149 results for “blood testing”
0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …
A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing …
93y · Male·digoxin toxicity complicating acute on chronic renal failure
…ath was preventable through proper primary care monitoring. The coroner recommended regular digoxin level testing every 3-6 months for elderly patients on digoxin for systolic heart failure.
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
…iration occurred. Jessett's death was potentially preventable if hyperkalaemia had been identified through blood tests before cardiac arrest. The Inquest examined systemic issues: inadequate patient visualisation at tri…
52y · Male·atherosclerotic and hypertensive heart disease
…packets daily), obesity (BMI 31.4), sedentary lifestyle, and refused preventive health screening including blood pressure monitoring, cholesterol and lipid testing, and ECGs. His mental health team appropriately maintai…
35y · Male·Disseminated Lymphoblastic Lymphoma
…r J.' actions not unreasonable given the rarity and aggressiveness of the lymphoma, but noted that broader blood testing and imaging on 1 May, standard in general practice, may have aided diagnosis. Earlier diagnosis wo…
61y · Male·Coronary atherosclerosis
Steven Harrison, aged 61, died of sudden coronary atherosclerosis while incarcerated at Wolston Correctional Centre. He had multiple cardiovascular risk factors including Type 2 diabetes, heavy smoking history, and intra…
88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…
…e cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatraemia (sodium 149 mmol/L), a biochemical marker of dehydration risk, but this w…
78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…
…ltiple comorbidities, previous spinal surgery with persistent pain, osteoporosis, and religious refusal of blood transfusion. During surgery, she became hypotensive and tachycardic during the posterior approach but surg…
56y · Male·pulmonary thromboembolism due to left deep vein thrombosis
…hat application of standardised PE evaluation criteria (Wells score and PERC) would have mandated D-dimer testing given the patient's age >50 and heart rate >100 bpm. A positive D-dimer would likely have led to urgent C…
82y · Male·respiratory failure
Ronald William Barnard, an 82-year-old male prisoner, died from respiratory failure following a three-day illness. He presented to hospital on 20 January with shortness of breath and chest pain, was diagnosed with pneumo…
68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…
…year-old man presented to the emergency department with two episodes of fresh rectal bleeding and elevated blood urea. Despite stable vital signs, he was discharged after two hours with haemorrhoid suppositories and an …
39y · Female·neurological disorder of unknown cause and right axillary abscess
…naerobes). Her care pathway included: early community recognition and GP consultation; hospital admission; blood cultures and appropriate antibiotics; surgical consultation (drainage not feasible due to her anatomy); in…
25y · Male·Multiple organ failure due to acute paracetamol poisoning
…edical clinic on 5 November 2015 with vomiting and abdominal pain. Clinical care was critically deficient: blood tests ordered on 6 November were never actioned; vital sign observations were inadequate or absent; there …
24y · Female·peri-myocarditis in the presence of sub clinical Addison's disease
… diagnosed with viral pleurisy without specific investigations for Addison's disease. While her low-normal blood pressure and significant weight loss were features of Addison's, the expert found these were appropriately…
24y · Male·unascertained; likely due to impact with tree or rapid fire following motor vehi…
…e motor vehicle accident after colliding with a tree at high speed while driving erratically. Post-mortem testing revealed high levels of methylamphetamine and cannabis in his blood. The coroner found his death was unas…
72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…
…sions and possible pancreatitis (lipase 1080 U/L post-op). Key clinical lessons: (1) pre-operative lipase testing was not completed due to insufficient sample—this would have supported pancreatitis diagnosis; (2) patien…
0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…
…ied at Royal Darwin Hospital on 18 March 2023 aged 6 months. The coroner found that non-invasive prenatal testing (NIPT) should have been offered to his mother during pregnancy; detection would have enabled planning and…
Unknown·Blunt force injuries sustained in motor vehicle crash; S Wongaway: blunt force i…
…00-142 km/h, colliding with an oncoming utility. All three occupants sustained fatal blunt force injuries. Blood alcohol testing revealed significant intoxication in the deceased. The coroner found this was not a 'death…
44y · Female·acute myocardial infarction due to coronary thrombosis
…ascular risk factors: Aboriginal status, obesity, smoking, hypertension, and dyslipidemia (detected late). Blood pressure monitoring was inadequate, with rapid de-escalation once readings normalised. Her hyperlipidaemia…
19y · Male·Severe traumatic head injury sustained from impact with roadway surface after ex…
Jayden Craig Field, a 19-year-old intoxicated male, died from severe traumatic head injury sustained when he exited a moving taxi at approximately 41-48 km/h after a planned fare evasion. The coroner found that all four …
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