48 results for “intravenous fluids”
49y · Female·lobar pneumonia in the setting of Down's syndrome and progressive dementia
… poor oral intake, which had persisted for months. After failing to respond to active therapy including intravenous fluids, the family and clinical team decided against parenteral feeding. She was transferred to palliat…
91y · Female·Aspiration pneumonia in a woman with multiple co-morbidities
… She had documented moderate oropharyngeal dysphagia from prior stroke, managed with pureed diet and thick fluids per speech pathology assessment in May 2024. Over the preceding six months, she experienced progressive de…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
… documented tachycardia (pulse 184-192) and tachypnoea, and his provision of maintenance rather than bolus fluids. The child deteriorated to cardiopulmonary arrest on 17 September. Expert evidence indicated that with app…
29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…
…tegory 3 instead of Category 2), she was left on an ambulance trolley for two hours without pain relief or fluids, a doctor failed to escalate her care appropriately and appeared to weigh her disability negatively in tre…
71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…
A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was pe…
91y · Female·Complications of pelvic fractures sustained in a fall
A 91-year-old woman with osteoporosis and multiple comorbidities sustained pelvic fractures in a mechanical fall at home. She presented to the ED where initial hip x-ray showed no fracture. She deteriorated with hypotens…
3y · Male·thrombotic microangiopathy
…appropriate, with escalation of care when symptoms worsened, including infectious disease consultation, IV fluids, and antibiotics. While earlier clinical review on the afternoon of 6 October would have been desirable, v…
71y · Female·aortic dissection (Stanford Type A)
A 71-year-old woman presented to hospital with pericardial effusion causing cardiac tamponade, successfully treated by pericardiocentesis. The underlying cause was a Stanford Type A aortic dissection, which was not ident…
70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…
A 70-year-old woman presented to a rural hospital with 48 hours of vomiting and dehydration secondary to an inguinal hernia obstruction. The initial assessment by the hospital medical officer failed to adequately review …
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 b…
18y · Male·Incised wound to right axilla with complete transection of basilic vein, brachia…
Thomas Redman, aged 18, sustained a catastrophic laceration to his right axilla involving complete transection of major arteries and veins after putting his arm through a glass window at a rural property near Gloucester,…
60y · Male·sepsis and aspiration pneumonia in a man with oral squamous cell carcinoma and m…
Henry Allen, a 60-year-old man with oral squamous cell carcinoma, lung cancer, and multiple comorbidities died from sepsis and aspiration pneumonia while in prison custody at Fiona Stanley Hospital. He received appropria…
23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…
A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a…
28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…
A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after inducti…
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…
41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…
Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup Health Campus on 14 February 2003. The biopsies w…
76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…
Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…
<1y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…
Owen Appleby, born at Portland Hospital after labour induction, developed hypovolemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APG…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
…contacted at 2:05am on 15 March about ongoing vomiting, he initially managed her as hypovolemic shock with fluids and dopamine. Broad-spectrum antibiotics were not administered in Paraburdoo because Dr M. believed the pr…
35y · Female·Pulmonary thromboembolus and pulmonary infarction
A 35-year-old woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident working alone overnight, assess…
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