17 results for “IV line insertion”
63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …
… with septic shock secondary to staphylococcus aureus pneumonia. The infection likely originated from an IV line noted to be inflamed on 4 March and redened/swollen on 9 March, without further investigation. The coroner …
0y · Unknown·focal ventricular myocarditis and myonecrosis resulting from migration of a Peri…
A 10-month-old boy died from myocarditis and myonecrosis caused by migration of a PICC line into his right ventricle. The line was inserted appropriately under general anaesthetic for IV antibiotics …
38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…
…ncy surgery. Post-operatively he aspirated, developed aspiration pneumonia and septic shock. During central line insertion for inotrope support, an iatrogenic left pneumotharax occurred. The coroner found the care provid…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ay 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 by RFDS aircraft but deterio…
39y · Male·Hypoxic/Ischaemic Encephalopathy due to Cerebral Arterial Gas Embolism
…dday but the device remained in place for 6+ hours while Phillip sat out of bed with family visitors. An IV line disconnected from the Multi Flow Extension Set, allowing air entry into the CVAD. Critical failures include…
69y · Female·Urosepsis secondary to anuric acute renal failure and corona radiata infarct; co…
A 69-year-old diabetic woman presented to Maroondah Hospital Emergency Department on 9 June 2024 with severe right-sided abdominal pain and vomiting. CT imaging at 10:00am confirmed emphysematous pyelitis (gas-forming ki…
45y · Female·COVID pneumonia complicated by severe electrolyte abnormalities
… then COVID-19 infection. Difficult venous access due to contractures prevented adequate IV access and PICC line insertion, limiting ability to monitor and replace electrolytes. The team appropriately decided against inv…
Toxicity from intravenous caesium, DMSO, and other substances administered as pa…
In May 2005, the Kathi Preston Memorial Health Centre (KPMHC) operated an unproven cancer therapy clinic from Dr B.'s home in Perth, Western Australia, administering intravenous treatment containing caesium, DMSO, and La…
28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…
Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone,…
11y · Male·Sepsis
An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…
2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …
BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…
42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …
Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his …
31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…
Laura Marguerite Sinclair, 31-year-old primigravida, died from post-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at…
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…
19y · Male·heroin toxicity
Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…
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.…
27y · Female·chest injuries
…ce); (3) course design shortcomings where fence 8A/8B featured a vertical with downhill approach, no ground line, ambiguous stride distance, and lacked frangible technology—features inconsistent with risk-minimisation pr…
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