206 results for “congestive cardiac failure”
83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…
An 83-year-old woman with severe aortic stenosis, atrial fibrillation, and heart failure died from pulmonary embolism one day after discharge following transcatheter aortic valve replacement (TA…
85y · Female·Hypostatic bronchopneumonia complicating fractured occipital condyle and left ne…
Moira McCarthy, an 85-year-old woman with dementia and multiple comorbidities requiring high-level aged care nursing, sustained a fall on 24 April 2013 when a ceiling hoist descended unexpectedly during a patient transfe…
78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…
A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely he…
55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …
Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient a…
93y · Female·acute right lower limb ischaemia
…review despite the patient's repeated requests for hospital transfer and family pleas for escalation. Key failures included: inadequate pain management response, lack of neurovascular assessment of the leg, failure to e…
68y · Male·Complications following myocardial infarction and its treatment in a man with mu…
…treatment. Admitted to hospital on 30 May 2020 with suspected NSTEMI, he developed acute-on-chronic renal failure requiring dialysis. A VasCath was inserted into the right subclavian artery instead of the vein but was p…
72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis
Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods…
92y · Female·Clozapine toxicity in a lady with terminal lung carcinoma
A 92-year-old woman with terminal lung cancer died from clozapine toxicity after receiving medication intended for another resident. An Enrolled Nurse preparing the medication trolley inadvertently placed another residen…
64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …
…. The following day, he deteriorated critically and underwent emergency surgery but died from multi-organ failure. Clinical concerns were raised about the initial assessment, delayed recognition of acute abdomen, and fa…
86y · Female·subdural haemorrhage due to or as a consequence of a fall
Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…
74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…
…nt clinical re-assessment when unexpected drowsiness and mobility changes emerge post-fall; documentation failures by nursing staff meant critical information was not communicated; and risk assessment should have deferr…
83y · Male·Aspiration pneumonia
An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he presented with acute swallowing difficulty and was examined by his GP w…
92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…
A 92-year-old man with complex cardiac history was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the…
56y · Female·Bronchial asthma and emphysema
A 56-year-old woman with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat at her remote home on 24 Ma…
74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair
A 74-year-old man with significant cardiac history (atrial fibrillation, dilated cardiomyopathy, pacemaker) underwent elective umbilical hernia repa…
61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…
A 61-year-old woman with severe restrictive lung disease, obesity, cardiac failure, and diabetes underwent cataract surgery at a private day surgery centre on 13 August 2018. She w…
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
An 87-year-old man with atrial fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheterisation attempts occurred on 15 July 2005: an un…
85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …
… have prevented death, given documented delays in locum doctor availability. The case highlights systemic failures: lack of prescriptive falls protocols in unregulated residential facilities, absence of medically traine…
57y · Male·brainstem and cerebellar infarction due to vertebrobasilar artery thrombosis
A 57-year-old man with multiple cardiovascular risk factors presented to an ED with vertigo, blurred vision, and 'not feeling right' caused by an evolving posterior circulation stroke. A junior doctor discharged him afte…
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…
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