64 results for “emergency orthopaedic assessment”
84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…
…via private car to aged care without written documentation, oxygen saturation monitoring parameters, or orthopaedic review. The coroner found this decision inappropriate and ill-considered. She developed bronchopneumoni…
26y · Female·Pulmonary thromboembolism due to deep vein thrombosis (left leg) due to fracture…
… (obesity, oral contraceptive use, vaping, leg immobilization, prolonged immobility), no formal VTE risk assessment was conducted at emergency presentation or fracture clinic. Blood-thinning prophylaxis was not prescribe…
60y · Female·Pulmonary thromboembolism in a woman recovering from a fractured right ankle
…omboembolism 33 days after sustaining a fractured ankle. An administrative error resulted in her urgent orthopaedic follow-up appointment (scheduled for 31 October) not being booked, delaying her review to 10 November 2…
63y · Male·massive pulmonary embolism due to immobilised left leg from torn Achilles tendon
…diagnosed with ruptured Achilles tendon via ultrasound, and discharged with aspirin and a back slab. At orthopaedic review, he refused both surgical repair and above-knee cast, accepting only a moon boot. Two days after…
57y · Female·acute pulmonary embolism
…ufficient physical mobilisation to justify withholding prophylaxis; (3) lack of formal handover between orthopaedic teams when consultant Robin Cripps was unexpectedly absent; (4) failure to follow existing RDH thromboe…
62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…
…2022, three months post-knee replacement. Despite clinical suspicion of prosthetic joint infection, the orthopaedic team repeatedly decided against joint aspiration, citing concerns about introducing infection—a concern…
47y · Female·pulmonary thromboembolus
…knee immobilisation with additional risk factors—particularly morbid obesity—warrant individualised risk assessment for thromboprophylaxis. While anticoagulation debate exists in the literature, high-risk patients may be…
43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…
…ility from the tendon injury. The coroner noted that Achilles tendon rupture warrants individual patient assessment for chemical VTE prophylaxis. The death was likely preventable with appropriate thromboprophylaxis.
84y · Female·septicaemia secondary to septic arthritis of the left knee
An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence …
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
…eld Hospital on 28 September 2018. A vascular surgeon consultation had been explicitly requested by his orthopaedic surgeon but was not identified and actioned by any of the clinical staff involved in his pre-operative …
68y · Female·Pulmonary embolism due to deep venous thrombosis secondary to fractured left dis…
…y; implement clear communication systems for patients discharged pending procedures; use structured risk assessment tools; document clinical decisions explicitly.
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
…rom a fatal cardiac arrhythmia secondary to acute kidney injury with severe hyperkalaemia. Pre-operative assessment identified significant risks (obesity, hypertension, probable sleep apnoea) but surgery proceeded with a…
72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…
…e incident. The finding emphasises the importance of proactive asset management, documentation, and risk assessment in public spaces. The Council subsequently implemented comprehensive improvements including a new Tree M…
73y · Female·atherosclerotic and hypertensive coronary vascular disease
…ce, a 73-year-old woman with hypertension and other comorbidities, developed atrial fibrillation during orthopaedic surgery for a fibula fracture. She was discharged on flecainide 50mg daily, metoprolol, and rivaroxaban…
3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…
Child F, aged 3 years, died of pneumonia and respiratory failure complicating metachromatic leukodystrophy (MLD), a rare neurodegenerative genetic disorder. He had previously suffered severe non-accidental injuries inclu…
64y · Male·hypoxic-ischaemic encephalopathy complicating cardiac arrest due to retroperiton…
…ding occurred six days post-injury while on high-dose enoxaparin (100mg twice daily) initiated under an orthopaedic protocol. Critical failings included: (1) no blood tests performed after admission to monitor haemoglob…
40y · Male·Complications following fracture of the pelvis
…ture of the left acetabulum and iliac crest, requiring transfer to Royal Perth Hospital. While awaiting orthopaedic surgery, he developed deep vein thrombosis, leading to pulmonary embolism and cardiac arrest. Despite e…
74y · Male·small intestinal ischaemia caused by aortic atherosclerosis
A 74-year-old man presented to hospital with abdominal pain following a fall. He developed hypotension, fever, tachycardia, and elevated inflammatory markers consistent with sepsis within hours of admission. Despite clea…
21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…
…cephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after orthopaedic surgery for a wrist fracture sustained while intoxicated. Carroll had a documented psychiatric history …
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
…ssection on initial CT scans (27 May 2021). Although appropriate angiographic imaging was ordered by the emergency physician, the radiologist failed to identify a subtle occlusion at the terminal carotid vessel on over …
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