76 results for “altered consciousness”
36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis
A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococc…
46y · Female·Sepsis of unknown origin
…om sepsis of unknown origin. She was admitted to Box Hill Hospital on 20 April 2023 after two episodes of altered consciousness, presenting with bradycardia, hypotension, and hypothermia. Despite extensive investigation…
50y · Male·ischaemic heart disease
…ed approximately 7 minutes elapsed before ambulance was called. The coroner found police assumed his unconsciousness was alcohol-related intoxication rather than recognising a medical emergency. Key failure: police did …
41y · Female·Left middle cerebral artery territory ischaemic stroke
A 41-year-old registered nurse presented to the Emergency Department with altered consciousness on 28 May 2015. She was initially assessed as having a possible medication overdose rather …
51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…
… overnight and found unconscious at 6.01am. Key clinical lessons: police observations of deteriorating consciousness (grunting response, mucus in airway, abnormal breathing) during two phone calls to the Custodial Healt…
54y · Male·Toxic leukoencephalopathy (of uncertain aetiology)
…usion protocol with supportive medications. David became unexpectedly drowsy and developed fluctuating consciousness on day 6, with GCS dropping to 5/15. He was transferred to ICU with diffuse white matter disease on im…
Female·death by drug toxicity
…n and calling emergency services promptly. Key lessons include: recognising signs of acute drug toxicity (altered consciousness, respiratory compromise); ensuring responsible adult supervision at youth gatherings; under…
52y · Female·spontaneous intracranial haemorrhage from ruptured berry aneurysm
…upture and have no reliable prevention strategies. The clinical lesson is that sudden onset vomiting with altered consciousness warrants urgent neuroimaging to exclude intracranial pathology, though in this case the ane…
40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…
… OC spray, then was sedated with ketamine and midazolam at Dandenong Hospital. Despite concerns about his altered consciousness, he was cleared for police custody. In prison, he presented with opioid withdrawal symptoms…
45y · Female·Blunt force trauma to the head
… have resulted from a fall or assault. Clinical lessons include: the importance of thorough assessment of altered consciousness (she was found extremely intoxicated with head injury); recognition that patients with live…
56y · Male·Cerebral hypoxia in a man with respiratory insufficiency and Down's Syndrome
…nd severe cervical stenosis residing in supported care presented to hospital with respiratory failure and altered consciousness. He had aspirated food or secretions leading to type II respiratory failure with a GCS of 7…
50y · Male·Pneumonia
…n and hypotension from refusing fluids. Within hours of admission, he deteriorated rapidly with vomiting, altered consciousness, and severe pneumonia ('white out' on chest X-ray), requiring intubation and ICU admission.…
63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities
…nted with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hypotension. A MET call was initiated and sepsis was suspected. However, clinical staf…
83y · Male·Ischaemic heart disease secondary to coronary atherosclerosis
…ications including benzodiazepines and antipsychotics. During transfer between facilities, he experienced altered consciousness with Glasgow Coma Score dropping to 3, requiring diversion to hospital for investigation. D…
85y · Male·pneumonia
…on in December 2015 that persisted despite oral antibiotic therapy. On 28 January 2016, he was found with altered mental status, tachypnoea, and reduced Glasgow Coma Scale (6/15), with chest X-ray showing left-sided con…
69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…
…s and SDA staff found no serious injury. Five days later, she presented to hospital with acute agitation, altered conscious state, and seizure-like activity. CT imaging revealed bilateral subarachnoid haemorrhage and hy…
60y · Male·fracture dislocation through vertebrae C4/5 and basal subarachnoid haemorrhage (…
…arachnoid haemorrhage (broken neck) when the tractor struck the riverbed. Evidence indicates Hall lost consciousness—most likely from either hypoglycaemia or cardiac arrhythmia—as he travelled 200 metres downhill withou…
Organising pneumonia (Sandra Boney and Norman Boney); Organising pneumonia compl…
…imple alcohol intoxication and were diagnosed initially as alcohol withdrawal. Clinical features included altered consciousness, tremors, vomiting, visual disturbances, and signs of methanol toxicity including acidosis.…
55y · Male·Complications of right middle cerebral artery infarction
…on on 3 September 2014 after experiencing two falls during a day service activity. His symptoms—including altered consciousness, weakness, and facial drooping—were initially attributed to an epileptic seizure by carers …
65y · Male·Complications of end stage renal failure in a man with multiple co-morbidities
… He had end-stage renal failure and multiple comorbidities. On 4 August 2019, carers noted deterioration (altered consciousness, left eye rolling back, left arm slumped) at 3:30pm. An on-call GP was consulted and he was…
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