15 results for “complete blood examination”
23y · Male·Exsanguination due to a chop injury of the posterior right leg using a steel-bla…
…on following a sword laceration to his right posterior leg inflicted during a violent assault. The injury completely severed the popliteal artery and vein. While this was a criminal matter resulting in manslaughter convi…
59y · Female·multiple cerebral infarction due to infective endocarditis
…ned with her known valvular disease history—should have prompted hospital admission and sepsis workup with blood cultures and broad-spectrum antibiotics. The patient re-presented the next day more unwell and was eventua…
36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…
…elody Bourne. Caroline remained in the birthing pool for over one hour without vital sign monitoring or examination. When she lost consciousness getting out of the pool and subsequently deteriorated with agitation and s…
45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis
… fibrosis. Critical issue was inadequate visual observations overnight—the patient had refused physical examination and blood tests on admission. Observations at 7:15-7:25am suggested he was sleeping and breathing, but …
70y · Female·Cause of death could not be determined - available evidence does not allow a fin…
…suing coroner's certificates without adequate medical investigation, and the critical need for external examinations and toxicology sampling when sudden unexpected deaths occur in potentially suspicious circumstances.
Male·Global hypoxic-ischaemic encephalopathy
… CTG interpretation (particularly at 0900 review), absent or poorly communicated care plans, lack of fetal blood sampling despite clinical indication, failure to escalate to senior staff, and communication breakdown bet…
45y · Female·haemorrhage due to traumatic rupture of the liver
…ist deeply with a carving knife. The treating casualty officer did not properly document a mental state examination, failed to detect signs of active psychosis (auditory hallucinations), and did not detain her under Men…
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
…uity (category 4). Critical missed opportunities occurred: a junior doctor performed only a focused eye examination without comprehensive assessment; a junior nurse recorded abnormal vital signs (fever, tachycardia, tac…
72y · Female·haemorrhage from penetrating duodenal ulcer
… the ED doctor but not properly acted upon by the admitting medical team. Despite a positive faecal occult blood test and clinical evidence of bleeding, no endoscopy was performed. The team attributed symptoms to cardia…
1y · Female·aspiration of gastric contents due to recent gastroenteritis and vomiting leadin…
…n 21 May 2013 with gastroenteritis and vomiting, having lost approximately 700g over 36 hours. Clinical examination showed moderate dehydration with tachycardia, yet she was discharged the same evening after brief obser…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
… signs (lethargy, fever, headache, persistent vomiting, pallor), and failure to perform lumbar puncture or blood cultures. Paracetamol appeared to improve symptoms, falsely reassuring clinicians. The coroner found the d…
86y · Male·Cardiac arrest triggered by electrolyte imbalance and sepsis secondary to compli…
…viewing nursing notes or the previous facsimile, and reduced the hernia without comprehensive abdominal examination including auscultation or percussion. Verbal-only instructions to monitor were given without documentat…
60y · Male·Multiple injuries sustained after jumping from 15th storey home unit
William MacKenzie, a 60-year-old with a five-year history of bipolar affective disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital on 9 June 2008 with suicidal ideation after being found …
49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…
Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics per…
0y · Male·Traumatic head injury
BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fracture…
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