44 results for “intravenous fluid resuscitation”
68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…
…with asthma presented to hospital with abdominal pain suggestive of biliary obstruction. A CT scan with intravenous contrast was ordered to clarify the diagnosis before potential surgical transfer. She had asthma exacer…
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; …
3y · Female·massive air embolism
… giving set, allowing air to enter the bag. The bag was placed in an opaque pressure cuff that forced both fluid and air through the IV line into the patient's circulation. At 250 mL/hour infusion rate, fluid exhausted …
42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…
… worsening encephalopathy and sepsis. Multiple MET calls occurred on 30-31 July with hypotension requiring fluid resuscitation. A multidisciplinary team deemed intensive care inappropriate given her terminal condition a…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
…tical sepsis indicator—the result was not communicated to or acted upon by treating physicians. Inadequate fluid resuscitation, failure to escalate to ICU promptly, incomplete antibiotic therapy, and poor clinical hando…
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…
28y · Female·3,4-methylenedioxy-N-methylamphetamine (MDMA) and ketamine toxicity
…drugs purchased from an unknown source within the venue and suffered cardiac arrest. Despite intensive resuscitation efforts by St John Ambulance and Ambulance Victoria paramedics at the scene and continued treatment at…
18y · Male·multiple injuries
… assessment and early airway management; recognition that massive transfusion protocols and aggressive resuscitation were required. The coroner found no clinical error in hospital management, but noted that the deceased…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
… documented tachycardia (pulse 184-192) and tachypnoea, and his provision of maintenance rather than bolus fluids. The child deteriorated to cardiopulmonary arrest on 17 September. Expert evidence indicated that with ap…
41y · Female·multiple stab wounds to the neck
…where she underwent emergency surgery involving trauma, vascular, and cardiothoracic surgeons. Despite resuscitation efforts and operative intervention, she died at 12:45am on 8 March 2015. The assailant was never ident…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
…al where small bowel obstruction and aspiration pneumonia were diagnosed. Conservative management with resuscitation was initially appropriate, but he rapidly deteriorated with septic shock and multi-organ failure. Surg…
40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …
…mphysema. He collapsed in a vehicle at a supermarket and was found with coffee-ground vomitus. Despite resuscitation and ICU support at North West Regional Hospital, he died with Glasgow Coma Scale 3 and severe metaboli…
5y · Female·myocarditis
…pite consultation; inadequate handover processes with siloed information across departments; and excessive fluid administration straining the failing heart. By 0740 hours sufficient clinical evidence existed for myocard…
76y · Female·pulmonary embolism due to carcinomatosis
…ophylactic anticoagulation was delayed until day 3. She deteriorated acutely on day 6 and died despite resuscitation. The coroner found there was a significant delay in reaching the correct diagnosis and initiating appr…
46y · Male·Septic shock complicating pneumonia in the setting of spastic quadriplegia and e…
…Vincent's Hospital, he was found unresponsive and hypotensive with confirmed pneumonia. Despite aggressive fluid resuscitation and intravenous antibiotics, he failed to respond. After family consultation regarding poor …
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ell, there was a 2-hour delay before parenteral antibiotics were administered and a 4-hour delay before IV fluids were started. The IV line subsequently tissued and was never successfully restarted. She was transferred …
84y · Female·septicaemia secondary to septic arthritis of the left knee
An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…
3y · Male·Influenza A infection (Type H3N2)
…roubleshooting monitors rather than performing immediate bedside checks when Aidan collapsed, delaying resuscitation by ~14 minutes. Early proactive differentiation of hyponatraemia cause and appropriate rehydration plu…
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…
18y · Male·Multiple injuries sustained in motor vehicle collision
…ry cause. The deceased was ejected from the vehicle on impact and died at Royal Perth Hospital despite resuscitation attempts.
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