236 results for “orthopaedic surgery”
50y · Female·Potentially fatal multiple drug toxicity (oxycodone, mirtazapine, citalopram, cl…
Ms RF, a 50-year-old woman with epilepsy and chronic pain from a workplace wrist injury, died from potentially fatal multiple drug toxicity involving oxycodone, mirtazapine, citalopram, clonazepam, and pregabalin. She en…
83y · Female·Diffuse Alveolar Damage in a woman with recent leg fracture and Atherosclerotic …
An 83-year-old woman with diabetes, cardiovascular disease, and mobility limitations fell from her bed while on a bedpan at an aged care facility, sustaining a compound ankle fracture. The registered nurse on duty had le…
12y · Male·Head injuries resulting from ride-on mower collision
Jake Garrett-Pratt, a 12-year-old boy, died from fatal head injuries sustained when he lost control of a poorly maintained ride-on lawn mower on a steep driveway. The rear axle drive chain broke due to inadequate mainten…
20y · Female·multi-organ failure due to polypharmacy overdose
…C was not given. Critical failures followed: planned blood testing on day 2 was missed due to unscheduled surgery, and subsequent attempts to obtain blood samples were hampered by communication failures and lack of task…
51y · Male·Complications of chronic ethanol use
EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November 2022 whilst waiting for an ambulance. He had self-discharged from St Vincent…
81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…
Graham Joseph Butson, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented with confusion, agitation and atrial fibrillation; a lung mass w…
82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation
An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturing her hip. Af…
93y · Male·Alzheimer's dementia (as recorded on MCCD); however, the death resulted from a f…
Ronald Reginald Slatter, aged 93, died at Mersey Community Hospital on 22 July 2022, three weeks after sustaining a fractured neck of right femur from a fall on 1 July 2022. While the coroner found no issues with his cli…
67y · Female·Pulmonary thromboembolus secondary to deep vein thrombosis in the setting of con…
A 67-year-old woman with obesity (BMI 35.88), type 2 diabetes and hypercholesterolaemia fell from a ladder on 14 December 2011, sustaining a partial Achilles tendon rupture. She was immobilised in plaster and discharged …
70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition
Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…
67y · Female·bronchopneumonia and acute liver failure on a background of liver cirrhosis and …
Valerie Kelly, a 67-year-old woman with cirrhosis, hepatocellular carcinoma, and multiple comorbidities, died at Royal Perth Hospital from bronchopneumonia and acute liver failure. She was in custody at Bandyup Women's P…
60y · Female·undetermined
Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Katoomba, NSW. Her skeletal remains were discovered nearly…
92y · Female·Complications of a fractured left femur (operated), sustained in a fall
Dorothy Lorraine Boyle, aged 92, died from complications of a left femoral fracture sustained in a fall at an aged care facility. She fell while attempting to push out a wandering dementia-affected resident who had enter…
85y · Female·Hypostatic bronchopneumonia complicating fractured occipital condyle and left ne…
Moira McCarthy, an 85-year-old woman with dementia and multiple comorbidities requiring high-level aged care nursing, sustained a fall on 24 April 2013 when a ceiling hoist descended unexpectedly during a patient transfe…
44y · Female·Pulmonary thromboembolism complicating a fractured left ankle (not operated), su…
A 44-year-old woman died from pulmonary thromboembolism 27 days after sustaining a Weber B ankle fracture from a fall. She was managed conservatively with a CAM boot then below-knee cast, with progressive immobilisation …
65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…
…sue injury'. The patient was readmitted four days later with overwhelming staphylococcal sepsis requiring surgery, and died. The Coroner found omissions at each level of the surgical team were causal factors. Intravenou…
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…
91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur
Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December 2015, fracturing her hip a…
73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …
Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …
76y · Male·Hypothermia and multiorgan failure complicating compound left tibia and fibula f…
Leslie Roberts, a 76-year-old man with intellectual disability under DHHS care, died from hypothermia and multiorgan failure following a compound fracture of the left tibia and fibula sustained in a fall at home. He was …
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