35 results for “rapid atrial fibrillation”
86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…
… excessive warfarin anticoagulation. She was started on warfarin by a cardiologist on 19 December 2012 for atrial fibrillation, but her INR was never monitored between an initial test (INR 1.9) on 21 December and her dea…
83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…
…s of aspiration pneumonia during his admission, with the second caused by human metapneumovirus. Following rapid clinical deterioration and increased combativeness on 21 November, a third ITO was imposed and palliative …
91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…
…2 where her behavioural and psychological symptoms of dementia exacerbated significantly. She deteriorated rapidly and died five days later. The coroner found the RACF's falls prevention strategies, post-fall care, and …
92y · Male·unascertained
…with advanced dementia died in aged care following an unwitnessed fall on 3 December 2021. He deteriorated rapidly after a second fall at 11:45pm and died shortly after. The precise cause of death remains unascertained …
92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…
A 92-year-old man with complex cardiac history was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the Emergency Medical Unit (EMU) for five days despite clinical deterioration…
67y · Male·Fulminant liver failure
…ical results were communicated via facsimile, with unclear timing of GP's review. The patient deteriorated rapidly and presented two days later in severe hepatic failure. Despite aggressive supportive care at hospital, …
86y · Male·Aspiration Pneumonia secondary to Recurrent Colorectal Carcinoma
An 86-year-old man died from aspiration pneumonia following bowel preparation for elective colonoscopy. He was admitted to an outlying ward rather than the gastroenterology unit, where nursing staff documented multiple e…
66y · Male·unascertained
A 66-year-old man with insulin-dependent diabetes mellitus and severe hypoglycaemia unawareness died on 20 June 2013, the day after commencing a Medtronic Paradigm insulin pump. He was found collapsed at home after plann…
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
…ulator was consulted despite being available via hospital intranet since 2003. Renal function deteriorated rapidly post-operatively with creatinine peaking at 440mmol/L. Critical lessons: always verify patient weight ac…
75y · Female·Septicaemia as a result of lobar pneumonia; congestive heart failure also presen…
A 75-year-old woman died from septicaemia following a percutaneous tracheostomy procedure performed by a locum consultant on a Sunday. The procedure deviated significantly from the established ICU protocol: it was perfor…
98y · Female·Sepsis due to sacral pressure ulcer complicated by osteomyelitis against a backg…
…ise pain as a cause of behavioural refusal of care, and lack of clinical oversight. The wound deteriorated rapidly from stage 2 to stage 4 with necrosis within days. Critical missed opportunities included failure to esc…
60y · Male·cardiorespiratory failure due to malignant pleural effusion due to metastatic ma…
A 60-year-old man with diabetes presented with a plantar heel ulcer in March 2007 that was initially treated as a diabetic foot ulcer. The lesion failed to heal over 16 months despite standard care including wound dressi…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
…aemic heart disease complicated by undetected hyperkalaemia. Panella's death was not preventable given her rapid deterioration and atypical presentation, but occurred in undignified circumstances. Skeffington's death wa…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
…ns that she wear hip protectors 24/7, she was not wearing them due to laundry failures. The fall triggered rapid deterioration; she underwent hemiarthroplasty but died 14 days later from cardiorespiratory failure. Criti…
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