89 results for “blood pressure monitoring”
52y · Female·intracerebral haemorrhage in a lady with underlying cerebrovascular disease and …
… underwent right carotid endarterectomy for high-grade stenosis. Post-operatively she developed escalating blood pressure readings (160–220 mmHg), headaches, nausea, agitation, and abnormal behaviour over 6–7 April. Des…
36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…
…e resuscitation, he did not survive. The coroner found that while propofol administration was appropriate, blood pressure was not documented during or before drug administration, contrary to best practice. The confined …
44y · Female·acute myocardial infarction due to coronary thrombosis
…ascular risk factors: Aboriginal status, obesity, smoking, hypertension, and dyslipidemia (detected late). Blood pressure monitoring was inadequate, with rapid de-escalation once readings normalised. Her hyperlipidaemia…
Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…
…gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congenital heart disease (pulmonary atresia with intact ventricular septum a…
0y · Female·subgaleal haematoma complicating an obstructed labour
…SGH was not identified until 7.30am, approximately 6 hours after birth. Earlier recognition and aggressive blood pressure support may have prevented deterioration, though outcome was likely poor. Key lessons: always com…
63y · Male·Hypotensive and atherosclerotic heart disease
…rovided acceptable diabetes and hypertension management within prison constraints, though documentation of blood pressure was inconsistent and discussed specialist referrals were not recorded. The coroner found care acc…
70y · Male·Coronary atherosclerosis
…; (3) No consistent long-term management plan existed across multiple correctional facilities; (4) Regular blood pressure monitoring and follow-up were inadequate. While expert cardiologists opined the secondary prevent…
52y · Male·atherosclerotic and hypertensive heart disease
…packets daily), obesity (BMI 31.4), sedentary lifestyle, and refused preventive health screening including blood pressure monitoring, cholesterol and lipid testing, and ECGs. His mental health team appropriately maintai…
72y · Male·The available evidence does not allow for any finding to be made as to the cause…
…ed pneumonia with septic shock. On the day of his death, Mr Robinson was discharged from hospital with low blood pressure, then travelled to Manly and boarded an evening ferry. CCTV footage clearly showed him deliberate…
71y · Male·Ischaemic heart disease
…r found that Justice Health provided proper and adequate healthcare during his incarceration, with regular blood pressure monitoring, appropriate medications (metoprolol), and no acute cardiac symptoms prior to death. T…
44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…
…apine, amitriptyline, duloxetine, baclofen). The coroner identified multiple systemic failures: inadequate blood pressure monitoring despite explicit instructions; failure to refer for sleep apnoea testing due to a cler…
18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…
…ntermittent headaches, epigastric pain, proteinuria and peripheral oedema. At 1755 hours on 6 October, her blood pressure was recorded as 200/120 mmHg but was not treated with antihypertensive medication or magnesium su…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
…araburdoo Hospital was appropriate, but critical clinical deterioration occurred 10pm on 14 March when her blood pressure declined significantly. Dr M. was not notified of this critical observation. When contacted at 2:…
0y · Male·cardiogenic shock and neonatal encephalopathy
…failures included: failure to insert an arterial line early (only placed 12 hours after birth), inadequate blood pressure monitoring before and during hypothermic neuroprotection therapy, failure to assess baseline card…
39y · Male·Multiple blunt force injuries due to motor vehicle collision (pedestrian), with …
…tomas, and comminuted pelvic and hip fractures. Despite neurosurgical intervention including intracranial pressure monitoring, he was deemed to have poor neurological prognosis and died three days post-injury when life s…
54y · Female·complications related to post-polio syndrome and chronic respiratory weakness; n…
…ly compromised lung function (13% predicted capacity) and was transitioning from an iron lung to positive pressure ventilation with incomplete physiological assessment. Multiple factors likely contributed: chronic respir…
55y · Male·Staphylococcal sepsis, complications of pressure sores and hypostatic pneumonia,…
…ngs included inadequate transition planning without continuity of known carers, lack of staff training in pressure sore identification and prevention, poor integration between community health services, absence of pre-tr…
29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…
…minutes before paramedics arrived. She died of hypoxic encephalopathy. Key clinical failures: inadequate monitoring (no ECG, no blood pressure recording during crisis), lack of intubation expertise in the attending clini…
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
…tion deteriorated markedly from approximately 22:00 hours on 6 February 2003, with progressively declining blood pressure (85/56 to 70/53) and hypoxia. However, these vital sign changes were attributed to mechanical deh…
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
…rous and unnecessary. When massive haemorrhage occurred, management was delayed by inadequate preoperative blood work, blood product availability, and failure of the anaesthetist to order critical tests promptly. The co…
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