102 results for “left ventricular failure”
0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma
…idisciplinary surgical and medical management. Following deterioration and development of end-stage renal failure with a progressively enlarging spinal tumour, a compassionate decision was made to transition to palliati…
76y · Male·Chest and pelvic injuries sustained in a ride-on lawn mower incident
A 76-year-old man died from chest and pelvic injuries sustained when a ride-on mower he was operating rolled over while towing a heavily laden trailer (>200 kg) across a sloped paddock. The mower's small wheelbase and na…
83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…
Frank Valentine, an 83-year-old man, died from congestive cardiac failure due to ischaemic and valvular heart disease, with hereditary haemorrhagic telangiectasia (HHT) and anaemi…
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
…th acute unit under a Temporary Treatment Order. He had multiple comorbidities including congestive heart failure, COPD, and bipolar disorder, with poor medication compliance from 2018. He was non-compliant with care, r…
71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision
Julie Anne Holmes, aged 71, died of pneumonia following a cervical spine fracture sustained in a motor vehicle accident that was not diagnosed during her hospital admission. Critical clinical lessons include: (1) paramed…
51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …
Tom Foski, a 51-year-old man with chronic schizophrenia, died from congestive cardiac failure associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including…
15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…
Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 Nove…
46y · Male·congestive cardiac failure due to cardiomyopathy and coronary artery atheroscler…
A 46-year-old man with significant cardiac and medical comorbidities died of congestive cardiac failure due to cardiomyopathy and coronary artery atherosclerosis while in police custody. He was correctly categ…
75y · Male·acute bronchopneumonia in a man with comorbidities
…y ill register and received comprehensive medical care that exceeded community standards. However, system failures prevented consideration of early release via Royal Prerogative of Mercy: briefing notes required by poli…
72y · Male·acute cerebral infarction complicating acute myocardial infarction
Ronald Bromage, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without perfo…
74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…
…d ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failures included: failure to monitor creatinine and gentam…
63y · Male·Atherosclerotic Heart Disease
…. The patient arrested before medical input was secured. A secondary error involved the defibrillator being left in manual mode at 30 joules instead of the emergency setting of 200 joules. Post-mortem revealed a massive …
46y · Male·Haemopericardium complicating aortic dissection
A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiol…
69y · Female·Complications of a subdural haemorrhage (palliated) sustained in a fall
…gh-risk status (score 23, high being >17). Nursing staff checked on her twice during toileting, but she was left unattended. The coroner identified this as a missed prevention opportunity despite acceptable nursing pract…
45y · Female·Bronchiectasis
… treatment assessment under NT legislation, but this was never initiated due to systemic police recording failures. The coroner found the death not directly preventable by police or shelter actions, but identified serio…
65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…
…ECG said and expected to review it by fax. The fax transmission failed due to technical issues. Mr Velt was left alone with a student nurse despite the nurses' awareness of possible MI. He suffered an unwitnessed cardiac…
70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…
Ronald Joseph Buckland, aged 70, died in custody at Fiona Stanley Hospital from bronchopneumonia with intra-abdominal carcinoma and multiple comorbidities. A life-sentenced prisoner, he had extensive medical conditions i…
68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis
…r surgery, he received appropriate short-term VTE prophylaxis with clexane. However, there was a critical failure to establish an ongoing anticoagulation plan post-discharge despite cumulative VTE risk factors (prior PE…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
…ment. The surgery involved emergency coronary artery bypass grafting and was technically sound, but a small left coronary artery tear of uncertain aetiology developed intraoperatively. Critically, the ICU registrar chang…
60y · Male·Gunshot wound to the head (self-inflicted)
Nicky Kudrin, a 60-year-old man, died from a self-inflicted gunshot wound to the head on 7 July 2021 during a police operation. He attended his ex-wife's home, assaulted her, displayed a homemade firearm, and made threat…
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