Coronial

10 results for emergency transport via ambulance

TASaged care2018-09-20

Coroner's Finding: Jones, Gweneth Elsie

84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…

…supplemental oxygen. Despite these injuries and age-related vulnerability, she was discharged late at night via private car to aged care without written documentation, oxygen saturation monitoring parameters, or orthopa…

emergency medicineorthopaedic surgerycommunicationsystemparacetamol
VIC2013-10-21

Finding into death of Jaesok Lee

26y · Male·Multiple injuries from collision between semi-trailer and train at level crossin…

…rs; LEDs had been recommended but not upgraded pre-collision), the risk assessment model's failures, and emergency response issues. The investigation emphasises that level crossing safety involves coordinated attention …

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

17y · Female·Multiple injuries sustained in collision between semi-trailer and train

…picuity for truck drivers), deficient heavy vehicle brake maintenance (unroadworthy trailer brakes), and emergency response issues including inappropriate air transport of a trauma patient. While some deaths were immedi…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…

…lack of robust human factors research informing safety systems, deficient trailer brake maintenance, and emergency response issues including inappropriate transfer of a trauma patient by fixed wing aircraft without crit…

emergency medicinetrauma surgerysystemdelaymorphine
WAhospital2012-04-05

Inquest into the Death of Little

<1y · Female·perinatal pneumonia in association with meconium aspiration

…ar monitoring instructions and did not review notes on his return. The baby was transferred by volunteer ambulance without medical escort to Northam Regional Hospital, where she arrived in severe respiratory distress an…

neonatologygeneral practicediagnosticcommunication
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

…al lessons: rural hospitals managing acutely psychotic patients face significant complexity; early transfer via specialist retrieval (not RFDS/ambulance) may be preferable; careful medication choice considering respirat…

psychiatrygeneral practicesystemdelayhaloperidol
VIChospital2011-06-16

Finding into death of Owen Appleby

<1y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

… a recognized complication of vacuum extraction. The coroner found that early contact with NETS (Newborn Emergency Transport Service) at or after 7:00am was not made, despite clinical deterioration suggesting differenti…

obstetricsneonatologydiagnosticdelayprostin gel
QLDhospital2008-10-14

Mathers, John William

26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident

John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he co…

emergency medicinetrauma surgerycommunicationsystem
NSWcommunity2020-11-16

Inquest into the death of D B

39y · Male·Self-inflicted death by hanging

A 39-year-old man with longstanding Bipolar I Disorder died by hanging on 28 December 2017, shortly after police attended a domestic disturbance at his mother's home. He had expressed suicidal ideation to his treating ps…

psychiatryemergency medicinecommunicationsystem
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

…r activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergency. Clinical lessons include: (1) excited delirium with amphetamine toxicity is potentially lethal and requ…

emergency medicinepsychiatryproceduralcommunicationamphetamine

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