15 results for “severe lactic acidosis”
41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity
… to ICU where dialysis was commenced. Despite appropriate management including intubation and ventilation, severe lactic acidosis developed consistent with lethal metformin concentrations, leading to multi-organ failure …
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
…soned at Junee Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to four weeks before 2 January 2019, develop…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 da…
39y · Male·Complications of large bowel pseudo-obstruction
A 39-year-old man with schizo-affective illness, hepatic cirrhosis, and substance abuse history died from complications of large bowel pseudo-obstruction with aspiration pneumonia. He had been admitted involuntarily for …
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
…ce arterial line for continuous blood pressure monitoring; and critically, failure to admit to ICU despite severe sepsis with lactic acidosis, hypotension (<90mmHg systolic for 3 hours), and MEWS scores >9. While the cor…
72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma
…ar-old woman died of sepsis complicating chemotherapy for non-Hodgkin's lymphoma. She presented to ED with severe abdominal pain, elevated lactate (6.1 mmol/L), and signs of shock. The surgical team failed to recognize e…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
…cusing on traumatic injuries rather than the underlying medical emergency. Despite an ABG at 03:35 showing severe lactic acidosis—a critical sepsis indicator—the result was not communicated to or acted upon by treating p…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
…e to financial constraints, leading to rapid deterioration. He presented to Bairnsdale ED on 24 March with severe abdominal distension, lactic acidosis, and signs of shock. Critical gaps in emergency care included incomp…
47y · Female·Traumatic closed head injury likely sustained in a fall from standing
TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood …
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic i…
67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…
…ion protocols, documentation of clinical discussions, and the importance of consultant-level assessment in severe sepsis.
38y · Male·haemopericardium (pericardial tamponade) due to aortic dissection
…year-old male, died from haemopericardium due to aortic dissection. He presented to ED on 9 June 2015 with severe back and abdominal pain, elevated lactate, and neurological symptoms suggesting vascular pathology. Junior…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…
…ve therapeutic concentrations. The child deteriorated overnight with respiratory depression, seizures, and severe hypoxic-ischaemic brain injury, leading to death despite intensive care. Key clinical failures included: t…
17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis
James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…
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