Recommendations recap - issue 2 [pdf, 1.7 MB]
...occurring in the future. In order to publicise these lessons, the findings and recommendations of most cases are open to the public. Table of contents 1 Case study butane 11 Recommendations 11 Adverse effects or reactions to medical or surgical care 15 Aged care 15 Child deaths 17 Deaths in custody 26 Drugs, alcohol or substance abuse 27 Fall 27 Fire-related 27 Homicide or interpersonal violence 28 Mental health issues 28 Natural causes 28 Product-related 29 Recreational or lei...