18 results for “anticoagulation-related bleeding”
Female·retroperitoneal blood loss in a setting of anticoagulation therapy following hip…
Valerie Kolts died from retroperitoneal blood loss following hip replacement surgery while on anticoagulation therapy. The coroner found no lack of care contributed to her death. Although some clinical signs were retrosp…
95y · Female·acute left subdural haematoma complicating anticoagulant therapy for deep vein t…
…roner found her care and treatment were appropriate. Key clinical lessons include: careful monitoring for bleeding complications in elderly patients on anticoagulation; consideration of fall risk and head injury assessme…
48y · Female·intracerebral haemorrhage on a background of anticoagulation therapy for a recen…
…e recurrence and psychiatric decompensation. However, anticoagulation carried known risk of intracerebral bleeding. Days after clinical improvement, she suffered a fatal spontaneous brain bleed—an unavoidable complicatio…
75y · Male·acute right subdural haemorrhage sustained in a fall
…spital would have been reasonable. The case highlights the clinical challenge of identifying intracranial bleeding in anticoagulated elderly patients presenting with apparently normal neurological findings, and the impor…
84y · Female·acute left subdural haematoma
…red to hospital for assessment and CT scanning. This case illustrates the particular risk of intracranial bleeding in anticoagulated elderly patients with dementia, where cerebral atrophy delays symptom recognition. Earl…
77y · Female·Subdural haematoma secondary to blunt head trauma (head-strike)
…r only chance of survival. Key lessons: never assume minor head injury presentation excludes intracranial bleeding in anticoagulated patients; ensure senior clinicians are aware of medication history; follow institutiona…
89y · Male·Complications of cerebrovascular accident (stroke); specifically a catastrophic …
…ge involved balancing anticoagulation therapy to prevent embolic stroke against his high gastrointestinal bleeding risk following gastric ulcers and his frequent falls. His anticoagulant (apixaban) was withheld from July…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT …
82y · Male·closed head injury (subdural haematoma) sustained in a fall
… judgment regarding imaging in anticoagulated patients must account for delayed haematoma development and bleeding variability; (4) protocols for head injury imaging in anticoagulated patients should extend beyond emerge…
86y · Male·Traumatic closed head injury suffered in a fall
…VT. An IVC filter was inserted to manage the DVT without anticoagulation (contraindicated by intracranial bleeding). He developed seizures and died on 10 December. The coroner found the aged care facility's falls prevent…
80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…
Mrs Bowerman, aged 80, fell at home on warfarin anticoagulation and sustained a minor head injury with no initial neurological signs. Paramedic Turnbull assessed her as requiring no transport (TNR), despite her anticoagu…
73y · Female·coronary atherosclerosis
… and thrombotic risk. The haematoma was difficult to detect clinically and post-mortem analysis confirmed bleeding occurred after transfer from ICU. The coroner found no fault in medical management and concluded risks of…
62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…
A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed to report it, …
79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement
…icoagulant-based regimens, with anticoagulants possibly associated with higher all-cause mortality due to bleeding complications.
55y · Male·Subdural haematoma in a man with diabetes mellitus and chronic kidney disease (r…
A 55-year-old Aboriginal man with end-stage renal disease, diabetes, ischaemic heart disease and COPD died from a spontaneous subdural haematoma while undergoing haemodialysis in prison custody. He presented with headach…
38y · Female·Pulmonary Thromboembolism
Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
…ithin 24 hours, leading to contamination, aspiration pneumonia, ARDS, necrotising fasciitis, intracranial bleeding during anticoagulation, and death. Both surgeries involved extensive adhesiolysis. Expert evidence sugges…
85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …
Patricia Cook, 85, died from complications of a subdural haematoma following a fall at a supported residential service (SRS) while on warfarin for atrial fibrillation. She fell on 30 September 2007, striking her head. Pe…
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