19 results for “haemodynamic instability”
84y · Male·Urinary tract infection in a man with Parkinson's disease
…d fever and confusion; 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 intraven…
68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…
…vated urea and 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 fro…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
… preoperatively despite their documented use; inadequate pre-operative assessment; failure to recognise haemodynamic instability (dropping blood pressure, rising heart rate); premature discharge rather than emergency hos…
90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure
…h coffee-ground vomiting and severe abdominal pain. Clinical examination revealed critical illness with haemodynamic instability, hypoxia, peritonism, and imaging confirmed closed-loop bowel obstruction with free abdomin…
60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…
… emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodynamic support. During IABP removal on post-operative day 1, the patient developed acute abdominal pain with e…
34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …
… apart, rather than the guideline dose of maximum 3mg in three separate doses 10-15 minutes apart) to a haemodynamically unstable patient. Within minutes, the patient arrested, requiring hysterectomy and ICU admission. S…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
…d of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved emergency coronary artery…
33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…
…rome with elevated troponin. However, cardiogenic shock developed during admission, requiring intensive haemodynamic support. Medical experts identified that prescribing beta-blocker on day 2 was an error in cardiogenic …
59y · Male·Aspiration pneumonia and non-ST elevation myocardial infarction in a man with in…
… troponin and was admitted under cardiology. Despite MET calls for deteriorating oxygen saturations and haemodynamic instability, clinical management included antibiotics and supportive care. Goals of care discussions wi…
76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…
…istrar) failed to recognize Mrs MDF's clinical deterioration despite progressive metabolic acidosis and haemodynamic instability over several hours. Critically, the Consultant Surgeon and Consultant Intensivist did not d…
78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…
… patients with multiple comorbidities and religious contraindications to blood products; intraoperative haemodynamic deterioration warrants prompt re-exploration when alternative causes excluded.
53y · Male·Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a …
…on pneumonia and underwent PEG placement on 6 February 2023. He deteriorated 3 days post-insertion with haemodynamic instability and gastrointestinal bleeding, dying 8 days after procedure. The coroner found no want of c…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
…. Clinical lessons include: maintain high suspicion for subgaleal haemorrhage severity despite apparent haemodynamic stability; repeat blood gas and haemoglobin testing regularly; ensure transfusions proceed without dela…
75y · Female·Complications of multiple injuries sustained when struck by a car (pedestrian)
…ission with multiple surgeries. Despite maximal treatment over three weeks, her condition declined with haemodynamic instability and hypoxia. The collision occurred in poorly lit conditions at dusk; the deceased wore dar…
14y · Female·Neisseria meningitidis infection (meningococcal septicaemia)
…spital Emergency Department on 4 December 2007 with high fever (40°C), headache, vomiting, myalgia, and haemodynamic instability (hypotension, tachycardia, tachypnoea)—all signs of serious bacterial infection. Hospital d…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibi…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…
36y · Male·Multi-organ failure complicating injecting drug use
A 36-year-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was tr…
28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…
A 28-year-old Aboriginal male died from hypovolemic shock following operative exploration of multiple stab wounds to the thigh. The death was preventable. Critical failures included: delayed surgery from Friday to Saturd…
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