54 results for “emergency examination order”
32y · Male·gunshot wounds to the trunk
…olence, died following a police shooting. On 24 November 2014, he was detained under a Mental Health Act Emergency Examination Order after telling police he intended to kill himself. At Gold Coast University Hospital, a…
20y · Male·Unascertained - cause of death could not be determined due to advanced decomposi…
…hts challenges in missing person investigations involving substance use, the limitations of post-mortem examination after prolonged water immersion, and the importance of emergency call systems functioning effectively t…
43y · Male·acute neck compression due to hanging
…or hanging. He was transferred to Lyell McEwin Hospital where a psychiatrist (Dr L.) revoked the detention order and discharged him after a 45-minute examination the next morning. Mr Noakes died by hanging that afternoo…
89y · Female·Pulmonary embolism due to deep venous thrombosis
…007—a 23-day delay. The coroner found Dr D.-Mustapha's initial ED assessment was inadequate; she failed to order hip X-rays despite a clear history of fall with hip pain, mobility loss, and inability to weight bear. The…
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
…ma and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbidities including congestive heart failure, COPD, and bipolar disorder, with poor m…
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 …
34y · Female·Hanging with combined effects of ethanol and benzodiazepines
Lisa Sharp, 34-year-old woman on a Community Treatment Order for schizophrenia, depression, and anxiety, died by hanging on 16-17 December 2007. She was in severe dist…
72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)
…s. Despite these findings, he was discharged without vital signs being rechecked or documented, without examination by the discharging doctor, and without septic workup or imaging. Hours later he collapsed with septic s…
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite police concerns, family requests for adm…
58y · Male·coronary artery arteriosclerosis (natural causes)
…ry arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic behaviour but was discharged; his presentation was judged app…
55y · Male·Cardiac tamponade due to ruptured aortic dissection (Type A) against a backgroun…
… treating senior doctor failed to adequately assess the chest pain history, conduct appropriate cardiac examination, or order immediate imaging of the chest. Although a CT scan of the lumbar spine was performed (normal)…
13y · Male·Peritonitis secondary to ruptured gangrenous acute appendicitis
…es included: inadequate history-taking (not documenting pain severity or functional impact), incomplete examination (cursory vital signs, no pulse recorded, no stethoscope used), failure to investigate despite deteriora…
25y · Male·coronary thrombosis resulting from coronary atherosclerosis
…ed and died one hour after a consultation at an Aboriginal health clinic. The coroner found the medical examination by Dr M. was inadequate and cursory. The deceased presented with chest pain, tingling in arms, and numb…
34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…
…aranoid schizophrenia managed with risperidone injections and oral medications under a Community Treatment Order. Post-mortem examination revealed elevated urea and creatinine consistent with dehydration and/or renal im…
41y · Male·undetermined
Vaughan Weston Williamson, 41, died at Glenside Hospital while subject to a Level 3 Inpatient Treatment Order for treatment-resistant schizophrenia. Despite post-mortem examination including specialist neuropathologi…
37y · Male·stab wound to the chest penetrating the heart
…eleased from psychiatric hospital on 11 April 2011 on voluntary arrangements without a community treatment order despite previous compliance only under legal compulsion. Over the following 10 days, he exhibited non-comp…
31y · Male·undetermined
Erol Elmas, a 31-year-old man with schizoaffective disorder, died in custody at Thomas Embling Hospital on 30 November 2022. The cause of death remains undetermined d…
30y · Male·Haemopericardium caused by ruptured dissecting thoracic aortic aneurysm
…aised white cells without infection markers, suggesting tissue damage; a CT scan—readily available—was not ordered despite family history of aortic surgery and the physician's own acknowledgment that he would order CT i…
79y · Male·acute aspiration of food on a background of Alzheimer's dementia
…g appropriate treatment. On 25 March, while being fed custard, he aspirated. Staff immediately raised an emergency alarm, and nursing staff suctioned his airways and performed back blows. Dr S. arrived within two minute…
86y · Male·pulmonary embolism following deep vein thrombosis
…c unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessment order following a relapse of psychotic depression at his aged care facility. Clinical examination found no acute…
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