Inquest into the death of Kerry James Murphy
73y · Male·Acute subdural haematoma
Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was ad…
191 results for “acute kidney injury”
73y · Male·Acute subdural haematoma
Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was ad…
23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…
…inical lessons: presumption of capacity may not apply when guardianship is unknown; early consideration of acute appendicitis in presentations with fever, tachycardia, right lower quadrant pain and elevated inflammatory…
51y · Female·community acquired pneumonia
Louise Kitty Whiskey, a 51-year-old Aboriginal woman with chronic alcohol misuse, cirrhosis, and recurrent respiratory infections, died from community-acquired pneumonia at Royal Adelaide Hospital. She was admitted on 23…
82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis
An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-r…
76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…
…year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care facility. Key clinical lesson…
74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…
…d for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failures included: failure to monitor creatini…
25y · Male·Multiple organ failure due to acute paracetamol poisoning
Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November …
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 anaesthetic teams held conflicting understandings about whether…
84y · Female·septicaemia secondary to septic arthritis of the left knee
An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthriti…
75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…
A 75-year-old man died from multiorgan dysfunction following an anastomotic leak after hemicolectomy for caecal adenocarcinoma. Initial post-operative recovery appeared normal, but he deteriorated from day 3 onwards. The…
73y · Male·subdural haematoma from fall
…without imaging. On 3 February, he deteriorated with altered consciousness and was found to have a massive acute subdural haematoma with herniation. The critical failure was non-completion of the standardized post-fall …
84y · Male·aspiration pneumonia following rhabdomyolysis due to entrapment of his right arm…
David Cobham, aged 84 with dementia, died on 23 April 2015 from aspiration pneumonia following rhabdomyolysis caused by prolonged entrapment of his right arm in a bathroom hand rail at The Lodge aged care facility. His d…
45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…
Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with …
61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…
… days post-operatively before bursting on day three, causing sudden cardiac arrest and fatal hypoxic brain injury. Clinical lessons include: difficulty detecting post-operative deterioration in obese patients (abdominal …
27y · Male·Hypothermia and rhabdomyolysis due to traumatic crush injuries of back and legs …
A 27-year-old man died from hypothermia and rhabdomyolysis following crush injuries sustained when a tree fell on him during tree felling on family property. He was using a chainsaw to fell a large eucalyptus tree that b…
47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…
A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…
65y · Male·ischaemic heart disease following complications of colorectal surgery
A 65-year-old man with significant comorbidities (cardiomyopathy, diabetes, obesity) underwent colorectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 1…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
…o revealed 9 rib fractures, the treating general practitioner failed to appreciate the seriousness of this injury pattern in an elderly patient and did not seek specialist advice or arrange transfer to a tertiary centre.…
66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…
Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery were inadequately secured…
69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis
…transfer. While earlier intervention might not have changed survival, adherence to evidence-based pressure injury prevention guidelines and timely escalation would have been appropriate.
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