13 results for “IV fluid administration”
58y · Male·chest and abdominal injuries sustained in motor vehicle collision
…hree doctors present at the scene. Critical management issue: when a qualified doctor (Dr H.) requested IV fluids for fluid resuscitation to manage hypovolaemic shock from severe trauma, the volunteer ambulance had none…
3y · Female·massive air embolism
… giving set, allowing air to enter the bag. The bag was placed in an opaque pressure cuff that forced both fluid and air through the IV line into the patient's circulation. At 250 mL/hour infusion rate, fluid exhausted …
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ell, there was a 2-hour delay before parenteral antibiotics were administered and a 4-hour delay before IV fluids were started. The IV line subsequently tissued and was never successfully restarted. She was transferred …
11y · Male·Sepsis
… multiple unsuccessful cannulation attempts without timely escalation to intraosseous or intramuscular administration, and communication breakdown (junior registrar unaware of critical blood gas results showing acidosis …
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…
79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure
Mrs Mulvinskas, a 79-year-old with end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became …
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
…ciation of sepsis severity; failure to escalate to ICU consultation or retrieval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol…
45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol
…g he had taken tablets, staff failed to escalate appropriately. The nurse contacted the doctor only for IV fluid approval but never for guidance after he reported pill ingestion. No rigid protocols existed for managing …
19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)
…erning symptoms, nursing staff expressing concern, and the junior doctor's inexperience. Treatment with IV fluids and analgesia failed to improve his condition, yet the diagnosis was not reassessed. Blood tests taken at…
85y · Female·Complications of a left ankle fracture (operated)
An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…
1y · Female·Sepsis (Group A Streptococcus)
…al: delayed recognition of septic shock, delayed intravenous access (three hours), delayed antibiotics and fluid resuscitation, and delayed retrieval initiation. The child deteriorated acutely with petechial haemorrhage…
59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…
59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…
37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia
Glen Dooley, a 37-year-old Aboriginal man, died of atherosclerotic heart disease and dyslipidaemia while in custody at Darwin Correctional Centre. His death was avoidable. He had abnormal ECGs in 2019 and 2022 that were …
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