133 results for “acute on chronic heart failure”
75y · Female·Haemopericardium due to dissection of the ascending aorta
…r GP on 20 February 2020 with central chest pain radiating to the jaw, which the GP attributed to possible acute myocardial infarction based on her risk factors (diabetes, hypertension, smoking history). An ECG was perf…
8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma
An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemother…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
…sented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurses failed t…
1y · Female·acute myocardial infarction secondary to Kawasaki's Disease
Kristen Kerkvliet, aged 14 months, died from acute myocardial infarction secondary to Kawasaki's Disease. She presented to Gympie Hospital severely underweig…
78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…
…ions. He was admitted to an aged care home and commenced on MS Contin (morphine) 30mg daily by his GP for chronic pain, replacing tramadol. Critical clinical errors included: initiating morphine at standard adult dose r…
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
Ellen O'Connor, a 90-year-old woman with renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A si…
59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)
…offence of drinking in a designated public place. He had severe, documented cardiac disease (cardiomegaly, heart failure) and had been hospitalized twice for cardiac-related issues in the preceding week. While the nursi…
Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…
…nquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventable t…
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 ele…
Male·Complications of alcohol and hepatitis C-related liver disease
…al man with advanced alcoholic cirrhosis and recently acquired hepatitis C infection, died of multi-organ failure while on remand in custody. He received appropriate standard medical care in prison for his chronic liver…
21y · Male·cardiac arrest caused by acute bilateral pneumonia
… by ventilator-acquired pneumonia. Although discharged early from ICU after 3 days, he developed bilateral acute pneumonia with septicaemia and died at home that evening. The coroner determined his death was due to bila…
45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…
A 45-year-old man with poorly controlled diabetes, ischaemic heart disease, and recurrent lower limb infections died from anaphylaxis to intravenously administered flucloxac…
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…
28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…
Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She presented to Fremant…
75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…
A 75-year-old woman died from multiple organ failure due to severe anaemia after elective hysterectomy surgery. Critical failures occurred: the surgical and a…
84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…
An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…
82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…
…spondence in accessible locations. Falls prevention strategies were appropriate, though reassessment after acute arrhythmia on 13 November was not undertaken.
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
… small bleed to expand catastrophically, resulting in death. The coroner found the death preventable. Key failures included: failure to detect the initial small subdural haemorrhage on imaging; failure to reverse warfar…
70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…
…te behaviour died following an assault by another resident with dementia. The coroner found institutional failures in care standards including inadequate medical reviews (none documented for six months despite being in …
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
…led type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden arrhythmia. She presented to hospital multiple times in January 2015 wi…
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