435 results for “renal failure”
35y · Male·Multiple organ failure—cause not determined to requisite standard
…aggressive medical treatment including atropine for suspected chemical poisoning, he developed multiorgan failure and died on 9 January 2015. Despite extensive investigation, inquest testimony from multiple expert toxic…
78y · Male·cardiorespiratory failure due to complications of tracheal stenosis
Bruce Hodges, a 78-year-old man with a 20-year-old tracheostomy following laryngeal cancer surgery, presented to hospital with progressive shortness of breath and tracheal stenosis. Over 48 hours of admission, his respir…
39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…
Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not detected prenatally…
18y · Male·respiratory failure secondary to closed chest trauma
Daniel Madeley, 18-year-old apprentice toolmaker, died from respiratory failure secondary to closed chest trauma after being entangled in a Soviet-era horizontal boring machine at his w…
83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…
…been prevented had PPI therapy continued, particularly in a patient receiving anticoagulation. Additional failures included lack of surgical review for undifferentiated abdominal pain, inadequate symptom investigation, …
71y · Male·Complications following a right hepatic artery injury following an open cholecys…
…ed earlier return to theatre and potentially different outcome. The coroner emphasised this was a systems failure in escalation protocols rather than an operative error.
78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…
Paul Henri, 78, died from cerebral infarction and hypoxic brain damage following aspiration pneumonia and opioid-related complications. He was admitted to an aged care home and commenced on MS Contin (morphine) 30mg dail…
54y · Male·Respiratory failure secondary to prolonged ventilation for the management of sep…
Christopher McIntosh, a 54-year-old man with type 2 diabetes, died from respiratory failure secondary to sepsis originating from an infected foot ulcer while incarcerated at Hopkins Correctional Ce…
29y · Female·Invasive aspergillosis
A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…
64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …
…. The following day, he deteriorated critically and underwent emergency surgery but died from multi-organ failure. Clinical concerns were raised about the initial assessment, delayed recognition of acute abdomen, and fa…
50y · Male·Multiple pulmonary thromboemboli due to deep vein thrombosis following pharyngea…
…thromboembolism following uvulopalatopharyngoplasty (UPPP) surgery for obstructive sleep apnoea. Critical failures in post-operative management at a private hospital included: failure to ensure continued CPAP use despit…
73y · Male·Haemorrhagic stroke in the setting of recent inguinal hernia surgery and change …
…perative day 2 that underwent haemorrhagic transformation following thrombolysis, resulting in death. Key failures included: failure to chart anticoagulation post-operatively (prescribing omission error), inadequate pos…
63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …
A 63-year-old man died on 11 March 2008 from multisystem organ failure, sepsis and pneumonitis following a fall. He was admitted to Dandenong Hospital with rib fractures and pe…
15y · Male·Multiple organ failure associated with hyperthermia (heat stroke)
A 15-year-old rugby league player died from heat stroke during training on an extremely hot Perth summer evening (44.4°C). The coaching staff appropriately applied NRL heat guidelines in deciding to proceed with modified…
81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…
An 81-year-old woman with Alzheimer's disease, osteoporosis, and severe coronary artery disease died from acute pyelonephritis (kidney infection) combined with coronary heart disease. She experienced multiple falls over …
44y · Male·Unascertained
Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonazepam, trama…
75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…
…eased's incontinence and faecal contamination accelerated wound deterioration. While KinCare had systemic failures in supplies, communication, and care coordination, the coroner found these did not directly contribute t…
75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…
Wilma Ray Jones, 75, died of abdominal infection and sepsis following uncomplicated umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarction, likely caused by superior mesenteric artery occlusion tri…
62y · Male·Diabetic ketoacidosis in a man with coronary atherosclerosis and cardiomegaly
Phillip Sealey, 62, presented to his local GP on 27 June 2019 with three weeks of thirst, urinary frequency, nocturia, blurred vision, dizziness and vomiting. The GP diagnosed hypertension and suspected diabetes mellitus…
80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…
George Kimpton, aged 80, died from vasodilatory shock and multi-organ failure secondary to aspiration pneumonia five hours after cardiopulmonary arrest in hospital following colorecta…
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