63y · Female·Intra-cerebral bleed secondary to thrombocytopenia in a person with prolymphocyt…
… 14 February 2006 at Bunbury Regional Hospital from an intracerebral bleed secondary to thrombocytopenia (platelet count of 1) arising from prolymphocytic leukaemia. She had been in remission following chemotherapy in 20…
69y · Male·Waldenstrom's Macroglobulinemia, a type of non-Hodgkin lymphoma
…hemotherapy, but relapsed in October 2015. Despite multiple cycles of chemotherapy and supportive blood transfusions, his condition deteriorated progressively. The coroner found that Mr Hay received healthcare within ex…
77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…
A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surger…
38y · Female·Septicaemia, urosepsis, and Lennox Gastaut syndrome
…tially. When admitted on 7 February, she had a urinary tract infection and infected haematoma requiring transfusions. Deterioration on 8 February led to ICU admission, but after discussion with family on 9 February, act…
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…
50y · Female·Irreversible hypoxic brain injury sustained during surgery for meningioma resect…
… bleeding risk; failure to visually monitor all suction containers despite known blood loss concerns; low platelet count (78,000) proceeding to elective brain surgery without consensus on safe thresholds; and incomplete …
1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…
…ith haemorrhagic mucositis. Despite appropriate intensive management including bronchodilators, oxygen, transfusions, and antivirals, he suffered sudden respiratory arrest on day 2 of ICU admission. The coroner found me…
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
…ection—the NICU team was unaware, preventing deployment of high-risk resuscitation with emergency blood transfusion; and equipment malfunction (dim laryngoscope light) during resuscitation. First-year registrar performe…
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