48 results for “catheterisation”
68y · Male·Community acquired chest infection secondary to C6 quadriplegia secondary to rem…
Arnold Polis, a 68-year-old man with C6 quadriplegia from a 1972 diving accident, died from community-acquired chest infection complicated by heart failure. He had recurrent respiratory and urinary tract infections relat…
62y · Female·acute subarachnoid haemorrhage following perforation of the anterior communicati…
Ann Margaret Sansom, a 62-year-old woman with Type 2 diabetes and cirrhosis, died from subarachnoid haemorrhage following perforation of the anterior communicating artery during an endovascular coiling procedure for a 3m…
44y · Male·Airways obstruction with mucous plugging secondary to quadriplegia post accident
Lachlan Rayner, a 44-year-old man with quadriplegia from a 2019 spinal injury, died from airways obstruction due to mucous plugging and pneumonia. He was a specialist disability accommodation resident receiving in-home c…
13y · Female·Complex congenital heart disease (operated) and sepsis
Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…
29y · Male·Blunt head and neck injuries sustained in an unintentional motor vehicle acciden…
A 29-year-old man sustained severe blunt head and cervical spinal cord injuries in a motor vehicle accident. He remained unconscious with high intracranial pressure and C5 spinal cord transection. After 12 days with no i…
69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…
…t an early ECG might have identified MI and potentially altered outcome if the patient was stable for catheterisation. A significant delay (58 minutes) in calling an ambulance from the group home was identified as a con…
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…
1y · Male·Pneumonia (early-onset, caused by Group B Streptococcus)
Baby XR died at one day old from early-onset pneumonia caused by Group B Streptococcus (GBS) acquired during vaginal delivery. The mother had known GBS colonisation and received intrapartum prophylactic antibiotics as pe…
70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…
Mrs Kathleen Anne Conlan, 70, died from cardiac arrest caused by gastric haemorrhage and pneumonia on a background of coronary artery disease. She presented with severe epigastric pain and was appropriately admitted for …
59y · Female·Sepsis in a woman with epilepsy, cerebral palsy and haemochromatosis
…ion, she was afebrile with normal white cell counts, making UTI diagnosis challenging without urinary catheterisation and culture. The coroner found that clinical management was reasonable and appropriate throughout. Ke…
58y · Female·Enterococcus faecalis sepsis and acute renal failure
Robena Lloyd, a 58-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urin…
86y · Male·Septic shock secondary to urosepsis
Robert Avery, 86, was admitted to Valley Private Hospital for colonoscopy to investigate constipation. After the procedure was cancelled due to respiratory concerns, he was managed with fluid restriction, bowel preparati…
61y · Male·Intracranial haemorrhage and myocardial infarct
…spital's cardiology team despite concerns about the head injury. He was taken directly to the cardiac catheterisation lab without ED assessment or CT brain imaging. A skull fracture and intracranial haemorrhage subseque…
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: inadeq…
72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis
Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unabl…
44y · Female·acute myocardial infarction due to coronary thrombosis
A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling cathe…
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden…
40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…
Michael Peter 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 id…
0y · Female·Sepsis
Baby Lily Irwin died of sepsis caused by ascending bacterial infection (Staphylococcus aureus) that developed after spontaneous rupture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnioni…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.