28 results for “indwelling catheter insertion”
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
…n with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulting in haematuria…
58y · Male·Pneumonia and urosepsis
…nset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing urethral trauma and erosion. Staff failed to recognise signs of cli…
59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)
…cline over 12+ months with multiple falls, recurrent respiratory infections, urinary retention requiring indwelling catheterization, and aspiration risk due to swallowing difficulties. Despite occupational therapy input …
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
…e following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessment before discharge from acute care despite unc…
53y · Male·Aspiration pneumonia in a man with myotonic dystrophy
…r home environment. The community residential unit staff were inadequately trained in palliative care and catheter management, and he deteriorated rapidly, requiring readmission within hours. The coroner found care was r…
77y · Male·multi-organ failure due to general inanition on a background of end-stage Alzhei…
Mervyn Eric Size, a 77-year-old man with end-stage Alzheimer's dementia, died from multi-organ failure due to general inanition while subject to a Level 2 Inpatient Treatment Order at Repatriation General Hospital. His c…
75y · Male·Multi-organ failure due to sepsis secondary to hospital-acquired pneumonia
A 75-year-old man with Alzheimer's dementia who was detained under Mental Health Act orders died from multi-organ failure due to sepsis secondary to hospital-acquired pneumonia. He was admitted to Royal Adelaide Hospital…
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
…trial fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheterisation attempts occurred on 15 July 2005: an unsuccessful attempt by an RDNS nurse f…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…
69y · Male·neck compression due to hanging
GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…
61y · Male·Pneumonia
Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Community Residential Unit (CRU) carers raised…
73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…
…t and required ICU readmission. She then suffered a femoral artery injury during attempted arterial line insertion, leading to uncontrolled bleeding, coagulopathy and ultimately death. Clinical lessons include: (1) the …
75y · Male·acute bronchopneumonia in a man with comorbidities
A 75-year-old sentenced prisoner died from acute bronchopneumonia with comorbidities. Mr Rice had extensive medical complexity including COPD, cardiac disease, peripheral vascular disease, and diabetes. He was appropriat…
66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet
A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
… high UTI risk in elderly females; cloudy urine postoperatively suggested possible E. coli infection from catheter. (2) Single perioperative antibiotic dose (Keflin) was inadequate; infection risk appeared unrecognized. …
11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle
An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…
85y · Female·Complications of a left ankle fracture (operated)
An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …
81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…
An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …
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