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210 results for multi-organ failure

QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

…ze sepsis or clinical deterioration. Critical errors included: misinterpreting elevated troponin as renal failure alone, not initiating antibiotics despite infection signs, not correcting hyperkalaemia, and transferring…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
NSWhospital2020-03-17

Inquest into the death of Esteban FRANCO-GARCES

<1y · Male·Sepsis

…nitial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures included: delayed triage (20-minute wait), failure to involve senior staff early despite recognising sep…

emergency medicinepaediatricsdiagnosticdelayantibiotics
WAhospital2023-02-22

Inquest into the Death of Aishwarya Aswath CHAVITTUPARA

7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)

7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospi…

emergency medicinepaediatricsdiagnosticcommunication
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…e had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critical failures included: inadequate appreciation of sepsis severity; failure to escalate to ICU consultation or retriev…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
NSW2020-03-25

Inquest into the death of Mahmoud ALLAM

28y · Male·MRSA sepsis

Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …

infectious diseasesemergency medicinecommunicationsystemflucloxacillin
SAhospital2011-03-28

Coroner's Finding: ALLAN Vera

81y · Female·Severe cardiogenic shock complicating cardiac surgery

An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…

cardiothoracic surgeryanaesthesiamedicationcommunicationadrenaline
QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

… while in immigration detention. His death was preventable and resulted from multiple compounding errors: failure to recognise severe sepsis despite worsening vital signs; lack of appropriate antibiotics at the Manus Is…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
WAhospital2013-01-17

Inquest into the Death of Mckay-Hall, Julienne Maria

46y · Female·Complications following cardiorespiratory arrest in association with an air embo…

…al cardiac arrest. The coroner found the quality of care 'grossly inadequate', particularly the surgeon's failure to respond to signs of sepsis and nursing failures to escalate and communicate.

general surgerybariatric surgerydiagnosticcommunicationmorphine
NThospital2025-12-19

Inquest into the death of T. Ptjara and T. Ptjara

Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…

…emic heart disease while in custody, having been subjected to spit hoods during hospitalisation. Critical failures included: inadequate use of interpreters when discussing accommodation (both men were limited English sp…

emergency medicineintensive carecommunicationsystem

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