87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
…s condition deteriorated; she was eventually transferred for emergency surgery but subsequently developed cerebral infarction and died. The coroner recommended all hospitals develop anticoagulation reversal protocols to …
41y · Female·Left middle cerebral artery territory ischaemic stroke
…ordered initially; it was performed 8+ hours after presentation (8:21 pm), confirming a large left middle cerebral artery territory infarction. Emergency physician expert opinion concluded that medical management was sub…
60y · Male·Ischaemic cerebrovascular accident
…, collapsed on 19 May 2013 at a secure psychiatric extended care unit. Imaging revealed large left middle cerebral artery stroke affecting two-thirds of the hemisphere. A multidisciplinary team (ICU, stroke, psychiatry, …
Unknown·Michael Russell: intracranial haemorrhage complicating surgery for right cerebra…
Two patients died following stroke interventions on 18 April 2017 at the Royal Adelaide Hospital. Michael Russell (60) died from intracranial haemorrhage following vessel perforation during thrombectomy for acute coronar…
63y · Male·cerebral infarction
John Arthur Burns, a 63-year-old man with frontotemporal dementia and motor neurone disease, died from cerebral infarction on 17 September 2006 while in Westminster Aged Care Facility after only 12 days of residence. …
49y · Male·Complications of metastatic gastric adenocarcinoma
…ferred to Armidale Hospital ICU, then to Prince of Wales Hospital on 30 August. He suffered a left middle cerebral artery stroke between 30 August and 1 September. By 7 September, palliative care was deemed appropriate. …
82y · Female·Complications from hypoglycaemic brain damage and cerebral vascular accident
… medication error rather than malice. She suffered irreversible hypoglycaemic brain damage and concurrent cerebral strokes. Key clinical lessons: insulin access control was inadequate; medication preparation practices la…
76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation
…n 10 June 2024, he presented with acute drowsiness and gaze deviation. CT brain showed no acute bleed or infarction, and EEG ruled out seizures. He was deemed not suitable for CPR, transitioned to end-of-life care on 15 …
77y · Male·Cerebral infarction (stroke) complicating elective hernia repair
A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recommenced on day 1 post-op at 5pm. He…
79y · Female·Complications of injuries sustained in a motor vehicle collision (passenger)
Erika Maria Gerlach, aged 79, died from complications of injuries sustained in a rear-end motor vehicle collision on 27 November 2017. She was a passenger when her husband's vehicle collided with a stationary car on the …
33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…
… CT after 50 minutes showed significant progression with increased mass effect. However, the diagnosis of cerebral venous thrombosis (CVT) was not pursued despite radiologists recommending MRI. Poor communication between…
84y · Female·Major cerebral infarct due to hypoglycaemia
…administration at a nursing home on 1 November 2009, resulting in prolonged unconsciousness and bilateral cerebral infarcts. After 8 units of Actrapid insulin at 21:15, no blood glucose level (BGL) monitoring was documen…
58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…
…ian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory distr…
33y · Male·Multiple injuries sustained in a single vehicle crash, complicated by acalculous…
… cholecystitis with large abdominal abscesses and necrotizing fasciitis requiring surgery. A massive intracerebral bleed ultimately caused death on 25 January 2006, 26 days post-accident. The coroner found no evidence of…
62y · Male·cerebral haemorrhage (intracerebral bleed, large lobar within left cerebral hemi…
A 62-year-old man presented to ED with dyspnoea, diaphoresis, and hypertension caused by an evolving cerebral haemorrhage. He was initially misdiagnosed with NSTEMI based on elevated troponin and atrial fibrillation…
71y · Male·Ischaemic heart disease
John Charles Dodd, a 71-year-old man with known coronary ischaemic syndrome and hypertension, died of ischaemic heart disease while in custody at Geoffrey Pearce Correctional Centre. Autopsy revealed severe atherosclerot…
79y · Male·Displaced cervical vertebral fracture with secondary carotid artery dissection r…
A 79-year-old man suffered a catastrophic fall from a 3.5-metre ladder while performing home maintenance work on his property. He had recovered from a stroke three months prior, which may have affected his cognitive func…
63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…
… Walter Sharp, 63, sustained a motor vehicle collision causing vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical spine …
30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…
…oronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 2010, likely precipitated by heavy smoking (60 cigarettes/day). He remained asymptom…
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
…used methylamphetamine. At the emergency department, ECG changes were misinterpreted as acute myocardial infarction, resulting in inappropriate anticoagulant and aspirin therapy. A 6-hour diagnostic delay occurred before…
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