7 results for “intraosseous cannulation”
11y · Male·Sepsis
… to involve senior staff early despite recognising sepsis in a high-risk neonate, multiple unsuccessful cannulation attempts without timely escalation to intraosseous or intramuscular administration, and communication b…
19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)
…ian, and arranged urgent transfer. Despite appropriate management including oxygen, antibiotic therapy, intraosseous access, and cardiopulmonary resuscitation, the child arrested during transport and could not be resusci…
1y · Female·Sepsis (Group A Streptococcus)
…ntensive care. Key lessons include implementing paediatric early warning tools (CEWT), sepsis pathways, intraosseous access protocols when IV access fails, and senior-led retrieval for critically unwell children. Early r…
26y · Female·Stab wounds to the abdomen and back
Ms Ngoc Bao Vy Tran, 26, died from stab wounds inflicted by her intimate partner Stephen Nguyen on 30 September 2021. She received appropriate emergency medical care and resuscitation at Dandenong Hospital but died from …
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…
Shona Hookey, a 29-year-old Aboriginal woman with severe intellectual disability and aphasia, died of peritonitis secondary to bowel torsion. Critical failures occurred at multiple levels: carers at her group home delaye…
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