60 results for “cardiac ultrasound”
63y · Female·Haemopericardium (pericardial tamponade) caused by perforation of the right vent…
…o, 63, died from haemopericardium (pericardial tamponade) caused by right ventricular perforation during ultrasound-guided transthoracic pericardiocentesis. She presented with influenza B complicated by myocarditis, peri…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
…bclavian artery during central venous line insertion. The anaesthetist used anatomical landmarks without ultrasound after an initial high approach failed. Upon recognising arterial puncture, appropriate escalation occurr…
74y · Female·Cardiac arrest due to pulmonary embolism secondary to deep venous thrombosis
…r a 4-hour 24-minute delay due to staff shortages and access block. A D-Dimer test showed elevation; DVT ultrasound was scheduled for the next morning. Anticoagulation was not administered due to concern about recent gas…
60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…
…on 2 November 2005. The 14mm perforation created catastrophic bleeding into the pericardial space causing cardiac tamponade. Although the procedure was appropriately indicated for an infected pacemaker and performed by …
39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…
…as not detected prenatally despite three prior caesarean sections creating significant uterine scarring; ultrasound request forms lacked vital obstetric history, preventing targeted imaging; (2) Delayed decision to proce…
43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…
Mr Trevor McDonald, 43-year-old male, died from hypoxic brain injury following cardiac tamponade complicating coronary angioplasty. During elective PCI at Frankston Hospital, he sustained righ…
74y · Female·Complications of carotid artery injury from central line insertion in the settin…
…ulti-organ failure and died. While arterial puncture is a recognised 6-9% complication of CVC insertion, ultrasound guidance—now considered gold standard—was used but not documented. Northern Health implemented comprehen…
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
…successful vacuum extraction. Clinical failures included: inadequate determination of fetal position (no ultrasound used despite disagreement between clinicians), incorrect placement of vacuum cup, unreasonably delayed c…
46y · Male·Pulmonary thromboembolism complicating left calf deep venous thrombosis
…bness. He was triaged to Fast Track and evaluated by an emergency physician who suspected DVT but had no ultrasound available on Boxing Day. He was discharged with Clexane and a follow-up ultrasound appointment. That eve…
47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…
…ns anchored on pneumonia as the diagnosis despite the requesting physician's PE concerns. Venous doppler ultrasound was deferred based on chronicity of leg swelling; the requested CTPA was not ordered. The patient receiv…
Female·Combination of liver failure, blood loss and shock following needle biopsy
…with no prior experience managing post-biopsy patients, reassured nursing staff despite their concerns. A cardiac arrest occurred at 2:35 PM. Emergency ultrasound showed active portal vein bleeding and massive intra-cap…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
…gardless of initial stability; (2) consultant involvement was absent until final collapse; (3) a planned ultrasound examination was not carried out despite clinical deterioration; (4) the 'double rupture phenomenon' with…
0y · Female·global hypoxic brain injury caused by prolonged cessation of breathing arising f…
An 11-week-old healthy infant died from global hypoxic brain injury following cardiac arrest at home. Multiple rib fractures and a clavicle fracture in various stages of healing indicated rep…
46y · Female·Shock following interferon alpha treatment following removal of a melanoma
Lynette Young, 46, died of shock secondary to pericarditis with cardiac tamponade following interferon alpha treatment for melanoma. She presented with chest pain to Dubbo Base …
71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis
…e leg pain/swelling over one week. ECG showed S1Q3T3 pattern consistent with pulmonary embolism; bedside ultrasound showed right ventricular strain. Despite presumptive diagnosis of PE being made, no anticoagulation or t…
81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…
…ifficulty accessing appropriately skilled staff out-of-hours for chest drain insertion. Implementation of cardiac-specific observation scoring systems, amended clinical pathways, ultrasound-guided vein puncture protocol…
81y · Male·valvular heart disease with cardiac amyloidosis
Murray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collaps…
58y · Male·Ischaemic and hypertensive heart disease
…emic and hypertensive heart disease while in custody at Adelaide Pre-release Centre. He had a significant cardiac history including two previous myocardial infarctions with stent placement in 1994, and critical coronary…
0y · Male·Intrapartum hypoxia due to true knot in umbilical cord with cord wrapped three t…
… made recommendations for improved data collection on umbilical cord abnormalities and future antepartum ultrasound screening capabilities.
44y · Male·Ischaemic heart disease due to coronary atherosclerosis
…ust 2018, he presented with bilateral lower limb oedema and dyspnoea on exertion, concerning for possible cardiac pathology. Despite investigation including chest X-ray, abdominal ultrasound, and echocardiogram (all rep…
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