434 results for “renal failure”
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospi…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
…h peritonitis. She died 14 March 2009 from pneumonia in the setting of acute peritonitis. Key preventable failures included: Dr M. placing a second balloon in a high-risk elderly patient with complex comorbidities; fail…
31y · Female·organ failure due to anorexia nervosa
Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, r…
Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…
…ntal illness management, and handover procedures between police and hospitals were identified as systemic failures. Police used unnecessary force when other options existed.
77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…
…identified include: inadequate transfer of vascular disease severity and imaging from referring hospital; failure of the proceduralist to review available prior angiographic/ultrasound imaging; and importantly, a 9-hour…
79y · Female·Chronic obstructive pulmonary disease
Jean Alice Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinic…
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 and uterine fibroid, but these were not properly investigated b…
38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)
…at ~4:45pm), and low urine output, she was never prescribed antibiotics during her 23-hour stay. Critical failures included: the resident medical officer (Dr B.) not contacting the consultant when fever was first noted;…
heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…
Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
… while in immigration detention. His death was preventable and resulted from multiple compounding errors: failure to recognise severe sepsis despite worsening vital signs; lack of appropriate antibiotics at the Manus Is…
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…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
… not recognized intraoperatively and only became apparent 6 days post-discharge, resulting in multi-organ failure and death. Mrs Hillman (67) underwent open surgery on 28 May 2009; a small bowel perforation was identifi…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
Ashleigh Rebecca Hunter, a previously healthy 26-year-old, died from meningococcal septicaemia (W strain) within 3 hours of arriving at Royal Perth Hospital. She presented with severe generalised pain (10/10), tachycardi…
68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…
…sment following two self-harm attempts at Port Augusta Prison involving hearing paranoid voices. Critical failures included: not accommodating him in the infirmary as recommended; missing his psychiatric appointment due…
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