8 results for “intravenous access attempt”
48y · Female·Aspiration of stomach contents and pneumonia, following cardiac arrest
… However, before transfusion could be administered, Ms Webber vomited and aspirated while clinicians were attempting to insert an arterial line for ICU-level monitoring. The aspiration led to cardiac arrest and death. T…
73y · Male·Coronary atherosclerosis with hypertension, diabetes mellitus, emphysema and per…
John William Chardon, a 73-year-old prisoner, died from coronary atherosclerosis with severe calcified atheroma causing >70% stenosis of coronary arteries. He presented with dizziness on 21 October 2020, which initially …
11y · Male·Sepsis
…e 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 breakdown (…
0y · Male·Myocarditis
Baby C, a 5-month-old infant, died from myocarditis (viral heart inflammation) after presenting to Sunshine Hospital Emergency Department with fever, breathing difficulty, and cyanosis. He waited 1 hour 52 minutes before…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
…(3:31 pm) due to waiting for blood results and fasting confirmation, and a junior doctor was permitted to attempt spinal anaesthesia during an obstetric emergency. Escalation failures and inadequate senior involvement c…
38y · Female·Drowning/Immersion due to coronary artery atheroma
Leila Michelle Trott, a 38-year-old experienced skipper and dive instructor, drowned after swimming approximately 400 metres to retrieve a drifted tender vessel off Green Island, Cairns. Unbeknownst to her, she had sever…
20y · Female·Methylamphetamine toxicity
…e suspicious avenues identified by Acting Inspector Zanetti, was dismissive of recommendations despite not accessing the full case file, and ineffectively terminated the investigation. The coroner made five recommendatio…
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
…ransfusion, and detect clinical errors like the imperfectly positioned endotracheal tube; (2) Wide-bore IV access and early blood transfusion are critical in pelvic trauma—blood was unavailable until retrieval team arriv…
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