329 results for “delivery”
Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome
…ntraindicated in severe pre-eclampsia; and the caesarean section was delayed 90 minutes after decision-to-delivery. The obstetrician did not review the admission CTG upon arrival, and the mother's refusal of medical advi…
66y · Male·Coronary atherosclerosis
…ic despite severe pathology, particularly in pain patients receiving excellent analgesia from intrathecal delivery.
15y · Female·Asphyxia as a result of hanging
…clinical errors were identified; this case concerns police investigative procedure rather than healthcare delivery.
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
…revented with earlier notification to Dr S. of deteriorating CTG findings, potentially allowing expedited delivery and reduced hypoxia exposure. Clinical lessons include: maintain high suspicion for subgaleal haemorrhage…
suicide
…incident. As a suicide death occurring during police operations, this case does not involve clinical care delivery, hospital patient safety failures, or therapeutic medical interventions. The findings were not published …
46y · Male·COMPLICATIONS OF RUPTURED ANTERIOR COMMUNICATING CEREBRAL ARTERY ANEURYSM (OPERA…
…ievable. The coroner found his management appropriate, with proper staff response and adequate healthcare delivery while in custody. His death resulted from natural causes—complications of the aneurysm itself rather than…
29y · Male·Acute bronchopneumonia in a man with cardiomegaly
…or hypertension, along with bilateral acute bronchopneumonia. Both correctional management and healthcare delivery were reviewed and found to be in accordance with established standards. No clinical errors or preventable…
32y · Female·Sepsis due to pyelonephritis of the right kidney due to acute and chronic cystit…
A 32-year-old Vietnamese-speaking woman died from sepsis due to pyelonephritis following premature discharge from hospital onto a midwifery support program. Multiple missed diagnostic opportunities occurred: difficulty p…
0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration
Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, creatin…
56y · Male·acute exacerbation of chronic obstructive pulmonary disease (bronchial asthma) i…
Ashley Adrian Lane, a 56-year-old Aboriginal man from the Ngaanyatjarra Lands, died in custody at Kalgoorlie Regional Hospital from acute exacerbation of chronic obstructive pulmonary disease (asthma). He was a remand pr…
47y · Male·Sudden cardiac death in association with COVID-19 infection
Alen Imbrisak, a 47-year-old man incarcerated at Junee Correctional Centre, died on 26 January 2022 from sudden cardiac death in association with COVID-19 infection. He tested positive on 25 January 2022 during a centre-…
45y · Female·Neck compression secondary to hanging
Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…
69y · Male·Severe head injury due to a motor vehicle accident
John Venturato, a 69-year-old man driving on the Bruce Highway in Queensland, collided head-on with a wide load (a house 8.9m wide) being transported north at approximately 5:30am on 6 September 2005. He was killed insta…
2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
…gation for anaemia and foetal-maternal haemorrhage, and repeat blood gas analysis within 30-60 minutes of delivery. Significant hypoglycaemia (BSL 1.3-1.7 mmol/L) in the first hours of life should prompt immediate intrav…
0y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…
…lemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APGAR score (3 at 1 minute) but improved to 7 by 5 minutes. At approximately 6:00am…
0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …
… classic PPHN signs (harlequin appearance, differential oxygen saturations) approximately 30 minutes post-delivery following an uncomplicated pregnancy and delivery. Clinical care was appropriate and expert evidence conf…
54y · Male·Ischaemic heart disease
…is consistent with sudden cardiac death. The coroner found no deficiencies in health or correctional care delivery that altered the outcome. The case highlights that sudden cardiac death can occur without prior warning, …
68y · Female·intracerebral haemorrhage
…ath was causally related to her status in Department of Human Services care. No systemic failures in care delivery were identified. This case illustrates the natural progression of cerebrovascular disease in patients wit…
20y · Male·Blunt trauma to the head sustained in a fall from gutter boards at a height of a…
…ven the cumbersome manual tying-off system. Critical failures by employer Sherwoods included: rejecting a delivery delay, accepting unsafe working conditions without objection, failing to implement a static tether line, …
78y · Male·urinary tract infection in a man with dementia and epilepsy
…ropriate and consistent with Victorian public health standards. The coroner found no deficiencies in care delivery, clinical management, or nursing care that contributed to his death. The case demonstrates appropriate pa…
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