Deceased
Dailyna Byrnes
Demographics
13y, female
Date of death
2009-02-19
Finding date
2010-04-16
Cause of death
cardiac arrest resulting from dehydration
AI-generated summary
A 13-month-old girl with short bowel syndrome died from cardiac arrest due to severe dehydration. She had been deteriorating with diarrhoea and vomiting on 18 February 2009, prompting nursing staff to escalate concerns to the evening registrar. The registrar conducted a brief, superficial examination without reviewing weight loss (8% in 48 hours), checking fluid balance charts, or obtaining relevant medical history. A minimal rehydration plan was implemented but not properly communicated at the shift handover. The night team was unaware of the deteriorating patient. Clinical lessons include: thorough assessment of dehydration requires reviewing weights and charts, especially in short bowel syndrome; adequate handover communication is essential; documentation of clinical assessments is critical for continuity; and prompt recognition of fluid losses demands appropriate escalation and IV rehydration consideration.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
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