98 results for “acute cardiac event”
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
Mrs Nola Inez Daniel, an 83-year-old with chronic lung disease, osteoporosis, and cardiac disease, was admitted to Regis Forrest Gardens for respite care on 24 December 2009. She sustained three …
39y · Male·respiratory failure and cardiac arrest
…ese serious findings suggesting respiratory compromise, he was transferred to the mental health ward where acute medical support was unavailable. During admission processes there, he was placed in seclusion after approa…
91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…
… not verify allergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers. He subsequently suffered a cerebrovas…
62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…
…m global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8 days earlier during coro…
35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…
A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Despite presenting with objective signs of withdrawal (tre…
51y · Male·Combined effects of atherosclerotic cardiovascular disease and seizure activity …
… caffeine (64mg/L, equivalent to approximately 2000mg or 20 espresso coffees), which precipitated a fatal cardiac event in the context of critical coronary artery stenosis (90% occlusion of left anterior descending arte…
61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…
A 61-year-old woman with severe restrictive lung disease, obesity, cardiac failure, and diabetes underwent cataract surgery at a private day surgery centre on 13 August 2018. She w…
82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation
An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturin…
39y · Male·Acute myocardial infarction arising from coronary artery atherosclerosis
…ical officer. No follow-up occurred despite documentation requesting review. Davies later suffered a fatal acute myocardial infarction on 4 September 2007. Expert evidence indicated that timely ECG interpretation and ap…
22y · Unknown·sudden death associated with volatile substance inhalation (butane and propane)
… volatile substance abuse (VSA) and mental illness was involuntarily admitted to Royal Darwin Hospital for acute psychosis. Due to COVID-19 bed-block, they were placed as an 'outlier' on a general ward rather than a men…
58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…
…ortcomings in diagnostic interpretation, adherence to clinical escalation protocols, and the absence of an acute resuscitation plan for a palliative patient. The hospital implemented corrective measures including dedica…
30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…
…um and atropine obtained from a hospital storeroom. She was admitted under Mental Health Act detention for acute psychosis. Critical clinical lessons include: (1) her antipsychotic medication was inadequate despite flor…
88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…
An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood te…
60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…
…ding pain relief and antibiotics. The deceased collapsed on 27 October and was transferred to hospital in cardiac arrest, but her condition was not recoverable. The coroner found this death was preventable: referral to …
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
Elsie Robertson was a preterm neonate born at 30 weeks gestation from a monochoroidal diamniotic twin pregnancy complicated by Twin-to-Twin Transfusion Syndrome (TTTS) treated with laser photocoagulation at 23 weeks. She…
69y · Female·Asthma
…cally ill by morning, deteriorated further during transfer to ICU at another hospital, and suffered fatal cardiac arrest. The coroner found the hospital system responsible, not individual clinicians, and made recommenda…
Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease
Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…
0y · Male·Complications following forceps delivery
…of survival; (4) confirmation bias led clinicians to focus on sepsis rather than haemorrhagic shock. Key preventive measures: transfer to theatre when red flags appear, implement robust scalp monitoring protocols post-i…
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