38 results for “cardiorespiratory monitoring”
43y · Male·Pneumonia
…rtwig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medications includi…
24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest
…tial blood results were 6 hours old on arrival. Earlier clinical assessment, appropriate triage, cardiac monitoring, and better information communication could have enabled timely recognition of deterioration.
30y · Male·Complications of methylamphetamine toxicity
…otocols for a concurrent suspected COVID-19 case. The hospital's clinical review acknowledged inadequate monitoring of the restrained, sedated patient and lack of escalation. However, the coroner concluded the delay like…
Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …
…esity). The coroner found preventable clinical failures: (1) antipsychotic polypharmacy without toxicity monitoring despite critically elevated drug levels found at autopsy; (2) dangerously low body weight not considered…
16y · Male·Complications of acute alcohol intoxication
A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
…. The fall triggered rapid deterioration; she underwent hemiarthroplasty but died 14 days later from cardiorespiratory failure. Critical failures included: understaffing (missing lifestyle staff despite management direc…
33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…
…n requires better training in recognition of respiratory distress versus compliance, improved vital sign monitoring during restraint, and enhanced inter-agency protocols.
35y · Male·Cardiorespiratory arrest in the setting of acute agitation and physical and chem…
…m for over six minutes, then positioned upright when moved outside. Post-mortem examination revealed cardiorespiratory arrest. The coroner found that hypoventilation from restraint in the prone position—compounded by pr…
3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea
… Department of Communities, LWB, and CAHS have subsequently implemented improvements in training, remote monitoring of respiratory devices, and carer support.
43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…
… partner's methadone in combination with these prescribed medications and other drugs, causing fatal cardiorespiratory depression. The coroner found the prescribing pattern inappropriate and a significant contributory f…
70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…
A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…
18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration
…he lethal range for novice female drinkers. She became unconscious, was placed in recovery position with monitoring and a bucket, but was not recognized as a medical emergency requiring ambulance transport. She vomited a…
48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…
…ractitioners were managing her care. Contributing system factors included lack of real-time prescription monitoring and variable understanding of obligations under Victorian drugs regulation.
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 colorectal cancer surgery. He had developed a …
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
…Demanuele and Melody Bourne. Caroline remained in the birthing pool for over one hour without vital sign monitoring or examination. When she lost consciousness getting out of the pool and subsequently deteriorated with a…
39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…
…ncy. The coroner found the death arose by misadventure and made recommendations for equipment placement, monitoring protocols, and improved emergency response systems.
46y · Female·Complications following cardiorespiratory arrest in association with an air embo…
A 46-year-old woman died from air embolism during a gastroscopy to manage complications from bariatric surgery. The initial laparoscopic sleeve gastrectomy on 9 November 2007 had a staple misfire that was inadequately re…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
…Wallenberg syndrome, she required tracheostomy for bulbar dysfunction. On 13 June 2018, she suffered cardiorespiratory arrest due to airway occlusion from sputum plugging and/or tube dislodgment while a tracheostomy cap…
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