267 results for “severe heart failure”
44y · Male·Sepsis due to Streptococcus pyogenes (Group A Streptococcus) septicaemia complic…
…th fluids and discharged the next morning appearing clinically improved. He re-presented 12 hours later in severe septic shock and died from Group A Streptococcal septicaemia superinfecting influenza. Expert opinions sug…
0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…
Baby G, born with Trisomy 21 (Down Syndrome) and complex cardiac anomalies, died at Royal Darwin Hospital on 18 March 2023 aged 6 months. The coroner found that non-invasive prenatal testing (NIPT) should have been offer…
43y · Male·Complications of valvular heart disease
…d from complications of aortic valve stenosis. A transoesophageal echocardiogram in June 2022 demonstrated severe aortic stenosis requiring valve replacement. No follow-up appointment was scheduled despite clear clinical…
0y · Female·perinatal pneumonia in association with meconium aspiration
… on 20 March 2008, died from perinatal pneumonia with meconium aspiration the same day. Critical clinical failures occurred during her nine hours and forty minutes at Dalwallinu Hospital. Observations were taken only on…
60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…
… coroner concluded the patient would likely have consented anyway given his limited curative options, the failure to document and specifically discuss this radiation-specific risk in medical records represents a prevent…
68y · Male·Dilated cardiomyopathy with previous aortic valve replacement and aortic graft
A 68-year-old man with aortic valve replacement died from undiagnosed dilated cardiomyopathy, with retroperitoneal haemorrhage as a contributing factor. He developed a large perinephric haematoma (1900mL) secondary to ov…
44y · Male·Cardiac arrhythmia during physical restraint
…ective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely sedate him with intramuscular lorazepam was not…
0y · Male·severe hypoxic ischaemic encephalopathy secondary to uterine rupture
Baby AM died from severe hypoxic ischaemic encephalopathy secondary to uterine rupture during a planned home vaginal birth after ca…
68y · Male·drowning against a background of cardiomegaly and severe coronary artery calcifi…
…er 2012 while snorkelling at Michaelmas Cay on the Great Barrier Reef. He had undiagnosed cardiomegaly and severe coronary atherosclerosis. The coroner identified multiple missed opportunities in safety management by Voy…
Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome
…erm baby born at 39 weeks died from hypoxic-ischaemic encephalopathy due to meconium aspiration. Critical failures in fetal monitoring were identified: the admission CTG was abnormal but not recognised as such by the mi…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
…nts leave school without basic literacy/numeracy), and very high unemployment. The coroner found systemic failures: no government leadership or coordination despite $1.2 billion annual state spending on Aboriginal servi…
45y · Male·focal coronary artery disease and cardiomegaly
…s 2-day hospital stay, clinicians prescribed multiple antipsychotic and sedative medications to manage his severe agitation and aggression. ECG monitoring revealed progressive QT interval prolongation, which can increase…
84y · Female·Major cerebral infarct due to hypoglycaemia
Marie Goder, an 84-year-old with diabetes, developed severe hypoglycaemia following insulin administration at a nursing home on 1 November 2009, resulting in prolonge…
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 d…
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
…6-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden ar…
47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…
Nick Panagiotopoulos, a 47-year-old man, suffered a fatal acute myocardial infarction (heart attack) on 16 October 2021 at home in Preston, Victoria. His family made five calls to Triple Zero (000) r…
66y · Male·Coronary atherosclerosis
…t. The underlying coronary artery disease and a massive meal consumed post-operatively triggered the fatal heart attack. Key clinical lessons: manufacturers must provide clear, context-specific guidance for device progr…
8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma
An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…
81y · Male·Head injury sustained in a fall
…oner could not establish with certainty that earlier intervention would have changed the outcome given the severe nature of bleeding and his post-operative complications including recurrent drain blockages. Key clinical …
86y · Female·Plastic bag asphyxia
An 86-year-old woman with delirium, depression, and multiple cardiac comorbidities died by asphyxiation with a plastic bag while in a transitional care facility. She had expressed wishes to die, references to suicide, an…
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