15 results for “IV fluid resuscitation”
58y · Male·chest and abdominal injuries sustained in motor vehicle collision
…hree doctors present at the scene. Critical management issue: when a qualified doctor (Dr H.) requested IV fluids for fluid resuscitation to manage hypovolaemic shock from severe trauma, the volunteer ambulance had none…
3y · Female·massive air embolism
… giving set, allowing air to enter the bag. The bag was placed in an opaque pressure cuff that forced both fluid and air through the IV line into the patient's circulation. At 250 mL/hour infusion rate, fluid exhausted …
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ell, there was a 2-hour delay before parenteral antibiotics were administered and a 4-hour delay before IV fluids were started. The IV line subsequently tissued and was never successfully restarted. She was transferred …
69y · Female·Urosepsis secondary to anuric acute renal failure and corona radiata infarct; co…
…on to medical review occurred until a MET call at 7:47pm when blood pressure fell to 86/54. Critically, IV fluids were not initiated until the MET call, despite her being a vomiting diabetic with serious infection. She …
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
… for over 2 hours before extrication. Although paramedics and the retrieval team provided high-quality resuscitation, the deceased developed irreversible hypovolaemic shock. Key clinical lessons: (1) Local medical offic…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
…ciation of sepsis severity; failure to escalate to ICU consultation or retrieval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
…al where small bowel obstruction and aspiration pneumonia were diagnosed. Conservative management with resuscitation was initially appropriate, but he rapidly deteriorated with septic shock and multi-organ failure. Surg…
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…
70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…
…ia repair history sufficiently in investigating the ongoing symptoms. The patient appeared to improve with fluid resuscitation but harboured a strangulating small bowel obstruction that was only recognized as she deteri…
1y · Female·Sepsis (Group A Streptococcus)
…al: delayed recognition of septic shock, delayed intravenous access (three hours), delayed antibiotics and fluid resuscitation, and delayed retrieval initiation. The child deteriorated acutely with petechial haemorrhage…
11y · Male·Sepsis
An 11-week-old premature infant presented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures inclu…
4y · Female·volvulus of the large intestine
Tahlia Rose Bembridge, a 4-year-old with Down syndrome and prior mid-gut volvulus, presented to Bunbury Hospital ED with vomiting and abdominal pain on 1 October 2015. Initial assessment excluded acute bowel obstruction.…
68y · Female·Coronary heart disease
…ology appointment arranged. She re-presented 48 hours later in acute pulmonary oedema and died despite resuscitation. Clinical lessons: inadequate length of stay for diagnostic clarity in acute heart failure; failure to…
59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…
59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
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