185 results for “triage assessment”
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cell alarm system at 9:17pm and 9:23pm, …
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and 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 physi…
14y · Female·electrocution
Heidi Singh was a 14-year-old Aboriginal girl who died by electrocution at a railway pylon on 21 August 2014. She had suffered from foetal alcohol spectrum disorder since early childhood, experienced multiple losses (par…
Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…
…cal failures in mental health service delivery. Key clinical lessons: (1) Individual management and risk assessment plans must be documented for all patients, especially those with chronic suicide risk; (2) Families/care…
41y · Male·Subdural haematoma
A 41-year-old Aboriginal man with excessive alcohol use presented four times to a rural hospital over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite …
24y · Female·hypoxic brain injury secondary to hanging
…elf. Clinicians should understand that: (1) specialist psychiatric beds should not be declined without reassessment by the treating psychiatrist; (2) discharge planning requires careful, sensitive communication especiall…
38y · Female·complications following a ruptured ectopic pregnancy
Veronica Campbell, age 38, died on 31 December 2008 from complications of a ruptured ectopic pregnancy. She presented to Cobram District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requi…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…
27y · Male·compression of the neck due to hanging
…016. Key failures: inadequate consideration of longitudinal history, premature discharge without level 2 assessment, absent psychiatrist review on critical presentations, poor communication between emergency department a…
Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…
Two joint inquests examined failures in recognising clinical deterioration in rural hospital patients. Mrs Wright, 86, presented with abdominal pain and a low temperature (early sepsis), but staff did not escalate when s…
41y · Male·Stab wound to the chest
Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had …
1y · Female·Multiple injuries (subdural clot, multiple rib fractures, injuries to liver, blo…
A 20-month-old girl died from fatal injuries inflicted by her mother's partner. She presented to hospital twice in two weeks with suspicious injuries: facial injuries on 7 June attributed to a puppy, and more extensive f…
Deaths from injuries sustained in a mass stabbing attack
This inquest examined deaths resulting from a mass stabbing attack at Westfield Bondi Junction on 13 April 2024. The perpetrator, Joel Cauchi, had treatment-resistant schizophrenia and had ceased antipsychotic medication…
24y · Male·Complications of Brown Snake Bite
…while separating the snake from his dog and was transported to Tamworth Base Hospital. Despite appropriate triage and observation, he developed sudden collapse and cardiac arrest approximately 25 minutes after arrival, w…
22y · Female·compression of the neck consistent with hanging
…ng funeral arrangements), she was discharged prematurely the next day based on superficial mental health assessment. Medical staff failed to obtain collateral information, wake her for proper psychiatric evaluation, or d…
68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…
…2015 while experiencing acute myocardial infarction. He was transferred to Yatala for urgent psychiatric assessment following two self-harm attempts at Port Augusta Prison involving hearing paranoid voices. Critical fail…
13y · Male·chest and abdominal injuries sustained in collision between semi-trailer and tra…
…ehicle operators, enhanced driver training on expectations at familiar crossings, and careful pre-hospital triage protocols for trauma transfers.
24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…
…nal services, mental health, and domestic violence services, failure to implement domestic violence risk assessments despite a strangulation incident, and a judicial system unable to rapidly enforce licence breaches. The…
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
…or doctors managing the restraint, and continued struggle despite early handcuffing availability. Better assessment, earlier admission, presence of family member, and senior medical oversight could likely have prevented …
37y · Male·stab wound to the chest penetrating the heart
…artment with suicidal ideation and to his psychiatrist with delusional paranoia—neither event prompted reassessment or hospitalization. On 21 April, mental health nurses visited after neighbour's crisis call; Mr Kolbig e…
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