Coronial

148 results for ICU admission

VIC2024-02-19

Finding into death of John Robert Gregg

52y · Male·Hypoxic ischaemic encephalopathy and multi-organ failure due to coronary artery …

…al history on pre-dive medical questionnaire, including prescription medications, prior pneumonia requiring ICU admission, and recurrent back problems—his GP stated he would not have endorsed diving without formal dive …

emergency medicineintensive carediagnosticcommunication
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…ctober revealed perforated ischaemic bowel with faecal peritonitis and pseudomonal sepsis. While subsequent ICU management was appropriate, the delayed diagnosis of a surgical emergency in a patient with known adhesion …

general surgeryemergency medicinediagnosticcommunicationfentanyl
WAhospital

Inquest into the Death of June Valerie LOBBAN

69y · Female·Intra-abdominal sepsis and shock with multi-organ failure following intestinal p…

A 69-year-old woman died from intra-abdominal sepsis and multi-organ failure following a perforated caecum that occurred after lumbar spine surgery. Post-operatively, she developed abdominal distension and pain initially…

neurosurgerygeneral surgerydiagnosticdelayfentanyl
NThospital2025-03-25

Inquest into the death of Judith Smart

66y · Female·Hypoxic-ischaemic encephalopathy

A 66-year-old woman with COPD, obstructive sleep apnoea, and obesity underwent routine knee surgery at Royal Darwin Hospital. Post-operative care was inadequate. Despite dropping oxygen saturations to 88% when sedated an…

anaesthesiaorthopaedic surgerydiagnosticsystemmorphine
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

…atient deterioration must be taken seriously and escalated promptly; comprehensive handover procedures from ICU to ward are critical; and clinicians must maintain awareness of Chiari malformation as a risk factor during…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

…t) to a haemodynamically unstable patient. Within minutes, the patient arrested, requiring hysterectomy and ICU admission. She developed multi-organ failure with irreversible shock and died. Key clinical lessons: ensure…

obstetricsanaesthesiamedicationcommunicationoxytocin
QLDhospital2016-05-06

Sweet, Lilli

6y · Female·Brain stem herniation due to pneumococcal meningitis

…ation processes delayed appropriate senior review. Antibiotics were delayed approximately 10+ hours from admission despite multiple clinical prompts. System failures included lack of guidelines for asplenic patient mana…

paediatricsemergency medicinediagnosticcommunicationparacetamol
NThospital2007-12-10

Inquest into the death of Ricky Ryder

28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…

…: delayed surgery from Friday to Saturday (out-of-hours), leading to increased swelling and operational difficulty; underestimation of bleeding risk by a junior surgical registrar (4 months experience) whose consultant …

general surgeryorthopaedic surgerydiagnosticsystem
178

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