161 results for “clinical dehydration”
18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…
…lant consideration, though survival prospects were poor given extent of myocardial damage at autopsy. Key clinical lessons: recognise when treatment is failing in a returning patient, obtain collateral history from famil…
3y · Female·massive air embolism
…nfusion rate, fluid exhausted after ~24 minutes, sending ~70-100 mL of air directly into her bloodstream. Clinical lesson: never re-spike IV bags; ensure single-use spike labeling; prohibit opaque pressure cuffs in aerom…
72y · Female·haemorrhage from penetrating duodenal ulcer
…ut not properly acted upon by the admitting medical team. Despite a positive faecal occult blood test and clinical evidence of bleeding, no endoscopy was performed. The team attributed symptoms to cardiac pathology based…
38y · Male·coronary atherosclerosis
… died despite resuscitation efforts at the clinic. The coroner found the death preventable through better clinical judgment: a person complaining of chest pain and dyspnea should be transported to hospital or clinic for …
13y · Male·borderline myocarditis, most likely due to influenza A virus infection
…and minimal parental engagement. He deteriorated critically at home and died 7 hours after discharge. Key clinical lessons: lethargy and loss of independent mobility in a child are important markers of serious illness th…
3y · Male·respiratory failure, with spinal muscular atrophy an antecedent cause
…d sudden respiratory deterioration requiring intubation and resuscitation, which proved unsuccessful. Key clinical issues included absence of documented end-of-life planning despite his life-limiting diagnosis, limitatio…
88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia
…hly). By July 2017, her pressure ulcer had progressed to stage 3 with infection before hospital transfer. Clinical lessons include: SRS facilities must recognise when residents' care needs exceed their capacity and escal…
1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…
…presented to ED twice in two days with febrile illness, poor intake, and lethargy. At first presentation, clinical assessment was appropriate and she improved with supportive care, then was discharged home. At second pre…
84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…
…ier attendance would unlikely have prevented death given his advanced age and multiple comorbidities. Key clinical lesson: total dental clearance in elderly patients with significant cardiac disease requires careful pre-…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
…dics delayed examination and chest compressions commenced nearly 2 minutes after cardiac arrest detected. Clinical lessons: drug-affected patients in custody require rapid medical assessment not delayed by behavioural co…
91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…
…ntly placed on mental health detention orders due to acute confusion and agitated behaviour. The critical clinical lesson is the need to investigate delirium urgently, especially in elderly patients with multiple comorbi…
5y · Female·myocarditis
…oss departments; and excessive fluid administration straining the failing heart. By 0740 hours sufficient clinical evidence existed for myocarditis diagnosis (abnormal ECG, influenza A, hypotension, tachycardia, hepatome…
86y · Male·Septic shock secondary to urosepsis
…erns, he was managed with fluid restriction, bowel preparation, and insulin adjustment. Despite overnight clinical deterioration (low blood pressure, rectal bleeding, poor oral intake), he was discharged on day 2. An eme…
76y · Female·aspiration of gastro-intestinal contents as a result of small bowel obstruction …
A 76-year-old woman with Alzheimer's dementia and psychiatric illness collapsed on 1 January 2009 and was assessed in the Emergency Department. Dr B. diagnosed vasovagal syncope with gastroenteritis based on the patient'…
8y · Male·Septic shock consequent on burst appendix with peritonitis
Jacob Belim, aged 8, presented to a GP with appendicitis on 24 March 2009 but the diagnosis was missed. The next day, his treating doctor correctly diagnosed ruptured appendix and referred him urgently to hospital. At Li…
59y · Male·Ruptured atherosclerotic abdominal aortic aneurysm (operated)
…ongoing pain managed with intravenous morphine. The coroner found that use of analgesia likely masked the clinical urgency and contributed to delay. The aneurysm ruptured overnight on 22-23 April. Emergency surgery on 23…
1y · Female·complications of acute bronchiolitis arising from Respiratory Syncytial Virus (R…
A 17-month-old First Nations child died from acute bronchiolitis due to respiratory syncytial virus (RSV) infection in inadequate accommodation following parental separation from domestic violence services. The coroner i…
80y · Male·Bronchopneumonia complicating terminal palliative care in an elderly man with ch…
…gnitive capacity existed. Medical care was appropriate and comprehensive throughout his imprisonment. Key clinical lessons include: the importance of earlier capacity assessments when patients refuse life-sustaining trea…
6y · Male·Sepsis due to melioidosis
…ial diagnosis of viral gastroenteritis was reasonable given the rarity of melioidosis in children and the clinical presentation. However, systemic failures hindered optimal care: absent clinical documentation of presenta…
74y · Female·Diabetic ketoacidosis
…of 'sick day' management protocols; no blood ketone testing despite recommendation; poor documentation of clinical assessments; and crucially, failure to ensure timely hospital transfer despite medical deterioration. The…
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