267 results for “severe heart failure”
53y · Female·Natural causes unascertained
Yvonne Dekkers, a 53-year-old woman with Down syndrome, advanced dementia, congestive cardiac failure, and severe dysphagia, died in hospital from unascertained natural causes. She had experienced progressiv…
91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…
…n during sign-off, and nursing staff did not verify allergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers…
Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…
…rom hypothermia after leaving hospital inadequately dressed; Big Brother died from pneumonia and ischaemic heart disease while in custody, having been subjected to spit hoods during hospitalisation. Critical failures in…
73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…
…ire caused by a 120-volt electric blanket operating on Australia's 230-volt grid, resulting in insulation failure and combustion. Mr Burkhalter (73) died from carbon monoxide toxicity; Mrs Burkhalter (74) suffered sever…
39y · Male·dilated cardiomyopathy
… prior myocardial infarction, presenting acutely with cholecystitis, acute kidney injury, and multi-organ failure. The coroner found he received appropriate standard healthcare equivalent to non-custodial care, with tim…
55y · Male·Bronchopneumonia in a man with a healing myocardial infarction
Leon Edward Balshaw, aged 55, died from bronchopneumonia complicating a healing myocardial infarction while in police custody. He was arrested on 25 January 2018 following a domestic dispute and taken to Bairnsdale Regio…
56y · Male·acute exacerbation of chronic obstructive pulmonary disease (bronchial asthma) i…
…dfields Regional Prison with poorly controlled asthma complicated by smoking and non-compliance. Critical failures included: failure to obtain recent hospital records at reception, incorrect medical information in priso…
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…
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
84-year-old man with end-stage dementia died from general inanition following a fractured neck of femur sustained while under a Level 2 Inpatient Treatment Order. He was admitted in January 2019 with confusion and agitat…
21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…
…ed by necrotising fasciitis (Group A Streptococcus) on 14 October 2011, presenting 8 days post-partum with severe leg pain and multiple signs of sepsis. Critical failures included: absence of sepsis recognition protocols…
0y · Female·Sepsis
…hours prior to delivery. The infection caused chorioamnionitis with profound foetal inflammatory response, severely compromising the baby before labour commenced. Clinical lessons: (1) Patients declining evidence-based i…
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
Geoffrey Douglas Nicholls, aged 41, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing …
1y · Female·acute myocardial infarction secondary to Kawasaki's Disease
…s, died from acute myocardial infarction secondary to Kawasaki's Disease. She presented to Gympie Hospital severely underweight and malnourished on 3 February 2006, having failed to thrive from approximately 6 months of …
81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…
An 81-year-old woman with Alzheimer's disease, osteoporosis, and severe coronary artery disease died from acute pyelonephritis (kidney infection) combined with coronary heart dis…
66y · Male·infectious complications of plasmablastic myeloma
…ogical care including chemotherapy and radiotherapy. However, the inquest identified significant systemic failures in correctional policy application: (1) he was inappropriately shackled to his hospital bed throughout m…
88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia
… multiple falls and hospitalizations in late 2016, she was identified as high-risk for pressure ulcers and severely malnourished (BMI 14.4). Despite being discharged back to Crofton House with documented pressure ulcer r…
54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine
JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…
0y · Female·Intra-uterine hypoxia
…actions. From approximately 1300 hours, the CTG showed concerning features including rising baseline fetal heart rate and decelerations. The attending midwife attempted to contact the obstetrician; a Caesarean section w…
16y · Female·obstructed breathing and heart arrhythmia secondary to severe obstructive sleep …
A 16-year-old Aboriginal girl with severe obstructive sleep apnoea died unexpectedly in her home one week before scheduled surgery. She had been sym…
0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension
Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to invest…
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