21 results for “suction”
13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…
… Helen Boyce, aged 13, drowned in a spa pool at a resort after her long hair became entrapped in the pump suction system. She was submerged for an estimated 10-20 minutes before being freed. Despite immediate CPR and re…
68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia
Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting…
50y · Female·Irreversible hypoxic brain injury sustained during surgery for meningioma resect…
… anaesthetist regarding tumour vascularity and anticipated bleeding risk; failure to visually monitor all suction containers despite known blood loss concerns; low platelet count (78,000) proceeding to elective brain su…
…mine the specific cause due to fire intensity and destruction of evidence. Key findings: IROFSD hydraulic suction hoses incinerated, allowing 400-600 litres of hydraulic fluid to drain into the fire and significantly in…
64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis
…ical ventilation, she was transferred to a medical ward where an equipment malfunction (fractured in-line suction system nozzle) delayed suctioning of airway secretions. The immediate clinical lesson is that clinicians …
72y · Male·Choking on a food bolus
…gy review; feeding technique matters—staff must recognize signs of food pooling and inability to swallow; suction equipment must be functional and staff competent in its use; and resuscitation attempts should commence p…
11y · Male·Drowning
…ter to flow and pool at the inlet opening, Ryan was drawn into an uncovered, 600mm diameter pipe by water suction and drowned. He was swept 861 metres through the underground drainage system. The inlet was a 1950s-era s…
1y · Male·Global cerebral ischaemia in an infant with upper airway obstruction
…tion (gasping, cyanosis, apnoea) and did not perform appropriate emergency airway management. She did not suction the tracheostomy or change the tube, instead providing ineffective CPR without adequate ventilation throu…
11y · Female·Drowning following entrapment on the active main drain of the spa pool
…ing work when proper preventive procedures were not followed. The blockage created approximately 350kg of suction pressure that trapped the child beneath the water surface. Multiple system failures allowed this preventa…
20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…
…sing complete dislodgement. Critically, the tube should have been removed and replaced immediately when a suction catheter could not be passed, but this did not occur for approximately 46 minutes. Staff attempted blind …
57y · Male·aspiration pneumonia secondary to small bowel obstruction
A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of shock. He was appropriately transferred to hospital where small bowel ob…
52y · Female·haemorrhage from a tracheal-innominate artery fistula complicating a tracheostom…
A 52-year-old woman died from catastrophic haemorrhage due to a tracheal-innominate artery fistula 10 days after percutaneous tracheostomy following stroke and decompressive craniectomy. Minor bleeding was observed 3 day…
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
A 37-year-old Aboriginal male prisoner with a long history of treatment-resistant schizophrenia died at the Darwin Correctional Precinct. He was on high-dose olanzapine (15mg twice daily) and zuclopenthixol when he devel…
77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…
… objects in his mouth. The handkerchief migrated into his airway by late evening. Nursing staff performed suctioning with a hard plastic device, which compressed the handkerchief further into the airway, causing complet…
80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus
Beatrice Ivy Brown, aged 80, died at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) documentation of prior choking epis…
41y · Male·sympathomimetic syndrome
Andrew Berry, a 41-year-old man with a long history of methamphetamine use and criminal offending, died of sympathomimetic syndrome following arrest by police on 14 January 2020. He was arrested after attempting to break…
27y · Female·chest injuries
…e purported event doctor wasn't confirmed, medical staff lacked proper equipment including non-functional suction apparatus and no chest decompression kits, and critical airway equipment was unavailable; (2) lack of cla…
Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…
Two aged care residents died from choking on bread despite being prescribed minced and moist diets that prohibited regular bread. Mr Gesios was fed bread dipped in Milo by an inexperienced AIN without adequate supervisio…
26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…
Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asym…
0y · Female·Group B Streptococcus infection
A 7-hour-old neonate died from early-onset Group B Streptococcus (GBS) infection contracted during labour. The mother's GBS screening test at 35-37 weeks gestation was reported negative, and no antibiotic prophylaxis was…
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