180 results for “anticoagulation”
80y · Female·Right haemothorax due to bleeding right pleural adhesion with contributing apixa…
…Joan Barry, 80, died from right haemothorax due to bleeding from a pleural adhesion while on apixaban anticoagulation therapy for atrial fibrillation. She was admitted to Royal Adelaide Hospital for psychiatric care und…
36y · Male·pulmonary embolism due to right deep vein thrombosis following repair of rupture…
… coroner found that given Frith's obesity (a recognised VTE risk factor), individualised prophylactic anticoagulation should have been prescribed rather than aspirin alone. The case highlights the need for risk-stratifi…
64y · Male·Left-sided intracerebral haemorrhage associated with deep brain stimulator wire …
…ery for essential tremor. He was readmitted on day 4 with suspected stroke and started on therapeutic anticoagulation (enoxaparin). A haemorrhage developed within 24 hours of dose escalation. Key clinical failures: the …
87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…
…ue valve; warfarin was for atrial fibrillation, not the valve. This error led to unnecessary bridging anticoagulation with heparin. The patient developed pulmonary haemorrhage, pneumonia, and respiratory failure post-pr…
82y · Male·closed head injury (subdural haematoma) sustained in a fall
…a. Key clinical lessons: (1) falls prevention protocols must be actively implemented; (2) patients on anticoagulation with head trauma require urgent INR checking and careful consideration of CT imaging despite initiall…
87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
An 87-year-old woman on irreversible anticoagulation suffered a subdural haematoma from a fall. She presented to a community hospital lucid with stable vi…
84y · Female·acute left subdural haematoma
…coroner found the facility's initial response appropriate but highlighted a critical gap: patients on anticoagulation who sustain minor head injuries should be referred to hospital for assessment and CT scanning. This c…
91y · Male·intracranial haemorrhage (subdural, subarachnoid and parenchymal) complicating r…
…tiple comorbidities including metastatic prostate cancer, metallic aortic valve replacement requiring anticoagulation, and pacemaker. He suffered two significant falls within two days while in respite care, the second c…
76y · Female·pulmonary embolism due to carcinomatosis
…use she was unable to lie flat; no alternative investigation such as ECG was documented. Prophylactic anticoagulation was delayed until day 3. She deteriorated acutely on day 6 and died despite resuscitation. The corone…
86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…
…d woman died from subdural haematoma following a minor head injury, complicated by excessive warfarin anticoagulation. She was started on warfarin by a cardiologist on 19 December 2012 for atrial fibrillation, but her I…
65y · Male·acute right subdural haematoma
Sidney Brunt, aged 65, died from an acute right subdural haematoma caused by excessive, unmonitored anticoagulation with warfarin. His general practitioner, Dr A., prescribed warfarin for atrial fibrillation but faile…
49y · Male·Acute myocardial infarction complicating prosthetic valve thrombosis in a man wi…
… Coates' INR levels (1.6–2.0) fell below the target range (2.5–3.5) for mechanical valves, inadequate anticoagulation significantly increasing thrombosis risk. Systemic failures included incomplete discharge summaries n…
84y · Male·head and pelvic injuries with contributing ischaemic and valvular heart disease …
An 84-year-old man under guardianship with dementia, cardiac disease, and on anticoagulation suffered an unwitnessed fall at an aged care facility and sustained head and pelvic injuries. Followi…
44y · Male·haemorrhagic stroke complicating anticoagulation and intravenous antibiotic ther…
Jason Lee Patmore, aged 44, died from a haemorrhagic stroke that developed as a complication of anticoagulation and intravenous antibiotic therapy given for a right upper arm deep vein thrombosis acquired during h…
75y · Male·acute right subdural haemorrhage sustained in a fall
…bservation instructions. Neither GP ordered a CT brain scan despite the high-risk combination of age, anticoagulation, and head trauma. By 3pm on 15 August, George developed altered consciousness and vomiting. He was ad…
72y · Male·Subdural haematoma in a man receiving warfarin treatment
…ients can develop subdural haemorrhage from minor or unwitnessed trauma. The case highlights risks of anticoagulation in vulnerable populations and the importance of careful monitoring and fall prevention in this group.
45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…
… in custody at Woodford Correctional Centre and was transferred to tertiary care. Despite appropriate anticoagulation with heparin at Royal Brisbane and Women's Hospital, he suffered catastrophic haemorrhagic transforma…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
…e was treated surgically at Royal Adelaide Hospital, Adelaide, and commenced on a specialized heparin anticoagulation protocol designed to prevent blood clots after pelvic fracture surgery. An intern doctor, Dr H., fail…
74y · Female·Metastatic duodenal carcinoma
… duodenal carcinoma with lung and lymph node involvement, and chronic occlusive pulmonary emboli (off anticoagulation for two weeks). Ms Barber declined aggressive treatment and chose palliative care. She was discharged…
83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…
…rhage would likely have been prevented had PPI therapy continued, particularly in a patient receiving anticoagulation. Additional failures included lack of surgical review for undifferentiated abdominal pain, inadequate…
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