108 results for “fluid resuscitation”
77y · Female·Haemoperitoneum following cholecystectomy
…ical signs from 9:30 am. Key failures included: delayed CT imaging (90 minutes after MET call), inadequate fluid and blood resuscitation (only 1 unit PRBC over 2 hours despite confirmed haemorrhage), failure to check co…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
… loss of central line preventing vasopressor administration, inadequate team communication, and suboptimal fluid resuscitation. The coroner found none of these issues were outcome-changing given the tumour's invasivenes…
5y · Female·myocarditis
…pite consultation; inadequate handover processes with siloed information across departments; and excessive fluid administration straining the failing heart. By 0740 hours sufficient clinical evidence existed for myocard…
56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy
…ock, driven by confirmation bias in the anaesthetist, which prevented timely return to theatre. Inadequate fluid resuscitation, failure of senior consultants to attend the hospital, and poor inter-specialist communicati…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ell, there was a 2-hour delay before parenteral antibiotics were administered and a 4-hour delay before IV fluids were started. The IV line subsequently tissued and was never successfully restarted. She was transferred …
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
…ciation of sepsis severity; failure to escalate to ICU consultation or retrieval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol…
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…
39y · Male·Hypovolemic shock due to blood loss resulting from multiple stab wounds, particu…
…nd stabbing Tonner after he was retreating and attempting to extricate himself. Ambulance and hospital resuscitation efforts, including thoracotomy and blood transfusion, were unsuccessful. While not a medical case amen…
0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…
…rnight: nursing staff did not escalate concerns about continued vomiting, tachycardia, ketonuria, and poor fluid tolerance despite guidelines recommending consultant review. Dr G.'s diagnosis of intussusception came onl…
Unknown·COVID-19 infection with various comorbidities as contributing factors
…cluded: delayed PCR testing allowing spread, incomplete Advance Care Plan discussions, inadequate pain and fluid management, late or absent hospital transfers despite deterioration, and poor communication with families.…
41y · Female·multiple stab wounds to the neck
…where she underwent emergency surgery involving trauma, vascular, and cardiothoracic surgeons. Despite resuscitation efforts and operative intervention, she died at 12:45am on 8 March 2015. The assailant was never ident…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
…ognition. (5) Underlying cardiac vulnerability and developing sepsis created cumulative insult; aggressive fluid management aimed at hypotension may have contributed to pulmonary/cardiac fluid overload evident at autops…
76y · Male·out-of-hospital cardiac arrest in a man with coronary artery atherosclerosis and…
…dial infarction (2013). He was found unresponsive in his cell on 22 October 2023 and despite immediate resuscitation attempts by prison staff, paramedics, and hospital staff, could not be revived. The coroner's review f…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
…al where small bowel obstruction and aspiration pneumonia were diagnosed. Conservative management with resuscitation was initially appropriate, but he rapidly deteriorated with septic shock and multi-organ failure. Surg…
0y · Female·meconium aspiration
… an inappropriate surface; and promptly contact emergency services. The midwife had no formal neonatal resuscitation training. AHPRA investigation found care significantly below professional standards. The coroner noted…
84y · Female·septicaemia secondary to septic arthritis of the left knee
An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…
33y · Female·Hypoxic ischaemic encephalopathy with an antecedent cause of in-hospital cardiop…
…l and systemic failures: inadequate micronutrient replacement (particularly thiamine), unappreciated gross fluid and sodium overload despite evident signs including pulmonary oedema and ascites, premature transfer from …
40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …
…mphysema. He collapsed in a vehicle at a supermarket and was found with coffee-ground vomitus. Despite resuscitation and ICU support at North West Regional Hospital, he died with Glasgow Coma Scale 3 and severe metaboli…
0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…
Archer Langley died at age 1 hour from severe amniotic fluid aspiration following delivery by emergency caesarean section for obstructed labour. His mother's labour wa…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
…are and difficult, a critical radiological report describing 'veiling opacity' suggesting intra-peritoneal fluid was not reviewed by the treating doctor and was available on the hospital computer system he was unaware o…
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