180 results for “anticoagulation”
77y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis of the left leg
…al cause after a diagnostic trial of antacid. She was discharged without ECG, without verification of anticoagulation status (INR test), and without repeat vital signs. She collapsed at home the next day with fatal pulm…
81y · Female·traumatic closed head injury sustained when struck by a motor vehicle
…river blind spots. While this is primarily a road traffic incident rather than a clinical matter, the anticoagulation therapy contributed materially to the fatal outcome.
47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…
…hronicity of leg swelling; the requested CTPA was not ordered. The patient received only prophylactic anticoagulation (heparin 5000 units BD), insufficient for treating established PE. After discharge to Ayr Hospital wi…
63y · Male·massive pulmonary embolism due to immobilised left leg from torn Achilles tendon
…nd died despite resuscitation attempts. The coronial medical consultant reviewed whether prophylactic anticoagulation should have been prescribed for this immobilised lower leg injury. Literature review found no cogent …
77y · Male·Cerebral infarction (stroke) complicating elective hernia repair
…mic stroke on day 4 post-op with an INR of 1.0 (sub-therapeutic). The coroner found the pre-operative anticoagulation plan appropriate but identified poor communication regarding post-operative warfarin management and I…
93y · Male·Intracranial haemorrhage in the setting of over-warfarinisation
…ocols must be robust with backup alerts if testing lapses; medication changes must be communicated to anticoagulation services; neurological deterioration in warfarin-treated patients requires urgent reassessment and im…
76y · Male·Intracranial haemorrhage
… the 2013 guidelines inadequate as they failed to mandate imaging for high-risk features (age >65 and anticoagulation). While death was ultimately not preventable given the extent of injury and comorbidities, the nursin…
72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…
Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-mortem examination revealed fibrinous pericarditis (a k…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
A 66-year-old woman died from retroperitoneal haemorrhage following anticoagulation for stroke caused by intra-arterial central venous catheter placement. The catheter was mistakenly in…
83y · Male·left middle cerebral artery cerebrovascular accident
…enting with acute stroke symptoms. Mr Radan had atrial fibrillation and was prescribed dabigatran for anticoagulation and secondary stroke prevention. However, he refused anticoagulation and other cardiac medications fo…
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
… pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulation (clexane) despite repeated discussions of the serious risks including death. Senior clinicians, inclu…
38y · Female·Pulmonary Thromboembolism
…tectomy and splenectomy) and subsequent emergency laparotomy for septic pancreatic leak, coordinating anticoagulation with heparin and warfarin. Key issues identified: failure to obtain Bunbury's diagnostic reports and …
77y · Female·Haemoperitoneum following cholecystectomy
…despite confirmed haemorrhage), failure to check coagulation status until 7:45 pm despite therapeutic anticoagulation, lack of urinary catheter insertion until 8:00 pm, delayed antibiotic administration, and poor inter-…
76y · Female·complications of subdural haemorrhage (operation)
…Key clinical lessons include the importance of thorough head injury assessment in elderly patients on anticoagulation (warfarin), recognition that delayed presentation of subdural haematoma can occur in older patients, …
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
…outcomes. Key issues included: the appropriateness of catheterisation in a nursing home setting given anticoagulation, the patient's preference for RDNS over his GP based on prior discomfort, uncertainty about which pro…
44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…
…and right ventricular dysfunction, with surgery contraindicated by recent upper GI bleeding requiring anticoagulation. Both gastroenterology and cardiothoracic experts found the medical care appropriate at each institut…
75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery
…rative abdominal symptoms persist despite initial investigation; and careful risk-benefit analysis of anticoagulation in post-operative patients at high bleeding risk.
86y · Male·Cardiovascular disease in a man with subdural haemorrhage (in keeping with a fal…
…with significant cardiovascular history (prior myocardial infarction, stroke, atrial fibrillation) on anticoagulation, collapsed in his prison cell on 4 April 2008. He sustained a subdural haematoma requiring urgent sur…
71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…
…ed with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. However, he was prescribed an excessive dose of enoxaparin (100 mg twi…
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
…on. Despite meeting criteria for urgent head CT imaging (age >65, head injury, loss of consciousness, anticoagulation), this was not performed in the Emergency Department due to failure to recognize and act upon the com…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.