12 results for “fresh frozen plasma transfusion”
77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…
A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surger…
0y · Female·Subdural and subarachnoid haemorrhages due to late onset vitamin K deficiency bl…
…l bleeding; INR was critically elevated at 10. Despite emergency transfer, ventilation, and treatment with plasma and vitamin K, the baby died. The coroner found no evidence of trauma or non-accidental injury. Clinical l…
29y · Female·Exsanguination post tubal ligation procedure
…re appropriate senior staff involvement and theatre readiness; ensuring regional hospitals have massive transfusion protocols and clotting factors available; and surgeons should communicate directly with receiving hospi…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
…ries were technically appropriate. Jessica's death may have been preventable: she required urgent blood transfusion which was ordered but not delivered before her collapse—Dr B. did not adequately follow up on the delay…
38y · Female·Septicaemia, urosepsis, and Lennox Gastaut syndrome
…tially. When admitted on 7 February, she had a urinary tract infection and infected haematoma requiring transfusions. Deterioration on 8 February led to ICU admission, but after discussion with family on 9 February, act…
70y · Female·Tiger snake envenomation
Mrs Z, a 70-year-old woman, died from tiger snake envenomation after being bitten on the left foot while sleeping. She received two vials of antivenom within 2.5–4 hours of the bite at Royal Melbourne Hospital, consisten…
19y · Female·Meningococcal septicaemia
Emma McGrath, a 19-year-old nursing student, died from meningococcal septicaemia caused by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical pre…
31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…
…rs. Critical clinical opportunities were missed: coagulation studies were not performed despite massive transfusion requirements; Dr I. did not fully appreciate midwives' concerning vital signs when telephoned at 10:25p…
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
A 62-year-old woman died of uncontrollable haemorrhage following an abdominoperineal excision of the rectum (APER) at a remote hospital. The coroner found the operation itself was inappropriate: performed for undiagnosed…
0y · Male·Complications following forceps delivery
…, improve situational awareness in neonatal resuscitation, and develop statewide guidelines for massive transfusion in neonates.
1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…
Isabella Rees, aged 14 months, presented to Sunshine Hospital ED four times over 19 days with fever, vomiting and later haematochezia. A button battery lodged in her oesophagus caused progressive caustic injury leading t…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
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