18 results for “uncontrolled pain”
56y · Male·coronary atherosclerosis
…tness of breath, fever) attributed to a chest infection. Critical clinical lesson: Roberts had multiple uncontrolled cardiovascular risk factors (hypertension, hyperlipidaemia, overweight, significant family history of e…
22y · Male·combined mixed drug intoxication
A 22-year-old medical student with chronic spinal cord pain and depression died from combined drug intoxication involving U-47700 (a potent uncontrolled synthetic opio…
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
…ng catheter. Critical failures included: inadequate assessment before discharge from acute care despite uncontrolled pain and ongoing opioid toxicity; discharge to a low-care facility unable to provide needed medical sup…
53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures
…neumonia following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (1) pain assessment in non-verbal patients requires structured tools (Abbey pain scale) and information from family/…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospit…
52y · Male·Drowning in Falcon Bay
…intoxicated and agitated following a domestic argument. He was severely limited in mobility and in constant pain despite multiple medications. The coroner found he died by drowning in Falcon Bay, likely walking into shal…
85y · Male·Incised wounds to the wrist
An 85-year-old man with myelodysplasia and severe hip pain from an ischiorectal abscess died from incised wrist wounds sustained in a nursing home while in palliative…
37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)
Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed the…
45y · Male·Coronary artery disease due to severe atherosclerosis; acute myocardial infarcti…
…ronary artery disease due to severe atherosclerosis. He had a documented history of cardiac symptoms (chest pain presentations in 1996 and 2002) but failed to disclose these to Department of Corrective Services staff des…
45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia
…cumentation and observation of sedation levels despite published PCA guidelines, non-contact with the Acute Pain Management Service when clinical deterioration occurred, and lack of escalation to senior medical staff. Th…
Female·haemopericardium due to aortic dissection (all three cases)
…Queen Elizabeth Hospital, South Australia. Beverley Coats (73) presented three times in July 2016 with back pain, nausea and vomiting; her known aortic dilatation was not documented in electronic records. Her death was n…
45y · Male·drowning and intoxication with methamphetamine and other substances
45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and del…
34y · Female·complications of metastatic rectal cancer
…delayed seeking proper medical treatment for approximately 12 months while experiencing rectal bleeding and pain. Scrayen maintained excessive contact with the deceased (over 100 consultations), convinced her that pain w…
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
…e 2 January 2019, developing without obvious symptoms. On the morning of his death, he presented with chest pain and hypoglycaemia (BGL 1.4 mmol/L). Critical clinical errors included: failure to escalate care despite vit…
60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…
A 60-year-old woman died from multiple organ failure caused by uncontrolled bleeding from an arterial puncture sustained during coronary angiography. Although the procedure itself…
30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis
…imprisoned for nine months and presented to the prison medical centre on 24 June 2005 with acute left-sided pain and inability to move his legs. Hospital evaluation revealed bacterial endocarditis affecting his heart val…
29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…
…ease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting, initially attributed to cannabis use. Her behaviour was disruptive; she refused full assessme…
Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…
…ied five days post-hip replacement with undiagnosed coronary artery disease; cardiac ischaemia triggered by pain and hypertension was misdiagnosed as asthma. Both patients posed high anaesthetic and post-operative risks …
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