435 results for “renal failure”
81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram
…oagulation but therapeutic range took 38 hours to achieve, exposing her to over-anticoagulation. Critical failures included: haemoglobin levels not monitored on 25-26 January despite evidence of bleeding, resulting in m…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
…mmolating at the Nibok settlement. He was airlifted to Brisbane but died on 29 April 2016 from multiorgan failure. Critical clinical lessons include: (1) inadequate mental health triage—his self-referral for psychology …
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
David Fensom, 67, underwent elective fundoplication for hiatus hernia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings a…
0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery
…y, causing severe hypoxic brain injury. He died 8 days later from acute hypoxic damage and multiple organ failure. The coroner found the vacuum extraction should have been performed in the operating theatre rather than …
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
…njury, loss of consciousness, anticoagulation), this was not performed in the Emergency Department due to failure to recognize and act upon the combination of risk factors. Information about the head injury was progress…
67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…
…eceiving hospital's own record-keeping policies. While medical management was deemed reasonable, systemic failures in documentation and communication protocols were identified as preventable factors in future similar ca…
49y · Male·haemopericardium secondary to ruptured aortic dissection
…ian available). The coroner found the death preventable, identifying missed diagnostic opportunities. Key failures included: diagnostic bias towards coronary artery disease with failure to consider aortic dissection dif…
47y · Female·acute respiratory failure in the context of known underlying chronic obstructive…
Rita Alimankinni (Pukumani), aged 47, died from acute respiratory failure while an involuntary mental health patient in the Joan Ridley Unit. Her death was preventable. She had CO…
81y · Female·aspiration pneumonia, exacerbation of chronic obstructive airways disease (emphy…
…th legislation at Glenside Campus, died from aspiration pneumonia, COPD exacerbation and congestive heart failure. A critical ambulance transfer delay occurred when her initial request (5:45 am) was cancelled due to lac…
9y · Female·complications of thermal injury
…working. A working smoke alarm would likely have alerted the family early enough for safe evacuation. Key failures included: property manager's failure to escalate safety concerns, inadequate training of real estate age…
54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …
…istopher McIntosh, a 54-year-old man with Type II diabetes and chronic foot ulcers, died from respiratory failure secondary to sepsis arising from an infected foot ulcer requiring above-knee amputation. He was incarcera…
88y · Female·combined effects of an overdose of hydromorphone and complications of pneumonia …
An 88-year-old woman with chronic lung disease, heart disease, and recent pneumonia following faecal transplant for clostridium difficile colitis was prescribed 0.5 mg hydromorphone subcutaneously for respiratory distres…
45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…
A 45-year-old woman died from multi-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer su…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…
86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer
An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failure…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydrat…
38y · Female·Pulmonary Thromboembolism
…or septic pancreatic leak, coordinating anticoagulation with heparin and warfarin. Key issues identified: failure to obtain Bunbury's diagnostic reports and thrombophilia screening results; a missed order to increase he…
Male·Complications of alcohol and hepatitis C-related liver disease
…al man with advanced alcoholic cirrhosis and recently acquired hepatitis C infection, died of multi-organ failure while on remand in custody. He received appropriate standard medical care in prison for his chronic liver…
17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity
Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. She collapsed and died on 2 February 2009. Key clinical lessons: …
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydra…
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