236 results for “orthopaedic surgery”
57y · Male·partially suspended hanging
…, anxiety, and recent-onset suicidal ideation died by hanging in hospital after a 108-day admission for orthopaedic injuries sustained from intentional jumping. He had complex neurocognitive impairment (dementia, deliri…
68y · Female·Pulmonary embolism due to deep venous thrombosis secondary to fractured left dis…
… cancellations over 10 days. No documented process existed to manage VTE risk in patients awaiting urgent surgery in the community. The coroner found her death was preventable had the National VTE Prevention Standard be…
43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…
A 43-year-old woman died of pulmonary embolism following Achilles tendon rupture. She fell in a car park on 4 October 2021, sustaining a right ankle injury initially treated conservatively with immobilisation. An Achille…
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…
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
…zudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac arrhythmia…
72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…
Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…
55y · Male·Multiple injuries sustained in a fall from a height
…concrete from approximately 3-4 metres. He was transported to hospital with head injuries, underwent neurosurgery for subdural haematoma and brain drainage, plus orthopaedic fixation for thoracic spine injury. Despite I…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
… sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic surgery. Post-operatively, he was prescribed a specialized heparin anti-thrombotic regime designed to p…
42y · Male·Pulmonary thromboembolism
Peter Sullivan, a 42-year-old carpenter, died from pulmonary embolism on 6 July 1998, three days after surgery at Box Hill Hospital to remove a nail from his left thigh sustained in a work-related nail gun injury. He…
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…
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…
26y · Female·Pulmonary thromboembolism due to deep vein thrombosis (left leg) due to fracture…
A 26-year-old woman with a tibia fracture died from pulmonary embolism due to deep vein thrombosis. Despite multiple risk factors (obesity, oral contraceptive use, vaping, leg immobilization, prolonged immobility), no fo…
84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…
Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…
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…
81y · Male·pneumonia complicating fracture of the neck of the right femur sustained in a fa…
… pre-existing chest infection. Despite treatment, his condition deteriorated and he died three days after surgery. The coroner found no systemic failures or recommendations for improvement. Clinically, this case illustr…
55y · Male·head injury sustained in a single motorcycle crash
… reduced respiratory capacity created unsafe riding conditions. Clinical learning: patients with recent orthopaedic injuries, polypharmacy with CNS-depressants, and cannabis use require explicit counselling regarding ac…
76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…
Leslie Bruce Whish-Wilson, 76, sustained a fall in his aged care room in January 2024, leading to a right femoral neck fracture requiring surgical repair. Post-operatively, he developed hospital-acquired pneumonia compli…
63y · Female·Pulmonary thromboembolism
…ocumented despite being required by guidelines), and the decision to proceed with single versus bilateral surgery should be discussed earlier in consultation rather than on the day of surgery. The coroner noted that mod…
90y · Male·pneumonia complicating fractured right neck of femur (operated) on a background …
…on a Mental Health Act Inpatient Treatment Order due to delirium and agitation. He underwent femur repair surgery on day 2 of admission. Hospital-acquired pneumonia developed, treated with intravenous antibiotics and su…
65y · Male·pneumonia and aspiration
…l for infection. He experienced multiple aspiration episodes during attempts at nasogastric feeding after surgery in February 2011. The Health and Medical Investigation Team found medical management was of high standard…
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