43 results for “haemorrhage concern”
81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy
An 81-year-old woman with atrial fibrillation and Alzheimer's disease fell at home on 21 December 2020, sustaining a subdural haematoma. Nambour Hospital appropriately ceased her anticoagulant (rivaroxaban) and planned c…
41y · Female·complications of intracerebral haemorrhage due to ruptured aneurysm
…d Aboriginal woman, died in custody at Wandoo Rehabilitation Prison from complications of intracerebral haemorrhage due to a ruptured cerebral aneurysm. Critical missed opportunities in clinical assessment occurred acro…
17y · Male·Head injury
Wesley Russell Yamera, 17 years old, died on 22 December 2002 from head injury sustained when he fell from a police security vehicle cage. On 18 December, Yamera was apprehended by Fitzroy Crossing police after a vehicle…
59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…
…of head injury and anticoagulation. She was finally hospitalized 27 December with a large intracerebral haemorrhage from blunt head trauma and died 31 December. The coroner found failure to escalate care, poor communica…
68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…
Robert Donald Rawson, a 68-year-old man with end-stage cirrhosis and multiple comorbidities, died hours after undergoing intercostal catheter insertion for pleural effusion drainage at Rockhampton Hospital. While the pro…
23y · Male·aspiration of blood due to stab wound to trachea
…ned him but did not reassess neck wound. He was discharged again. Collapsed later that day with massive haemorrhage from trachea, aspirating blood into airway. Died from aspiration. Autopsy showed 2.5cm deep tracheal pe…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
…ransferred to ICU at a tertiary hospital on day 2 but died from multi-organ failure and intra-abdominal haemorrhage secondary to coagulopathy. Key learning: very high-risk patients with extensive comorbidities may benef…
64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis
…b, a 64-year-old woman imprisoned for 20+ years, died on 27 May 2008 from coronary atherosclerosis with haemorrhage into atheromatous plaque. She suffered an acute cardiac event on 5 May 2008 requiring emergency pacemak…
3y · Male·Complications of severe ischaemic/hypoxic brain injury
A 3-year-old boy with severe hypoxic-ischaemic brain injury from non-accidental trauma sustained at 2 months of age died from complications of that injury while in state care. Medical evidence indicated high-impact head …
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child …
64y · Male·hypoxic-ischaemic encephalopathy complicating cardiac arrest due to retroperiton…
…y preventing arrest. Key lessons: monitor anticoagulation with regular bloods; respond urgently to family concerns about clinical deterioration; ensure senior review of therapeutic-dose anticoagulation protocols.
33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…
…toms (headaches, weakness, slurred speech, seizures) on 26 August 2000. Initial CT imaging showed focal haemorrhage with oedema; repeat CT after 50 minutes showed significant progression with increased mass effect. Howe…
71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision
Julie Anne Holmes, aged 71, died of pneumonia following a cervical spine fracture sustained in a motor vehicle accident that was not diagnosed during her hospital admission. Critical clinical lessons include: (1) paramed…
0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour
Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed o…
43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…
A 43-year-old man with a colloid cyst of the third ventricle presenting with progressive headache was admitted for planned endoscopic surgery. Surgery was delayed from Friday to Monday due to unavailability of specialist…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: failure to cease anticoa…
28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…
…ounds present arterial bleeding risk; failure to call for senior help during the 40-minute uncontrolled haemorrhage; failure to use 8 units of O-negative blood available in the emergency department; and poor communicati…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surger…
8y · Female·Faith died from the combined effects of the haemodynamic consequences of extensi…
An 8-year-old girl, Faith, died from injuries caused by repeated beatings with a metal vacuum pole by her mother. She had previously disclosed abuse to school staff in 2009 and 2010, leading to Department investigations.…
87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…
…ot escalated or acted upon; (3) head injuries were not re-assessed despite being documented indicators of concern; (4) delays in securing medical review (locum failed to attend) and failure to consider alternative escal…
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