332 results for “emergency patient transfer”
41y · Male·Complications of blunt force injuries of the head
…ning adequate history and neurological assessment in ED; (2) clinical handover between cardiologists; (3) transfer arrangements to Liverpool Hospital's neurosurgery unit. Surgery eventually occurred 5+ hours after CT res…
27y · Male·Multiple blunt force injuries from jumping off a cliff
A 27-year-old involuntary mental health patient absconded from a hospital transfer vehicle and subsequently died by jumping from a cliff. Critical failur…
26y · Female·multiple injuries sustained as a result of being struck by a motor vehicle on th…
…uate psychiatric assessment and monitoring at the Royal Adelaide Hospital between admission (5 March) and transfer (7 March)—only a brief confirmation review occurred over 24+ hours; (2) transfer authorised without perso…
24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest
…blistering rash on 3 September 2009. Dr C. appropriately identified a potentially serious dermatological emergency and arranged urgent transfer to Royal Perth Hospital (RPH), which had dermatology expertise and knowledg…
68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…
…lication guidance in rural settings; delayed surgical team acceptance (insisted on formal CT report); and transfer by single paramedic with nurse escort without RSQ consultation despite clinical instability. She arrested…
40y · Male·Subarachnoid haemorrhage due to ruptured right middle cerebral artery aneurysm
…ebral artery aneurysm on CT imaging at 8:42pm. He collapsed in the waiting room and was intubated. Urgent transfer to neurosurgery was arranged, but the Royal Hobart Hospital ICU rejected him based on bed availability ra…
28y · Male·Overdose of Clozapine
…linical failures included: inadequate assessment of suicide risk when prescribing one month's supply to a patient presenting sedated and under substance influence with recent non-compliance history; lack of recognition …
26y · Male·Multi-organ failure due to pneumococcal septic shock
…psis pathway. This review did not occur, causing approximately 3-hour delay in antibiotic administration. Transfer to tertiary hospital was further delayed by 5 hours due to system issues with inter-hospital transfer acc…
81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…
An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 reten…
85y · Female·Hypostatic bronchopneumonia complicating fractured occipital condyle and left ne…
…aged care nursing, sustained a fall on 24 April 2013 when a ceiling hoist descended unexpectedly during a patient transfer. She was struck on the head and fell to the ground, sustaining a fractured occipital condyle and…
64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …
…der. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused hospital transfer despite clinical concerns. He was given morphine and managed conservatively. The following day, he deteri…
75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis
…s pending joint aspiration at Armidale Rural Referral Hospital. However, critical delays occurred: a non-emergency transport booking was made, then transferred to NSW Ambulance around 3.15pm. At 5.07pm, ambulance crew d…
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
… July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor on 11 October 2003, where he was placed under a 15-minute observation prot…
76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…
…sly high potassium levels (8.1 and 7.6 mmol/L). Despite clear evidence of severe illness requiring urgent transfer to a tertiary centre, she remained at the rural hospital for approximately 24 hours. The treating general…
4y · Female·volvulus of the large intestine
…oration (progressive tachycardia, abdominal tenderness, lactic acidosis), she was managed conservatively. Transfer to PMH was arranged at 4.00 pm when coffee-ground vomiting and increased tenderness developed. During RFD…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
…e treating general practitioner failed to appreciate the seriousness of this injury pattern in an elderly patient and did not seek specialist advice or arrange transfer to a tertiary centre. Multiple clinical deteriorat…
76y · Female·Ludwig's angina
… to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognise the risk of rapid airway compromise despite docu…
27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…
…litis) following a tooth extraction. Critical failures included: delayed treatment with inadequate timely transfer to definitive surgical care; absence of medical records accompanying the patient during private vehicle t…
42y · Female·hypovolaemic shock due to an acute ruptured subcapsular splenic haematoma in the…
…rpose Centre despite clinical features (severe vomiting, abdominal pain, elevated temperature) warranting transfer to Dubbo Base Hospital for CT imaging to exclude serious differential diagnoses. Critical failures includ…
87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
…atoma. The neurosurgical registrar advised observation with repeat imaging in 24 hours rather than urgent transfer. The coroner found this advice incorrect: anticoagulated patients with acute subdural haematoma require u…
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