80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…
…essive treatment including IV antibiotics and surgical washout, the infection progressed to sepsis, septic shock, hospital-acquired pneumonia, kidney failure, possible endocarditis, and ultimately a haemorrhagic stroke.…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
…dentify malposition on chest X-ray, eight-day delay before catheter removal, and delayed recognition of haemorrhagic shock. When haemoglobin dropped from 138 to 71 g/L, staff dismissed this as 'dilutional' despite antico…
20y · Male·diffuse hypoxic brain injury complicating exsanguination and cardiac arrest seco…
…ntervention lessons, the paramedic response and ICU management appear appropriate given the severity of haemorrhagic shock. The case demonstrates that sudden, massive arterial injury in young adults can rapidly progress …
58y · Female·Haemorrhagic shock complicating pulmonary thromboembolism in the setting of deep…
…, she developed extensive deep vein thrombosis and pulmonary embolism with a saddle embolus, leading to haemorrhagic shock and death. The coroner found the care provided was reasonable and appropriate, with no evidence t…
78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…
…t in a rural location. Despite exemplary prehospital care and timely helicopter retrieval, he died from haemorrhagic shock. Key clinical lessons: warfarin significantly worsens bleeding control in trauma; open femoral fr…
60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…
A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately perfor…
18y · Female·Injuries sustained in motor vehicle collision (passenger)
An 18-year-old female died from injuries sustained as a passenger in a motor vehicle collision on a poorly maintained road. The vehicle struck a pothole in a wet road surface, causing loss of control and collision with o…
19y · Male·Jacob Allan Donohue: multiple (head, trunk and limb) injuries sustained as drive…
Two 19-year-old males died in a head-on motor vehicle collision on the Midland Highway near Oatlands, Tasmania. The driver of a Kia SUV unintentionally entered the opposing lanes while navigating roadworks in rainy, dark…
24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm
Jackson Stawicki, 24, died from haemorrhagic shock following a sharp force injury to his left arm while intoxicated with multiple illicit substances…
54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…
… active bleeding. Critical deficits in his emergency treatment included: failure to recognise hypovolaemic shock by 9.30am (four hours after arrival); lack of senior clinician involvement despite ongoing bleeding despit…
84y · Male·haemoperitoneum due to ruptured abdominal aortic aneurysm
Bernard Greenwell, an 84-year-old male, died from rupture of an abdominal aortic aneurysm (AAA) while in custody at Cessnock Correctional Centre. He experienced sudden-onset severe left groin pain at 11:30am on 25 April …
41y · Male·haemorrhage due to incised wounds to left and right cubital fossae
Jeffrey Ronald Fredericks, aged 41, died in Adelaide Remand Centre custody from haemorrhage due to self-inflicted incised wounds to both cubital fossae. Critical clinical lessons: screening tools identified significant s…
53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…
Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…
Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…
…Clinical recognition that drug-intoxicated patients have reduced capacity to compensate for hemorrhage and shock may inform resuscitation approaches should such patients reach hospital alive.
49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…
Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times…
49y · Male·Complications of a right superficial femoral artery injury (operated) following …
…ical and ICU management including resuscitation, he died from the combined effects of profound blood loss, shock, coagulopathy, and hypoxic brain injury from prolonged cardiac arrest. The deceased was a newly employed l…
77y · Female·Haemoperitoneum following cholecystectomy
A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…
31y · Male·Multiple chest and abdominal injuries sustained in a single motorcycle crash
Bradley John Kremmer, age 31, died from multiple chest and abdominal injuries sustained in a motorcycle crash on 15 July 2022. He was riding a high-powered motorcycle at excessive speed in a suburban street when he lost …
0y · Male·Complications following forceps delivery
… and optimized chances of survival; (4) confirmation bias led clinicians to focus on sepsis rather than haemorrhagic shock. Key preventive measures: transfer to theatre when red flags appear, implement robust scalp monit…
68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…
… multiple organ failure followed. Key lessons: blood loss is the default diagnosis in acute post-operative shock; FAST scans have significant limitations and are unreliable in post-operative settings; drain settings mus…
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