post-operative care protocol at the clinic, which interposed Dr C. as a triage contact, created confusion about responsibility. Injectable pethidine was administered without adequate ob…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…
28y · Male·Acute Dopamine Imbalance Syndrome
A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…
0y · Female·head and neck injuries
… neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physicians incorrectly assessed as accidental. The…
12y · Female·Cardio-respiratory failure due to aspiration pneumonia
…t airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately triaged initially, then readmitted that evening with oxygen saturation of 79% and admitted to the children's ward…
69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…
A 69-year-old woman presented to the Emergency Department with abdominal pain and vomiting. The doctor did not take adequate history, perform thorough …
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