18y · Male·multiple injuries
…rom the vehicle and suffered a closed head injury with subdural haematoma and severe pelvic fractures with blood loss. First aid at the scene was appropriate given his catastrophic injuries. Key clinical lessons: the se…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
…ion and IVC involvement. Multiple intraoperative factors contributed to poor outcomes: late recognition of blood loss, delay in activating massive transfusion protocol, loss of central line preventing vasopressor admini…
28y · Male·stab wound to the neck with penetration and laceration of the right subclavian a…
…identified assailant. The autopsy revealed the fatal wound penetrated the right subclavian artery causing massive blood loss and cardiorespiratory arrest. Toxicology detected amphetamine and methamphetamine in his blood…
58y · Male·blood loss from a single stab wound to the chest resulting in cardiorespiratory …
…facto partner Josina Johanna Pitt during a domestic altercation on 26 March 2012. The death resulted from massive blood loss and cardiorespiratory arrest. Ms Pitt was charged with and pleaded guilty to manslaughter, rec…
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
…ent during periods of leave from mental health units, particularly around significant life stressors (tooth loss); and paramedic decision-making regarding Advanced Care Directives in acute trauma. The paramedics appropri…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
A 68-year-old woman died from massive blood loss following inadvertent puncture of the right subclavian artery during central venous line inser…
78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…
A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and time…
77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…
…ripheral vascular disease, and end-stage kidney disease, died from shock due to bowel ischaemia following massive blood loss from the left internal iliac artery after elective abdominal aortic aneurysm repair. The initi…
18y · Male·Incised wound to right axilla with complete transection of basilic vein, brachia…
…al helicopter en route to John Hunter Hospital. The case presented extraordinary clinical challenges with massive uncontrollable bleeding in a remote location. Key clinical learning points include: (1) the State Retriev…
14y · Male·massive blood loss and pulmonary haemorrhage due to severe trauma following a mo…
James Ciappara, aged 14, died from massive blood loss and pulmonary haemorrhage following a motor vehicle collision. He was riding a motorised bicyc…
75y · Female·hypovolaemic shock from excessive blood loss
Lorraine McDonald, age 75, died from hypovolaemic shock due to massive intraoperative bleeding during an anterior resection for rectosigmoid adenocarcinoma. Critical deficienci…
17y · Male·stab wound to the right side of the chest penetrating the lower right lung
… had beaten one week prior, was identified as the assailant. The injury penetrated the right lung causing massive haemothorax (1300ml blood) and airway obstruction by clot. Though the wound was initially survivable, Rob…
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
…ed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged asphyxia during difficult delivery, and massive subgaleal haemorrhage from unsuccessful vacuum extraction. Clinical failures included: inadequate determi…
48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…
…of hepatitis C, cirrhosis, thrombocytopenia, and anaemia. Clinical warning signs were present: he reported blood in stool in 2016 and black stools in 2018, both concerning for gastrointestinal bleeding. In August 2019, …
64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…
…e was inadvertently incised despite use of an oscillating saw and careful technique. The patient required massive transfusion, ECMO support, and extended surgery but developed multi-organ failure and died 29 days post-o…
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cel…
31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…
…a. She underwent emergency caesarean section for foetal distress at Peel Health Campus, experiencing heavy blood loss (estimated 1500ml). Although initially stable post-operatively, she re-bled significantly (1000ml) wi…
23y · Male·traumatic closed head injury (diffuse axonal injury)
…ngle-vehicle motor crash. He was speeding (142 km/h in a 110 km/h zone), not wearing a seatbelt, and had a blood alcohol level of 0.157 g/100mL at the time of the crash. He was ejected from the vehicle, sustained massiv…
75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…
…ccurred: the surgical and anaesthetic teams held conflicting understandings about whether she would accept blood transfusion—the surgeon believed she refused all blood products based on her consent form and Jehovah's Wi…
20y · Male·diffuse hypoxic brain injury complicating exsanguination and cardiac arrest seco…
…anagement appear appropriate given the severity of haemorrhagic shock. The case demonstrates that sudden, massive arterial injury in young adults can rapidly progress to irreversible brain injury despite immediate resus…
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