31y · Female·right cerebellar cerebrovascular accident (cerebellar infarction with obstructiv…
…sment occurred until next morning. The patient had actually suffered vertebral artery dissection causing cerebellar infarction. By Sunday she developed catastrophic cerebellar edema with obstructive hydrocephalus and her…
78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…
A 78-year-old man with multiple comorbidities (heart failure, renal disease, COPD) suffered a neck of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he deteriorated with acute renal fa…
80y · Male·Complications of vertebral artery and right carotid artery vascular injuries (op…
…artery dissection, right carotid artery dissection, complex skull base and cervical fractures, bilateral cerebellar strokes) made severe disability or death the most likely outcome. Clinical lesson: even experienced swim…
56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…
Sandra Honey, aged 56, died on 16 November 2001 from multiple injuries sustained in a motor vehicle accident on 13 November 2001. She was a passenger in a vehicle driven by her daughter on the Coalfields Highway near Wor…
87y · Male·Consequences of an assault with severe facial fractures
RFV, an 87-year-old man, died from severe facial fractures and traumatic brain injury sustained during an assault by his daughter-in-law. He presented to hospital in critical condition with cardiac arrest, multiple facia…
57y · Male·brainstem and cerebellar infarction due to vertebrobasilar artery thrombosis
A 57-year-old man with multiple cardiovascular risk factors presented to an ED with vertigo, blurred vision, and 'not feeling right' caused by an evolving posterior circulation stroke. A junior doctor discharged him afte…
83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…
An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …
41y · Male·large volume thrombotic stroke within the distribution of the right posterior ce…
…ad, an MRI was delayed 4 days. When the MRI eventually revealed basilar artery thrombosis with extensive infarction on 10 September afternoon, the LGH radiology department failed to contact NWRH clinicians, and NWRH staf…
0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…
Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell …
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