233 results for “stroke”
61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …
…rked coronary artery atherosclerosis, myocardial fibrosis, moderate cardiomegaly, and evidence of previous stroke. Fry had a lifelong pattern of non-compliance with diabetes management—refusing medications, diabetic diet…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
A 66-year-old woman died from retroperitoneal haemorrhage following anticoagulation for stroke caused by intra-arterial central venous catheter placement. The catheter was mistakenly inserted into the …
54y · Female·Effects of fire in a woman with past right middle cerebral artery territory stro…
A 54-year-old woman with left-sided paralysis from a prior stroke died in a house fire started by smoking in bed. She called emergency services at 2:42am reporting her blan…
72y · Male·Choking on a food bolus
A 72-year-old man with vascular dementia, stroke history, and dysphagia died from choking on food while being fed by a nurse in aged care. The coroner foun…
73y · Male·dehydration and hyperthermia
…nergic properties: pericyazine, haloperidol, and oxybutynin. These drugs impair sweating and increase heat stroke susceptibility, particularly when combined. He was found deceased from dehydration and hyperthermia after …
59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…
…days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on imaging. Despite this, she was discharged from ICU after only 22 hours with inadequate commun…
64y · Male·Large pulmonary embolus (origin undetermined)
…lures: warfarin was recommended by multiple doctors but never seriously considered despite AF and previous stroke; discharge planning on 12 September failed to follow policy with no written care plan or agency coordinati…
69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…
…identified, but the patient deteriorated and developed a large intracerebral haemorrhage, likely ischaemic stroke from sepsis-induced thrombosis that converted to haemorrhage, worsened by the anticoagulation. Key clinica…
29y · Male·severe burns sustained in motor vehicle fire following collision
… collision with a vehicle driven by 67-year-old Robert Spencer on a Darwin highway. Spencer had suffered a stroke in 2003 with residual complications including anosognosia (lack of awareness of disability), left visual n…
67y · Male·Head injuries sustained in falls
…or Code 1 events, and a Code Green (medium service impact) was in effect. Alcohol consumption and previous stroke were contributing factors. The case highlights broader Ambulance Victoria performance deficits post-COVID-…
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson inv…
84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…
…uses but remained unascertained, with possible causes including cardiac arrhythmia, myocardial infarction, stroke, or pulmonary thromboembolism. No clinical errors or preventable factors were identified.
83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction
…sy medication (March 2013), progressive immobility, untreated hallucinations and self-injury, and a likely stroke two weeks before death without medical intervention. Critically, her GP attendance dropped from monthly (2…
86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall
…When facial droop developed, he was admitted with presumed transient ischemic attack. Clinical fixation on stroke diagnosis led to failure to adequately assess his back pain. Rib fractures went undiagnosed despite being …
80y · Female·terminal exacerbation of congestive cardiac failure due to a fracture of the rig…
An 80-year-old woman resident in an aged care facility fell in her room and sustained a neck of femur fracture. She was conscious after the fall with no evidence of head injury. She declined hospital transfer. A geriatri…
63y · Male·cerebral infarction
…rt opinion suggested haloperidol, combined with respiratory compromise from motor neurone disease and post-stroke delirium, may have contributed to death. Key lessons: inappropriate use of antipsychotics as sedatives in …
82y · Male·Acute kidney failure due to possible sepsis or cardiogenic shock, with congestiv…
…deficiency in care provided by Corrective Services NSW or Justice Health. Medical management following his stroke in November 2016 and subsequent rapid deterioration in March 2017 was appropriate, including timely hospit…
82y · Male·complications of metastatic pancreatic cancer with end stage liver failure
An 82-year-old man died of end-stage liver failure due to metastatic pancreatic cancer while serving a custodial sentence. He was comprehensively assessed on entry to prison and housed in an Aged Care Unit where his mult…
76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation
…omplications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him bed-bound and dependent on PEG feeding. On 10 June 2024, he presented with acute…
57y · Male·Gunshot wounds to the head and abdomen
…uded Usher-Clarke's documented depression, suicidal ideation in 2020, personality changes following a 2016 stroke, and his visit to a Victorian GP on 12 January 2022 where he was prescribed antidepressants without docume…
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