171 results for “severe shock”
2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
Sebastian Hewitt, born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical cli…
13y · Female·cardiac arrest resulting from dehydration
A 13-month-old girl with short bowel syndrome died from cardiac arrest due to severe dehydration. She had been deteriorating with diarrhoea and vomiting on 18 February 2009, prompting nursing…
1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…
… 11 June 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe perianal injuries and cellulitis, con…
60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…
Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…
38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)
…very. Despite multiple clinical warning signs including repeated elevated temperatures (38.7°C at 6:50am), severe abdominal pain, low blood pressure (80/60 at ~4:45pm), and low urine output, she was never prescribed anti…
46y · Male·Cardiac failure due to blood loss from traumatic laceration to right thigh susta…
… to blood loss after being struck by a 219 kg falling rock underground at a Queensland mine. He suffered a severe laceration to his right thigh with femoral artery exposure. Pre-existing hypertensive and ischaemic heart …
17y · Male·intra-abdominal haemorrhage complicating partial pancreatectomy for traumatic pa…
… the Home (HITH) program on 19 May despite persistent low-grade pancreatic fistula. On 21 May he developed severe pain and vomiting, managed by phone advice attributing symptoms to medication taken on empty stomach. Pain…
68y · Male·drowning against a background of cardiomegaly and severe coronary artery calcifi…
…er 2012 while snorkelling at Michaelmas Cay on the Great Barrier Reef. He had undiagnosed cardiomegaly and severe coronary atherosclerosis. The coroner identified multiple missed opportunities in safety management by Voy…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
…eningococcal septicaemia (W strain) within 3 hours of arriving at Royal Perth Hospital. She presented with severe generalised pain (10/10), tachycardia, hypothermia, and vomiting. Clinical lessons include: (1) ED overcro…
26y · Female·sepsis
… infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 October with severe pain, tachycardia (125 bpm), and fever. Dr P., the obstetrics registrar, conducted an inadequate assessmen…
30y · Male·Complications of methylamphetamine toxicity
Matthew Dongelmans, aged 30, died from complications of methylamphetamine toxicity after being arrested for breaching a family violence intervention order. He consumed methylamphetamine prior to arrest, likely in panic w…
74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair
… anticoagulation or give fresh frozen plasma earlier. The patient's underlying chronic liver disease (from severe tricuspid regurgitation) created an unrecognised coagulopathy risk. Earlier recognition and aggressive man…
17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis
James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
Darryl Smith, aged 34, died following emergency surgery for a fractured clavicle at Sunnybank Private Hospital. During the final drilling of the sixth screw hole, the surgeon's drill penetrated the underlying right subcl…
60y · Male·Ischaemic heart disease with a bleeding duodenal ulcer being a significant contr…
…ior doctor responsible for 1150 inmates. The coroner found the delivery of healthcare was 'chaotic' due to severe understaffing, with one GP managing a population that contractually required multiple doctors. Early hospi…
83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…
…nger train. The investigation found that 6 passengers died immediately from trauma, while others died from severe injuries with poor prognosis despite appropriate emergency response. Harold Long developed a tension pneum…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators o…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
… occurred during the procedure but was not detected intraoperatively. Post-operatively, she presented with severe pain requiring narcotic analgesia within 24 hours—a red flag for bowel injury. Despite fluctuating clinica…
75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)
… based primarily on gastrointestinal bleeding symptoms, as TPCH lacked gastroenterology services. At RBWH, severe mitral valve regurgitation (4/4) was confirmed with progressive deterioration. After 12 hours, he was tran…
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
… wrong order, leaving both medications active. The patient received both drugs before transfer, leading to severe bleeding. Key lessons: Electronic Medical Records (EMRs) with poor usability design contributed critically…
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