15 results for “haemodynamic shock”
51y · Male·multi-organ failure due to acute kidney injury and haemodynamic shock as a conse…
…o Royal Hobart Hospital but died two days later from multi-organ failure due to acute kidney injury and haemodynamic shock. While a protocol existed for urgent transfer of major burns (>50%) to specialist services, trans…
33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…
… second visit. ED correctly diagnosed acute coronary syndrome with elevated troponin. However, cardiogenic shock developed during admission, requiring intensive haemodynamic support. Medical experts identified that pres…
60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…
… emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodynamic support. During IABP removal on post-operative day 1, the patient developed acute abdominal pain with e…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures inclu…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and ina…
34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …
… apart, rather than the guideline dose of maximum 3mg in three separate doses 10-15 minutes apart) to a haemodynamically unstable patient. Within minutes, the patient arrested, requiring hysterectomy and ICU admission. S…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
…potension and deteriorating renal function occurred. Key clinical lessons: (1) recognition of hypovolaemic shock required more aggressive fluid resuscitation earlier; (2) senior clinician review warranted overnight give…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
…ned bleeding followed by stability is characteristic and should not provide false reassurance; (5) lack of shock, guarding, or rigidity does not exclude serious intra-abdominal bleeding; (6) a previous similar death at …
Unknown·Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
…. Clinical lessons include: maintain high suspicion for subgaleal haemorrhage severity despite apparent haemodynamic stability; repeat blood gas and haemoglobin testing regularly; ensure transfusions proceed without dela…
76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…
… to hospital with abdominal pain and was found on CT scan to have ischaemic colitis with signs of profound shock. The Consultant Surgeon decided on conservative management with fluid resuscitation and antibiotics rather…
57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection
…rs from 11:41am onwards, indicating bacterial infection. Despite fulfilling sepsis criteria and showing haemodynamic deterioration from 3:30pm with hypotension (86/54) consistent with septic shock, antibiotics were not c…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
…tively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic shock. The locum doctor managing post-operative care failed to recognize critical clues: severely low haemoglobi…
62y · Female·Multi-organ failure due to lacerated abdominal aorta complicating laparoscopic b…
…ding can occur without visible intra-abdominal signs; surgeons and anaesthetists must communicate about haemodynamic concerns during surgery; and there is a need for greater awareness of aortic perforation risks during V…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…
28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…
A 28-year-old Aboriginal male died from hypovolemic shock following operative exploration of multiple stab wounds to the thigh. The death was preventable. Critical …
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