265 results for “intubation and ventilation”
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal manageme…
3y · Female·Hypoxic-ischaemic encephalopathy due to chorioamnionitis due to Gardnerella Vagi…
…ollowing home birth at term. Clinical lessons include: (1) decreased fetal movements at 39+ weeks gestation and hospital recommendation for induction should have contraindicated home birth; (2) prolonged rupture of memb…
50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…
…tre but removed due to aggressive behaviour, he was transferred to the Townsville police watchhouse. Queensland Ambulance Service assessed him as medically fit to remain in custody after vital signs checked normal and G…
34y · Male·multi-organ failure with right-sided tension pneumothorax
A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. H…
67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…
Ye Chiu, a 67-year-old Chinese-speaking prisoner on remand, died by suicide in prison on 6 February 2017 after falling head-first from a landing. He had a complex psy…
41y · Male·Subdural haematoma
…withdrawal syndrome, despite concerning features including severe headache (9/10), vomiting, pupil changes, and progressive drowsiness. A subdural haemorrhage (acute on chronic) was not diagnosed until transfer to a reg…
0y · Female·Group B Streptococcus meningitis and sepsis
An 18-day-old baby died from late-onset Group B Streptococcus (GBS) meningitis and sepsis. She was born at a regional private hospital after labour complicated by maternal fever (37.6°C), fo…
54y · Male·quetiapine toxicity in a man with ischaemic heart disease
…tely overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and presented to Grampians Health (GH) with multiple suicide attempts within 72 hours. The Coroner found severa…
31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging
… died from hypoxic encephalopathy following hanging in a prison mental health unit. Despite being psychotic and refusing medication, he was not transferred to a specialised mental health facility (MHSU at Silverwater) f…
44y · Female·Head injury sustained when exiting a moving vehicle
…ling at 100 km/h during an episode of domestic violence. Ms Blackmore had reported non-lethal strangulation and threats to police 40 hours before her death, but police did not adequately assess the high-risk situation o…
69y · Male·septic shock with multi-organ failure in a man with neutropenic sepsis on a back…
…boratory scientist failed to refer blood films to haematology despite protocol requirements on 22 September and 5 October 2021, delaying AML diagnosis. When urgent referral was eventually made on 4 November 2021, it bec…
0y · Female·subgaleal haematoma complicating an obstructed labour
…the fetal head in occipito-transverse position. Vanessa was born in poor condition (APGAR 2/10 at 1 minute) and required resuscitation. Dr D., the attending paediatrician, documented concern about possible SGH but did n…
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
…ulation at 23 weeks. She died 9 hours 43 minutes after birth from combined hypoxic-ischaemic encephalopathy and E. coli sepsis secondary to chorioamnionitis. Critical clinical lessons include: (1) confusion over twin no…
27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…
…ministered sedation without adequate monitoring or communication about positioning risks. Michael collapsed and died. Contributing failures included: police maintaining prone restraint after patient became immobile desp…
26y · Male·Multi-organ failure due to pneumococcal septic shock
A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He deve…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
… fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Key clinical lessons: (1) Admission urinalysis was not …
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
A 33-year-old man with schizophrenia and a forensic history suffered cardio-respiratory arrest during prone restraint in a busy emergency department…
6y · Female·Brain stem herniation due to pneumococcal meningitis
…coccal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 August 2013. Critical clinical lessons include: (1) asplenic children presenting with fever …
8y · Male·Hypoxic Ischaemic Encephalopathy resulting from asphyxiation due to co-sleeping …
…morning of 30 April after an unobserved period of co-sleeping during the night shift. Despite resuscitation and transfer to Princess Margaret Hospital, irreversible brain damage had occurred. The hospital had no formal …
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
Ms Sobb, a 25-year-old woman with spondylo-epi-metaphyseal dysplasia causing severe airway abnormalities and subglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU wit…
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