In our first issue for 2016, we look at three cases where deaths occurred as a result of complications arising from day procedures. None of the cases were urgent and in two cases the procedures were sought by the patients for cosmetic benefits and perceived lifestyle enhancement.
The two cases in this issue explore the challenging scenarios of managing a deteriorating patient in a rural or regional setting, and the obstacles that are faced when attempting to transfer a critically ill patient for ongoing treatment.
Clinical Communiqué Download PDF: Clinical Communiqué September 2015 Edition In this edition Editorial Case #1 The Price of Ignorance Case #2 History Repeating Case #3 A Risk Unseen Expert Commentary: Assessing Fitness to Drive in Australia Editorial In this issue of the Clinical Communiqué we explore, for the first time in our publication, the important subject of […]
Clinical Communiqué Download PDF: Clinical Communiqué June 2015 Edition In this edition Editorial The experience of witnesses called by the Coroners Court Case #1 Familiarity is key Case #2 In defence of protocols Expert Commentary: How to make a better medical emergency team? Editorial This issue of the Clinical Communiqué describes two cases of patient deterioration that […]
Clinical Communiqué Download PDF: Clinical Communiqué March 2015 Edition In this edition Editorial Case #1: Lost in translation Case #2: A catastrophic cascade Case #3: Clinical picture or digital pictures? Expert Commentary: Novices and experts – Bridging the gap List of resources Editorial Welcome to the first edition of the Clinical Communiqué for 2015. The three cases in this edition […]
Clinical Communiqué Download PDF: Clinical Communiqué December 2014 Edition In this edition Editorial Case #1: Red Flags – Think, Worry, Rethink! Case #2: Look for the Worst and Hope for the Best Case #3: Fit the Plan to the Place Expert Commentary: Heuristic Thinking in Clinical Decision-Making – A Psychological Perspective Editorial Welcome to the second issue […]
A reader has sought clarification about some specific details in Case #1 (3583/05 VIC) from our first issue. First a correction, the medication administered was toradol and not tramadol as we noted. This is a classic case of similar name, similar sounding medication. For more information about ‘Look-Alike, Sound-Alike Medication Names’ visit the WHO Collaborating […]
This issue describes two cases where systemic errors resulted in delays of recognition and treatment of a clinical situation. A schedule for 2010 Open Days and an update on the electronic medical deposition are also provided. Also, the introduction of the new Coroners Act 2008(VIC) on the 1st November 2009 with a focus on prevention, and the obligation for the Coroners Court to publish their findings, comments and recommendations following an inquest.