48 results for “intravenous cannulation”
<1y · 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…
58y · Male·Septic shock secondary to intra-abdominal collections as sequelae of osteomyelit…
…treatment, his prognosis was poor and further surgery was deemed inappropriate. He became distressed by intravenous access which required removal. He was transitioned to palliative care and died. The coroner found no cl…
25y · Female·complications of opioid toxicity
Ellie Marlene Hare, 25, died from opioid toxicity after injecting methadone on two consecutive nights with Matthew Drake. She was opioid-naïve, having not used regularly for several years. On the morning of her death, Dr…
46y · Female·acute mixed drug toxicity due to accidental self-administered drug overdose
…owing self-administration of multiple anaesthetic drugs (propofol, midazolam, fentanyl, alfentanil) via intravenous injection. The coroner found her fiancé, anaesthetist Dr K., diverted these restricted substances from …
61y · Female·injuries sustained in a motor vehicle collision as a passenger
A 61-year-old woman died from hypovolaemic shock and cardiac arrest following a motor vehicle collision in rural Victoria. She was trapped in her vehicle for approximately 90 minutes with severe crush injuries and lower …
52y · Male·Metastatic neuroendocrine carcinoma
Darren Rodney Taylor, a 52-year-old Indigenous man, died in custody from metastatic neuroendocrine carcinoma diagnosed in March 2017. He presented with abdominal pain initially attributed to constipation, then found to h…
47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection
Christine Klofa, a 47-year-old woman with Down syndrome and multiple comorbidities, died from mycoplasma pneumonia secondary to rhinovirus infection. She presented to her GP on 6 June with upper respiratory symptoms and …
26y · Male·acute cocaine and alcohol toxicity
AAB, a 26-year-old man with a history of substance abuse and mental health issues, died from acute cocaine and alcohol toxicity while in police custody. He presented to a hotel with agitated, paranoid behaviour and was d…
<1y · 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…
51y · Male·Coronary atherosclerosis
A 51-year-old Aboriginal man with a 26-year prison history died from coronary atherosclerosis while incarcerated. He had extensive cardiac disease documented since 1996, with multiple heart attacks in 2011-2012, yet rema…
1y · Female·Sepsis (Group A Streptococcus)
…ependent review, critical delays occurred at the hospital: delayed recognition of septic shock, delayed intravenous access (three hours), delayed antibiotics and fluid resuscitation, and delayed retrieval initiation. Th…
69y · Female·multi-organ failure due to sepsis of unknown origin
… recognition of this developing sepsis and prompt IV rehydration were limited by inability to establish intravenous access and lack of available hospital beds. While kidney function eventually normalised, the underlying…
43y · Male·Coronary Atherosclerosis
Andrew Emerton, a 43-year-old prisoner with a history of substance abuse and psychiatric treatment, collapsed after vigorous exercise in custody. He called for help reporting shortness of breath and was found unconscious…
39y · Male·Multidrug toxicity (GHB, methylamphetamine, ketamine) in a setting of restraint …
Anthony Parisi, 39, died from multidrug toxicity (GHB, methamphetamine, ketamine) in a setting of police restraint and moderate coronary artery atherosclerosis. He consumed large quantities of GHB and methamphetamine on …
39y · Male·rhabdomyolysis complicating cocaine toxicity against a background of atheroscler…
A 39-year-old man with undiagnosed atherosclerotic coronary artery disease died from rhabdomyolysis complicating cocaine toxicity. He exhibited cocaine-induced excited delirium with erratic dangerous driving and bizarre …
3y · Male·thrombotic microangiopathy
A 3-year-old child died from thrombotic microangiopathy (haemolytic uraemic syndrome) secondary to Shiga toxin-producing E. coli infection, likely acquired from consumption of unpasteurised milk. Early presentation to GP…
45y · Male·cardiac arrest due to profound blood loss causing hypovolaemia
…paramedics would have arrived much earlier when the patient would 'more than likely have survived' with intravenous fluid resuscitation. Key lessons: ensure accurate understanding of dispatch protocols among all staff; …
<1y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…
Holly South, an 8-month-old with complex congenital heart disease requiring a Blalock-Taussig shunt, died of hypoxic-ischaemic encephalopathy from thrombosis in her shunt after presenting to hospital with vomiting and si…
58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …
… Expert evidence established that best practice required full trauma assessment, oxygen administration, intravenous access, and consultation with the District Medical Officer when a patient declined transport. The coron…
79y · Male·Urinary tract infection with E coli bacteraemia on a background of ischaemic hyp…
A 79-year-old man with multiple comorbidities attended Whyalla Hospital ED following a fall. Paramedics documented concerning vital signs (tachypnoea, tachycardia, low oxygen saturation, fever) and a history suggestive o…
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