32 results for “medical escort”
43y · Male·Gunshot wound to the chest and abdomen
…one, a 43-year-old Aboriginal man, died from a gunshot wound inflicted by a correctional officer during a medical escort from hospital. While in custody on remand, Johnstone experienced an epileptic seizure at court, wa…
37y · Male·self-inflicted gunshot wound to the head and neck
… died from a self-inflicted gunshot wound to the head and neck on 6 January 2021 in Wollongong. He was on medical escort from custody when he seized the firearm from Correctional Services Officer Harvey and shot himself…
68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…
…layed surgical team acceptance (insisted on formal CT report); and transfer by single paramedic with nurse escort without RSQ consultation despite clinical instability. She arrested during ambulance transfer and died. Ea…
82y · Male·Trauma related intracerebral haemorrhage
…at an off-site clinic. He sustained fatal traumatic intracerebral haemorrhage. Key clinical lessons: staff escorting residents off-site lacked specific training on wheelchair safety and off-site protocols; the wheelchair…
Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…
…nt tools and tier processes, missing handover documentation between police and prison, failure to provide medical evaluation, and inadequate monitoring during escort. Michael and Mitchell's deaths were not preventable—M…
32y · Male·methylamphetamine toxicity
…receiving emergency care at St Vincent's Hospital, he was removed by correctional officers without formal medical discharge. Upon return to prison, his acute behavioural disturbance from drug toxicity was not recognised…
81y · Female·aspiration pneumonia, exacerbation of chronic obstructive airways disease (emphy…
… included: inadequate communication between nursing and ambulance service about clinical urgency, lack of medical input into priority designation, lost/destroyed ambulance request records, and critically deficient inves…
67y · Male·acute renal failure with associated severe acidosis and hyperkalemia
…ation, leading to misinterpretation of anuria as successful voiding. Discharge planning was inadequate: no escort was arranged despite documented dementia, the patient was sent home by bus in hospital pyjamas, and a crit…
67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…
Ye Chiu, a 67-year-old Chinese-speaking prisoner on remand, died by suicide in prison on 6 February 2017 after falling head-first from a landing. He had a complex psychiatric history including anxiety, depression, hypona…
84y · Male·Complications of hypertensive and atherosclerotic cardiovascular disease
…bout special transport needs, OIMS system updates, and hospital procedures for managing deceased persons' medical equipment in coronial cases. Healthcare and custodial care were deemed appropriate throughout.
35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…
…iate ambulance contact per protocol; physical presence in cell is essential while awaiting ambulance; non-medical staff cannot recognise critical deterioration; clearer protocols needed distinguishing immediate medical …
0y · Female·perinatal pneumonia in association with meconium aspiration
…failed to monitor vital signs adequately despite the baby being premature and unwell. Dr W., the visiting medical officer, provided no clear monitoring instructions and did not review notes on his return. The baby was t…
44y · Female·Head injury sustained when exiting a moving vehicle
A 44-year-old Filipino woman died from head injuries after exiting a moving vehicle travelling at 100 km/h during an episode of domestic violence. Ms Blackmore had reported non-lethal strangulation and threats to police …
20y · Male·Multiple injuries from fall from height
… inadequate documentation of his distress on cell intercoms; family contact attempts were blocked; and the escort officers failed to maintain proper restraint during hospital discharge. The coroner found the assessment c…
50y · Male·carcinomatosis due to metastatic, poorly differentiated renal cell carcinoma unc…
…r with metastases. The coroner found the delay in reviewing the September report and subsequent delays in medical review due to escort unavailability were failures in prison health management. However, the coroner concl…
49y · Male·Complications of metastatic gastric adenocarcinoma
Ahmed Rizk, a 49-year-old man in custody, died from complications of metastatic gastric adenocarcinoma. He presented with abdominal pain and constipation on 10 August 2017, was investigated at Glen Inness District Hospit…
25y · Male·compression of the neck due to hanging
Safar Ali, a 25-year-old remand prisoner, died by hanging in his cell at Yatala Labour Prison on 10 April 2015. He had been remanded in custody following charges of attempted murder of his ex-partner. Initial assessments…
37y · Male·hypoxic brain injury secondary to airway obstruction
Jayson Peter Hawkins, 37 years old, died from hypoxic brain injury secondary to airway obstruction while on remand at Melbourne Assessment Prison in December 2009. He died by asphyxiation using a plastic bag and ligature…
53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…
…t disease. He was serving a prison sentence and was shackled to his bed throughout most of his admission. Medical staff expressed concerns about shackling interfering with care and aspiration risk management, requesting…
45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…
…present. The coroner found the death arose by natural causes and found no significant deficiencies in his medical care. Issues noted included inadequate communication protocols between hospitals and prison authorities r…
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