192 results for “tachycardia”
69y · Female·unascertained
…paroscopic cholecystectomy and hiatus hernia repair at Fremantle Hospital. She was observed at 2pm with tachycardia (HR 111) and pain (10/10), given oxycodone, and reviewed by an unidentified doctor around 3pm with no r…
50y · Male·Unascertained
…iet, and limited medical engagement. In early January 2024, he reported headaches and cardiac symptoms (tachycardia, palpitations) to his workplace contact. He had two prior ED presentations and two GP visits in 2022 fo…
54y · Male·acute myocardial infarction
…pite presenting with chest pain, dyspnea, and cold sweats on discharge day, with documented ventricular tachycardia episodes. The coroner found his first admission (5-8 July) was appropriately managed, but the second pr…
62y · Female·Unascertained
…identified no clear departures from clinical standards. Key lessons include careful monitoring of sinus tachycardia in psychiatric patients, consideration of ECT safety protocols, and vigilance for sudden deterioration …
1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection
…y Almond, a 17-month-old boy, presented to the Emergency Department with fever, lethargy, vomiting, and tachycardia. Vital signs showed heart rate 173 bpm (red zone) and fever 38.9°C. Dr T. diagnosed viral illness (poss…
26y · Female·Head and chest injuries sustained in a motor vehicle collision
…6 December 2007. The driver, Khanh Truong, experienced a syncopal episode due to paroxysmal ventricular tachycardia while driving, causing loss of consciousness and the collision. Truong had a documented history of abno…
21y · Male·dilated cardiomyopathy
…neral practitioner on 6 September 2008. Dr G. identified clinical signs concerning for cardiac disease (tachycardia, finger clubbing, low blood pressure) but delayed investigations until Monday. Dean deteriorated and at…
31y · Male·Coronary artery disease in a man using synthetic cannabinoids
A 31-year-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He w…
73y · Female·head injuries suffered in a fall; skull fractures with bruising to the brain and…
…sustaining fatal skull fractures with subarachnoid haemorrhage. Pacemaker data showed brief ventricular tachycardia and asystole occurring as a consequence of the fall rather than preceding it. The coroner found no evid…
70y · Male·carcinoma of the lung
…ia Prison. From December 2016 onwards, significant red flags—including haemoptysis, weight loss (>9kg), tachycardia, and chest pain—were not recognized by nursing staff or escalated appropriately. When finally referred …
63y · Female·Natural causes unascertained; probable aspiration pneumonia with large pericardi…
…admitted to hospital on 6 November 2024 with aspiration pneumonia, atrial fibrillation, and ventricular tachycardia, then discharged with hospital-in-the-home follow-up. Her condition deteriorated and she transitioned t…
2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…
…pite objective warning signs. Key failures included: not escalating care when presented with persistent tachycardia (HR 180) on the third visit; failure to repeat vital signs within one hour to confirm the tachycardia; …
Male·Faecal peritonitis due to perforated diverticulum
…thheld adequate analgesia and further investigation. Despite afternoon clinical deterioration—including tachycardia of 170 bpm, hyperventilation, elevated blood glucose—Dr B. discharged him without diagnosis. He died th…
0y · Female·acute necrotising pneumonia
… that night from rapidly progressive bacterial pneumonia. Key clinical lessons: in neonates, fever with tachycardia warrants admission for sepsis screening; repeated presentations within 72 hours should trigger escalate…
63y · Female·bile peritonitis as a complication from a laparoscopic cholecystectomy
… on-call surgeon was contacted by evening nursing staff with vital signs and ECG findings showing sinus tachycardia, she ordered only IV fluids and analgesia without clinical assessment. The coroner found the surgeon wa…
37y · Male·Unascertained (death in custody)
…use (death in custody) after being transported by police divisional van to hospital. Despite documented tachycardia from Risperidone, this condition was not communicated to attending paramedics or police. When the patie…
61y · Male·congestive cardiac failure due to cardiomegaly with left ventricular hypertrophy
…h diabetes, obesity, and high cholesterol presented to his GP with shortness of breath for 4-5 days and tachycardia (HR 120). The GP diagnosed anxiety instead of cardiac failure, failed to ask critical discriminating qu…
0y · Female·Group B Streptococcus meningitis and sepsis
…She was born at a regional private hospital after labour complicated by maternal fever (37.6°C), foetal tachycardia (160-170 bpm), and neonatal fever (39.5°C at birth). Despite these signs suggestive of chorioamnionitis…
58y · Male·metastatic carcinoma of the pancreas
…ychosis in December 2016. On 5 January 2017, while awaiting ECT, an anaesthetist identified tachypnoea, tachycardia and wheezy breathing. Investigations revealed untreatable pancreatic cancer, leading to palliative care…
46y · Female·Shock following interferon alpha treatment following removal of a melanoma
…without proper handover of care; failure to recognise deteriorating signs (undetectable blood pressure, tachycardia, hypothermia) and delayed MET call activation. A locum consultant (Dr R.) did not read progress notes r…
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