46 results for “ICU consultation”
52y · Male·Left chest cavity and abdominal cavity haemorrhage due to multiple rib fractures…
A 52-year-old man died from massive internal bleeding (left chest and abdominal cavity haemorrhage) following a motorcycle accident with multiple rib fractures and splenic laceration. He initially appeared to recover wit…
65y · Female·Aspiration pneumonia following emergency laparotomy for incarcerated umbilical h…
…iration occurred in recovery with subsequent aspiration pneumonia. Despite appropriate management including ICU consultation, the patient's severe anxiety, agitation, pain, and comorbidities led to clinical deterioratio…
69y · Male·acute myocardial ischaemia due to underlying coronary atherosclerosis
…ronary syndrome after a fall in February 2011. He was appropriately transferred to hospital and assessed in ICU, but consistently refused invasive cardiac intervention, resuscitation, food, and fluids. A psychiatric ass…
39y · Male·dilated cardiomyopathy
Stanley Allan Lord, a 39-year-old man, died from dilated cardiomyopathy while in custody at Prince of Wales Hospital. He had a long-standing cardiac history including prior myocardial infarction, presenting acutely with …
28y · Male·Acute Dopamine Imbalance Syndrome
…ychotic initiation. His Glasgow coma score collapsed from 13 to 5 during this period. He was transferred to ICU, intubated, and died. The cause was determined to be acute dopamine imbalance syndrome (possibly neurolepti…
21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…
…n. Critical issues include: inadequate pre-operative assessment and risk discussion (first face-to-face consultation was 20 minutes on surgery day); failure to clearly communicate to intensive care staff that pre-operati…
68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …
Brian John Schulze, aged 68, died of ischaemic heart disease (operated) while subject to a Mental Health Act inpatient treatment order at Flinders Medical Centre. He presented with falls, confusion, and agitation followi…
58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…
… The case highlights challenges in managing complex stroke complications in patients with communication difficulties.
48y · Female·acute myocarditis resulting from systemic viral infection
…nd 4 April 2010. Despite five presentations to clinic staff, there was no escalation to medical officer consultation, which might have identified myocarditis earlier. On 4 April, she presented severely unwell with dramat…
74y · Male·Complications of multiple blunt force injuries sustained in a motor vehicle cras…
…st, haemopneumothorax, spinal fractures, and retroperitoneal haemorrhage. Despite initial stabilization and ICU admission at Royal Darwin Hospital, his severe underlying chronic obstructive pulmonary disease complicated…
17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…
…onable at the time given her presentation, DKA should have been considered as a differential diagnosis, particularly after multiple presentations with ongoing vomiting and an elevated pulse rate. Key factors included th…
Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…
…th patients posed high anaesthetic and post-operative risks and should have been admitted to hospitals with ICU/HDU backup. Critical failures included: inadequate pre-operative anaesthetic assessment, inexperienced and …
64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …
A 64-year-old man with complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed…
73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …
Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had mu…
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
…anaesthetic support. The patient had not undergone adequate psychological assessment or pain management consultation. During surgery, the surgeon used an unconventional perineal-first approach that multiple experts consi…
54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…
A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…
6y · Male·Sepsis due to melioidosis
…admission on 10 January. The child was transferred to a regional hospital and then to a tertiary paediatric ICU, but despite maximal intensive care including ECMO, he developed septic shock, pneumonia, ARDS, multiorgan …
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
A 32-year-old woman with Sponastrime Dysplasia (a rare genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinica…
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
Beverly Ann Murphy, 70, underwent hysterectomy for endometrial carcinoma on 2 April 2008 at Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound de…
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