88 results for “blood screening”
69y · Male·Perforated bowel/septicaemia as a result of diverticulitis
… admitted on first presentation. Improvements since include better ED staffing, communication, and early screening. Key lessons: formal clinical handover procedures and improved documentation standards are essential.
36y · Male·infective endocarditis
John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…
0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…
…(not medically evidenced). The coroner found Territory Families failed to: investigate thoroughly before screening notifications; provide family support services; refer to Down Syndrome Association peer support; secure …
60y · Male·Ischaemic heart disease with a bleeding duodenal ulcer being a significant contr…
…il day 44 of incarceration despite clear indications for review; failure to escalate critical vital signs (blood pressure 86/63, heart rate 122) on 13 December; and inadequate clinical oversight of a junior doctor respo…
Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …
Two patients died from pulmonary thromboembolism caused by undiagnosed deep vein thrombosis (DVT). Mr Byrne presented with right calf pain in February 2012; two GPs excluded DVT on clinical examination alone without orde…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
41y · Male·Cardiomegaly in a man with WHO Class III obesity
Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …
64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…
… The hospital failed to recognise she had a paradoxical stroke caused by a patent foramen ovale allowing a blood clot to cross from right to left circulation. Transfer to tertiary care was delayed over 9 hours due to po…
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