95 results for “clinical instability”
84y · Male·Urinary tract infection in a man with Parkinson's disease
…onfusion; antibiotics were commenced. The following morning, a locum medical officer noted haemodynamic instability and recommended hospital transfer, but this was not acted upon. However, following intravenous fluid ad…
68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…
…d characteristic pattern of bleeding that stops then recurs. They should have assessed for haemodynamic instability and undertaken further investigations before discharge. The patient died that afternoon from exsanguina…
15y · Male·Combined heroin and methamphetamine toxicity
…combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over 20 placements in two years), early trauma, parental substance use history, and escalating mental …
32y · Male·Self-inflicted gunshot wound to head
…ve triggered careful reassessment given his documented alcohol-related behaviour and apparent emotional instability. The key clinical lesson is that drink-driving offences, particularly those with significantly elevated…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
…ly despite their documented use; inadequate pre-operative assessment; failure to recognise haemodynamic instability (dropping blood pressure, rising heart rate); premature discharge rather than emergency hospital admiss…
90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure
…c and respiratory issues. He presented to hospital with coffee-ground vomiting and severe abdominal pain. Clinical examination revealed critical illness with haemodynamic instability, hypoxia, peritonism, and imaging con…
36y · Male·Immersion (drowning)
…er on 10 April 2019. He was subject to a Community Treatment Order and had experienced repeated housing instability over 30 months, being evicted five times. Despite proactive case management efforts to secure appropria…
44y · Male·acute alcohol intoxication
…A postmortem revealed fatty liver and cardiomegaly. While this death was not preventable in the immediate clinical sense, it underscores the challenges of treating alcohol use disorder, the importance of sustained addict…
35y · Male·Combined effects of positional asphyxiation and intoxication
…ired his ability to protect his airway and reposition himself. Pre-existing knee injuries amplified his instability. No evidence supported assault. Clinical lessons include recognizing that severe alcohol intoxication i…
62y · Male·Pneumonia in a man with multiple comorbidities
…reassessed as pre-terminal on 16 September and transitioned to comfort care. He died on 18 September. The clinical lesson is the importance of recognising early clinical deterioration, particularly increased respiratory …
42y · Male·Mechanical asphyxia in setting of external compression of chest by ride on mower
…fter his ride-on lawnmower rolled over a retaining wall on a slope exceeding recommended angles. Critical clinical lessons: the seatbelt with rollover protection system (ROPS) was equipped but not worn—wearing it would l…
46y · Male·Ventricular arrhythmia in a man with epilepsy and documented episodes of bradyca…
…a episodes. The coroner accepted this as consistent with sudden unexpected death in epilepsy (SUDEP). Key clinical lessons: SUDEP is a recognised but unpredictable complication of epilepsy with no proven prevention strat…
43y · Male·compression of the neck in keeping with hanging
…oner found hospital care and correctional services supervision were appropriate in the circumstances. Key clinical lessons include: the importance of checking drug levels when overdose is suspected despite patient denial…
33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…
… while evading contact due to his mental disturbance. No remains were ever found. The case highlights the clinical challenges of managing acute delirium/psychosis in remote communities where vulnerable individuals may fl…
34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …
…g hysterectomy and ICU admission. She developed multi-organ failure with irreversible shock and died. Key clinical lessons: ensure clear communication between surgical and anaesthetic teams during obstetric emergencies; …
18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…
…th whom she had a dysfunctional relationship, medication non-compliance (particularly lithium), housing instability, and recent relationship breakdown. Talieha had post-traumatic stress disorder and borderline personali…
18y · Female·Mixed drug toxicity
… overdose. She had multiple psychiatric admissions in early 2021 for suicidal crises. Despite appropriate clinical care during hospitalizations, she was discharged to inadequate accommodation (hotels) with limited outrea…
0y · Male·Positional asphyxia contributed to by bronchopneumonia and head injuries
…g the baby in a lounge chair; the infant was found face down on his father's lap at approximately 4:00am. Clinical lessons include: infants in the care of fatigued or substance-affected adults are at significant risk; a …
15y · Male·ligature compression of the neck (hanging)
…th highlights systemic issues in remote out-of-home care: staff attrition, resource scarcity, placement instability, and the profound effects of early trauma and FASD on emotional regulation and impulse control. Prevent…
59y · Male·mixed drug toxicity (tramadol and sertraline), likely serotonin syndrome
… daily), exceeding safe guidelines. When his sertraline was increased from 100mg to 150mg for emotional instability—symptoms potentially representing early serotonin toxicity—the combined high-dose serotonergic agents c…
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