Coronial

55 results for deep venous thrombosis risk

NSWhospital2014-12-05

Inquest into the death of Edna Beryl WHALEN

89y · Female·Pulmonary embolism due to deep venous thrombosis

Edna Beryl Whalen, aged 89, died from pulmonary embolism secondary to deep vein thrombosis following delayed diagnosis of a femoral neck fracture. She fell on 8 January 2007 at an ag…

emergency medicineorthopaedic surgerydiagnosticdelay
TAShospital2019-09-30

Coroner's Finding: Frith, Aaron Douglas

36y · Male·pulmonary embolism due to right deep vein thrombosis following repair of rupture…

…erwent surgical repair on 15 September 2018 and was discharged on aspirin prophylaxis. He developed a right deep vein thrombosis leading to a saddle pulmonary embolism, collapsing on 18 September and dying on 20 Septembe…

orthopaedic surgeryemergency medicinediagnosticsystemaspirin
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

…ed squamous cell carcinoma of the pyriform fossa died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydration, and acute kidney injury f…

radiation oncologyoncologymedicationsystem
NSWhospital2019-03-01

Inquest into the death of Stephen Kline

51y · Male·Pulmonary thromboemboli due to deep vein thrombosis on a background of a leg bur…

Stephen Kline, a 51-year-old Aboriginal man, died from pulmonary thromboembolism due to deep vein thrombosis following a leg burn wound sustained when NSW Police deployed a taser during a confrontatio…

plastic and reconstructive surgerypsychiatrydiagnosticsystemheparin
VIChospital2025-03-28

Finding into death of Barbara Anne Deal

86y · Female·Pulmonary thromboembolism in the setting of deep leg vein thrombosis, secondary …

Barbara Deal, 86, died from pulmonary embolism secondary to deep vein thrombosis 17 days after lumbar spinal fusion surgery. Critical failures included: no repeat VTE risk

neurosurgeryinfectious diseasesmedicationsystemapixaban
QLDhospital2019-07-24

Mr P - Non-inquest findings

47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…

…l's ICU, clinicians anchored on pneumonia as the diagnosis despite the requesting physician's PE concerns. Venous doppler ultrasound was deferred based on chronicity of leg swelling; the requested CTPA was not ordered. T…

intensive careemergency medicinediagnosticcommunicationheparin
NSWhospital2012-11-20

Channell & ivanoska decision

Female·Pulmonary thromboembolism due to deep vein thrombosis following lower leg fractu…

…nservatively with immobilization (splint and plaster back slab) and discharged home without assessment for venous thromboembolism risk or prophylaxis, despite multiple VTE risk factors: marked obesity (BMI 43.4 and 37.4)…

emergency medicineorthopaedic surgerydiagnosticsystem
VIChospital2026-02-11

Finding into death of Michael Robert Burns

58y · Male·Pulmonary thromboembolism complicating right calf deep venous thrombosis

…y clinical lessons: maintain high suspicion for PE in patients with chest pain and dyspnea; correctly apply risk stratification tools; admit patients with new cardiac symptoms for monitoring; recognize that small PEs may…

cardiologyemergency medicinediagnosticcommunicationbisoprolol
VIChospital2023-10-25

Finding into death of Bernice Snell

74y · Female·Cardiac arrest due to pulmonary embolism secondary to deep venous thrombosis

… DVT probability, and lack of expedited imaging. While anticoagulation was withheld due to genuine bleeding risk, earlier definitive imaging and/or earlier anticoagulation consideration may have altered outcomes.

emergency medicinevascular surgerydelaysystemenoxaparin
NSWhospital2022-12-01

Inquest into death of RW

64y · Male·Pulmonary thromboembolus as a result of bilateral deep vein thrombosis which dev…

… accepted medical practice. A key clinical lesson involves the tension between DVT prophylaxis and bleeding risk in traumatic brain injury patients receiving anticoagulation. Guidelines have since evolved to consider eno…

neurosurgeryintensive carecommunicationproceduralunfractionated heparin
VIChospital2019-05-09

Finding into death of Darren Templeton

51y · Male·pulmonary thromboembolus secondary to left deep vein thrombosis

Darren Templeton, a 51-year-old man with obesity (BMI 31.5), died of pulmonary thromboembolism and left deep vein thrombosis six days after undergoing left knee arthroscopy. Critical clinical lessons: (1) VTE risk as…

orthopaedic surgeryanaesthesiasystemdiagnosticaspirin
VIChospital2026-04-17

Finding into death of White-Wolf Patricia Mclellan

44y · Female·Pulmonary thromboembolism complicating a fractured left ankle (not operated), su…

…ly with a CAM boot then below-knee cast, with progressive immobilisation leading to bedbound status. No VTE risk assessment was documented at initial ED presentation or fracture clinic follow-up despite changed immobilis…

emergency medicineorthopaedic surgerysystemcommunicationtenecteplase
TAScommunity2019-03-08

Coroner's Finding: Paraskevas, Odissefs

56y · Male·pulmonary thromboembolism due to left deep vein thrombosis

A 56-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis. He presented to his GP on 20 January 2017 with persistent dyspnoea and chest pain followin…

general practicecardiologydiagnosticdelay
TAShospital2022-09-27

Coroner's Finding: Borton Jessica Rose-Aida

43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…

… coroner identified that no VTE prophylaxis was prescribed or even considered, despite her having two major risk factors: morbid obesity (BMI 48.3) and immobility from the tendon injury. The coroner noted that Achilles t…

orthopaedic surgeryemergency medicinediagnosticsystem
VICcommunity2024-12-18

Finding into death of Kevin John Harris

38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis

…ess of breath. He was found deceased on 12 January. Autopsy revealed pulmonary thromboembolism secondary to deep vein thrombosis, with contributing factors being the fracture, immobilisation, and obesity. The coroner fou…

general practiceorthopaedic surgerysystem
VIChospital2002-11-29

SULLIVAN Peter

42y · Male·Pulmonary thromboembolism

… remove a nail from his left thigh sustained in a work-related nail gun injury. He developed bilateral calf deep venous thromboses despite post-operative bed rest with exercises. The coroner found his management was appr…

orthopaedic surgeryanaesthesia
ACThospital2010-04-30

Inquest Into The Death Of Meg Malaika

39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …

A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nau…

emergency medicinegeneral surgerymedicationcommunicationheparin
QLDhome2024-12-06

Inquest into the death of Audrey Yvette Carrick

83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…

… were not escalated to senior clinicians. While anticoagulation pre-procedure was reasonable given bleeding risks, and discharge itself was not contraindicated despite residual heart failure symptoms, the failure to cond…

cardiologycardiothoracic surgerycommunicationdocumentationwarfarin
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

…istory presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, no venous thromboembolism (VTE) risk assessment was performed despite multiple clear risk factors: immobility, obesi…

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
WAhospital2012

Inquest into the Death of Keogh

38y · Female·Pulmonary Thromboembolism

…etween endoscopic procedures; and failure to obtain haematology consultation despite complex pro-thrombotic risk factors. The Coroner found overall management satisfactory but made four recommendations: implementing an '…

general surgeryintensive carecommunicationdelaywarfarin

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