120 results for “chest aspiration”
58y · Male·salt water drowning following air embolism due to ascent barotrauma
…edical examination by a practitioner trained in diving medicine would have identified pleural adhesions on chest X-ray and contraindicated diving. Key lessons: recreational divers require regular medical assessment by d…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
… from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating general practitioner failed to appreciate the ser…
48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…
…acute myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain and rib injury from an intoxicated fall. Critical clinical lessons include: failure to perform ECG de…
89y · Female·Acute upper airway obstruction by food bolus
… Victoria guidelines, which recommend immediate emergency contact before or concurrent with back blows and chest thrusts. The coroner found care was suboptimal in her final moments. Key clinical lessons include the need…
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…
85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …
An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
…ded: unsupervised provision of food to a patient with poor dentition and sedating medications increasing aspiration risk; inadequate continuous monitoring of the seclusion room by CCTV despite a monitor displaying real-t…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
…to recognize Ms Lester had not met safe decannulation criteria despite ongoing heavy secretions and recent chest infection; poor documentation and handover; inadequate staff education on tracheostomy management due to i…
42y · Female·saltwater drowning
Deborah Campbell, aged 42, died from saltwater drowning while scuba diving at Nora Creina, South Australia. She was obese, physically unfit, and had not undergone proper diving medical evaluation. Contributing factors in…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…
26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis
Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…
44y · Female·salt water drowning due to ascent barotrauma (cerebral arterial gas embolism)
Jennifer Lee Barrington, age 44, died from salt water drowning due to ascent barotrauma (cerebral arterial gas embolism/CAGE) during a recreational scuba dive. She had significant undisclosed medical conditions including…
0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…
Joseph Thurgood-Gates died at 5 days old from global cerebral hypoxic injury due to uterine rupture during labour. The death was preventable. His mother, Ms Thurgood, had two prior caesarean sections and refused hospital…
35y · Male·Cardiorespiratory arrest in the setting of acute agitation and physical and chem…
Hizir Ferman, aged 35, died at Middleton Prison following forcible extraction from his room by SESG officers using CS gas and physical restraint. He was held prone with hands cuffed behind him, a shield on his back, and …
0y · Female·Sepsis
Baby Lily Irwin died of sepsis caused by ascending bacterial infection (Staphylococcus aureus) that developed after spontaneous rupture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnioni…
38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…
A 38-year-old woman in persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurre…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…
20y · Male·hypoxic encephalopathy
Matthew Lynn, aged 20, died from hypoxic encephalopathy after sustaining head injuries in a motor vehicle collision. While hospitalised in ICU, his endotracheal tube (ETT) became displaced around 12:20am on 23 January 20…
31y · Male·Complications in association with intestinal volvulus
31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…
2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …
BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.