23 results for “endotracheal intubation (post-arrest)”
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…diorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary oedema requiring intubation. During PICU management, multiple opportunities were missed to verify endotracheal tube positioning: con…
78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …
…rning hours. Critical delays in diagnosis and management followed: the overnight medical officer lacked endotracheal intubation skills and did not escalate promptly to senior specialists; nursing staff with tutorial trai…
42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…
Ruben Chand, a 42-year-old male, suffered a fatal hypoxic brain injury during emergency re-intubation in ICU. After an initially reasonable extubation decision, he deteriorated and required urgent re-intuba…
1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…
An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he ingested the screw and began choking. Parent…
69y · Female·Aspiration pneumonia in a woman with intellectual disability
Elizabeth Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined…
20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event
…t including oxygen, adrenaline and hydrocortisone, she was transferred to the High Dependency Unit where intubation became necessary. Dr N., a medical officer with 10-11 years post-graduate experience, chose pancuronium …
47y · Female·hypoxic ischaemic encephalopathy complicating systolic cardiac arrest in the set…
…standers initiated CPR; an ambulance arrived at 6:42pm and transferred her to Northern Hospital. Despite intubation, mechanical ventilation, and ICU care, she suffered recurrent cardiac arrests and multi-organ failure, d…
49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …
…e reversal of neuromuscular blockade (Train of Four monitor not calibrated pre-operatively); oesophageal intubation not recognised due to misidentification of an impedance monitor as capnography; delayed detection allowi…
21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…
Lucas Peyret, a 21-year-old with no significant medical history, presented to hospital with acute appendicitis and underwent emergency laparoscopic appendicectomy. Surgery was routine and uneventful. Upon emergence from …
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…
27y · Female·Cardiac arrhythmia (first confirmed as ventricular fibrillation) of unascertaine…
A 27-year-old Aboriginal woman suffered sudden cardiac arrhythmia (ventricular fibrillation) immediately after recording video evidence of a suspected breach of her protective apprehended personal violence order (APVO). …
54y · Male·acute myocardial infarction due to coronary artery atherosclerotic disease
Brett Furner, a 54-year-old man with significant coronary artery disease and recent myocardial infarction (February 2023), suffered an acute myocardial infarction and cardiac arrest while in police custody at Goulburn po…
31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…
… note documenting difficulty swallowing was not escalated to medical staff. Lessons include: maintaining intubation longer in compromised airways until swelling substantially resolves; mandating surgeon-intensivist consu…
42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …
…odules are disconnected; facilitate interdisciplinary communication about patient acuity; consider early intubation in agitated patients requiring critical oxygen support.
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
Beverly Ann Murphy, 70, underwent hysterectomy for endometrial carcinoma on 2 April 2008 at Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound de…
43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…
A 43-year-old man with methamphetamine toxicity was restrained by police and given two doses of droperidol by paramedics who failed to recognize he was critically unwell. The first dose was clinically indicated, but the …
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…
74y · Female·Cardio-renal failure due to gangrene of calculous gallbladder, with significant …
An elderly woman with a documented penicillin allergy, wearing a MedicAlert bracelet, presented to emergency with respiratory distress and chest pain. She was administered intravenous Ampicillin without allergy verificat…
28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…
A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after inducti…
54y · Male·hypoxic-ischaemic encephalopathy resulting from neck compression due to entrapme…
Jorge Castillo-Riffo, a 54-year-old construction worker, died from hypoxic-ischaemic encephalopathy resulting from neck compression. While working on a scissor lift to patch post-tensioning pockets on a concrete slab edg…
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