71 results for “cardiorespiratory failure”
33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…
…amedics administered midazolam while he was deeply unconscious and likely in cardiac arrest. Key clinical failures included: failure to recognize and respond to clinical deterioration (agonal breathing misinterpreted as…
48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …
…nge in ICU. She was recovering from emergency liver transplantation complicated by sepsis and acute renal failure. A routine guidewire exchange of her hemodialysis catheter on 29 June inadvertently placed the new cathet…
70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…
A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and …
2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection
A two-year-old girl died from complications of severe iron-deficiency anaemia and COVID-19 infection. She had significant feeding difficulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with po…
48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…
…edications from 31 doctors across 12 medical services, with extensive prescription shopping. Key clinical failures included: failure to coordinate care despite known prescription shopping; continued prescribing of drugs…
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…
1y · Male·Global cerebral ischaemia in an infant with upper airway obstruction
…arer (Mrs Patterson) also failed to assess or manage the airway during resuscitation. Contributing system failures included inadequate training of agency nursing staff in emergency tracheostomy management, poor communic…
39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…
…ed, but irreversible hypoxic brain damage had occurred. The coroner found the death resulted from systems failure: inadequate equipment availability in recovery (capnography, fibre optic bronchoscope), and lack of appro…
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
…heumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the severity and trajectory…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
…Wallenberg syndrome, she required tracheostomy for bulbar dysfunction. On 13 June 2018, she suffered cardiorespiratory arrest due to airway occlusion from sputum plugging and/or tube dislodgment while a tracheostomy cap…
46y · Female·Complications following cardiorespiratory arrest in association with an air embo…
…al cardiac arrest. The coroner found the quality of care 'grossly inadequate', particularly the surgeon's failure to respond to signs of sepsis and nursing failures to escalate and communicate.
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