213 results for “congestive cardiac failure”
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…
Unknown·COVID-19 infection with various comorbidities as contributing factors
…ol, severe staffing shortages, and suboptimal clinical management under a Hospital-in-the-Home model. Key failures included: delayed PCR testing allowing spread, incomplete Advance Care Plan discussions, inadequate pain…
84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…
An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…
64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…
A 64-year-old woman died from respiratory arrest secondary to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but c…
91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…
…elevated inflammatory markers. He subsequently suffered a cerebrovascular event and died. Multiple system failures occurred across prescribing, dispensing, pharmacy software alerts, and nursing administration. Key learn…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
… initially misdiagnosed as having aspiration pneumonia rather than community-acquired pneumonia. Critical failures included: (1) radiology report showing pneumonia not communicated urgently by telephone to treating doct…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
… physiotherapy recommendations that she wear hip protectors 24/7, she was not wearing them due to laundry failures. The fall triggered rapid deterioration; she underwent hemiarthroplasty but died 14 days later from card…
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