55 results for “low blood pressure”
75y · Male·multifactorial causes on a background of ischaemic heart disease, generalised va…
…s: absent pre-operative physician-led assessment despite high-risk profile; failure to recognise critically low urine output (3ml) post-operatively despite protocols; poor fluid balance charting and medication managemen…
49y · Male·Complications of craniopharyngioma and pan-hypopituitarism
…fusion, absconding, and hospital admissions. He was admitted to Austin Hospital on 6 July with seizures and low blood pressure, then transferred to the Repatriation Hospital's Palliative Care Unit for symptom management…
74y · Male·Pericarditis post aortic valve surgery with large pericardial effusion leading t…
…on on day 10 post-surgery. At the rehabilitation facility, he developed progressive signs of deterioration: low blood pressure, elevated heart rate, respiratory distress, and low oxygen saturation overnight on 18-19 Dec…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
…orning on 18 August, but the treating registrar (Dr V.) failed to recognise the seriousness of persistently low blood pressure despite it not responding to fluid therapy. Mr Taankink (26), an asthmatic, was prescribed T…
81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…
An 81-year-old woman died from haemothorax and mediastinal haemorrhage following pacemaker insertion for sick sinus syndrome. Multiple venous punctures during the procedure caused vascu…
63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…
A 63-year-old man died from pneumonia complicating anoxic brain injury following a post-operative haemorrhage from the inferior epigastric artery during ileostomy closure surgery. The c…
0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…
…ss) were inconsistent with primary respiratory infection. Critical omissions included: failure to document blood pressure, capillary refill, or urine output; no septic workup despite clear red flags; small sips of fluid…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairme…
63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…
…sed via the arterial line, causing right cerebral infarction. The clinician relied on absence of pulsatile flow and blood colour to confirm placement but failed to perform manometry, transduction, or blood gas assessmen…
3y · Female·complications of Influenza B viral infection
…pital at Westmead but critical information about her collapse and abnormal vital signs (undetectable pulse, low respiratory rate, cyanosis) was not reliably conveyed. In the ED, she was triaged as Category 4 rather than…
0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease
…to take the baby home with minimal monitoring instructions. The baby deteriorated overnight and died the following morning. The Coroner found that immediate medical contact, appropriate medications, and hospital transfe…
86y · Male·Septic shock secondary to urosepsis
…ith fluid restriction, bowel preparation, and insulin adjustment. Despite overnight clinical deterioration (low blood pressure, rectal bleeding, poor oral intake), he was discharged on day 2. An emergency physician revi…
Female·Combination of liver failure, blood loss and shock following needle biopsy
Alyssa, a 9-week-old infant, died from hemorrhage following a liver biopsy at Monash Medical Centre. She had persistent jaundice, and biopsy was undertaken to inves…
41y · Male·Unable to be ascertained
41-year-old male with schizophrenia/drug-induced psychosis and methamphetamine use died following police restraint on M5 motorway. Admitted to Shellharbour Hospital 10-30 May 2022 for psychotic behaviou…
51y · Female·community acquired pneumonia
…eatment, an Acomed infusion pump failed silently, temporarily compromising noradrenaline delivery when her blood pressure was critically low (60 mmHg systolic). Despite manual administration resumption and maximal vasop…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospital despite his request, misattributing his symptoms to musculos…
31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…
…potension on 21 March 2010. She was assessed by registrar Dr F. and covering specialist Dr L., with initial low blood pressure attributed to musculoskeletal pain from dancing. Investigations were unremarkable. After dis…
86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …
An 86-year-old woman underwent elective surgery to excise a probable squamous cell carcinoma from her left hand with split-thickness skin grafting under local anaesthesia with intravenous sedation. She suffered an unexpe…
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection…
11y · Male·Sepsis
… died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was discharged with a viral diagnosis. He re-presented on 15 June appearing critically unwe…
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