325 results for “ischaemic injury”
30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…
A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
…ed consent and produced an inadequate operation report that didn't document surgical difficulties or organ injury. Postoperatively, there were missed opportunities for earlier recognition of deterioration (inadequate obs…
67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…
A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection during percutaneous coronary intervention at Sunshine Hospital and w…
43y · Female·Haemorrhage Associated with Penetrations of the Aorta
Margaret Brooks, a 43-year-old woman, died from haemorrhage associated with aortic penetrations during laparoscopic gastric band insertion at Kaleeya Hospital on 8 September 1999. The operation was undertaken for weight …
82y · Male·Trauma related intracerebral haemorrhage
An 82-year-old man with dementia, cerebellar ataxia, and mobility limitations fell from his wheelchair down three concrete steps (480cm drop) while attending a hearing aid appointment at an off-site clinic. He sustained …
79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…
…ance response; and omission of bed/chair sensors. He deteriorated in hospital with pneumonia, acute kidney injury, and cardiac complications, dying from respiratory failure. Key lessons: escalate all falls immediately, r…
0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…
Lucy Margaret Campbell died eight days after birth from severe hypoxic ischemic encephalopathy following complicated assisted vaginal birth at Ingham Hospital. Her mother had a low-risk pregnancy complicated by spontaneo…
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…
90y · Female·Complications of a right fractured neck of femur (operated) sustained in a fall …
A 90-year-old woman with dementia sustained a fractured neck of femur after being nudged by another aggressive dementia-affected resident in an aged care facility, resulting in a fall. Despite appropriate initial managem…
52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…
… cardiac arrest and was resuscitated but subsequently developed a massive stroke and diffuse hypoxic brain injury. The medical cause of death remains unascertained, though underlying cardiac disease (myocardial infarctio…
76y · Female·Ludwig's angina
… The patient developed acute airway obstruction during transfer, suffered cardiac arrest and hypoxic brain injury. Key lessons: Ludwig's angina requires recognition of airway compromise risk (may not present with stridor…
77y · Male·Complications of methotrexate toxicity in a man with chronic renal impairment, c…
A 77-year-old man with chronic kidney disease, COPD, and mild cardiac failure died from methotrexate toxicity after a GP prescribed it at an inappropriate daily dose (5mg daily) for psoriasis without baseline blood tests…
59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…
…intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being pushed inappropriately by a support worker…
30y · Male·Complications of methylamphetamine toxicity
Matthew Dongelmans, aged 30, died from complications of methylamphetamine toxicity after being arrested for breaching a family violence intervention order. He consumed methylamphetamine prior to arrest, likely in panic w…
4y · Male·Drowning
William Corben, a 4-year-old non-swimmer with documented chlorine reaction, drowned in neighbours' backyard pool on 28 February 2015 after approximately 20-27 minutes without oxygen. Critical factors included: pool gates…
32y · Female·Head injuries in a motor vehicle incident
Helena Zoe Broadbent, a 32-year-old pregnant Aboriginal woman, died from severe head injuries sustained when her partner William Wilson drove off in a vehicle while she was partially inside it, causing her to be ejected …
0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…
Joseph Thurgood-Gates died at 5 days old from global cerebral hypoxic injury due to uterine rupture during labour. The death was preventable. His mother, Ms Thurgood, had two prior ca…
Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…
… requiring 12 minutes of resuscitation to achieve cardiac output. He died 7 hours later from hypoxic brain injury due to intra-uterine asphyxia. Clinical issues included: inadequate informed consent regarding induction n…
2y · Male·Consistent with drowning
Hunter Patrick Boyle, a 2-year-old boy, drowned in a farm dam while under the care of his grandfather. Hunter and his grandfather visited a neighbouring property to feed a horse; within 30 seconds to 1 minute of losing s…
40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…
…r Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were identified. On…
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