80y · Male·Complications of vertebral artery and right carotid artery vascular injuries (op…
An 80-year-old retired surgeon died from complications of vertebral artery and right carotid artery vascular injuries and cervical spine injuries sustained in a body surfing incident at Sandy Gully Beach. He was st…
62y · Male·Advanced atherosclerotic and hypertensive coronary vascular disease
Lance Royal Smith, aged 62, died from advanced atherosclerotic coronary vascular disease following a motorcycle crash on 4 November 2023. He was riding an unregistered, mechanically defe…
43y · Female·Haemorrhage Associated with Penetrations of the Aorta
…the trocar's safety shield. Despite immediate recognition of bleeding and conversion to open surgery with vascular repair, the deceased died from traumatic blood loss and organ ischaemia. The coroner found this was misad…
16y · Male·transection of the liver and laceration of the inferior vena cava sustained in a…
…ll timely and well-executed. Despite three blood transfusions and surgical intervention, the catastrophic vascular injuries were unsurvivable. The coroner found no mechanical defects, alcohol, or drugs involved. Key clin…
85y · Male·blunt craniocerebral trauma following a fall
…gies (bed rails, monitoring, positioning); and early recognition of deteriorating consciousness after head injury. The coroner found care at both the aged care facility and hospital appropriate, with no preventable facto…
65y · Male·multiple injuries sustained in a fall from a height
A 65-year-old man with morbid obesity, cardiomyopathy, and irregular heart rhythm sustained a ankle injury while hunting in steep terrain. During helicopter rescue, he was placed in a single strop harness without …
84y · Male·Complications of gout and old spinal injury, cause unknown
An 84-year-old male prisoner with multiple comorbidities (gout, spinal cord injury, renal impairment, cardiac failure) presented with chest infection, abdominal pain, and urinary retention.…
88y · Male·Ischaemic bowel in a man with fractured pelvis secondary to a motor vehicle inci…
…d was struck. He was admitted to Alfred Hospital with multiple pelvic fractures and developed acute kidney injury with abdominal pain. Imaging revealed portal vein thrombosis. Despite pain and delirium, no acute surgical…
86y · Male·Head injury due to quad bike accident
…t on his property. He was not wearing a helmet and had significant medical comorbidities (diabetes, cardiovascular and cerebrovascular disease, previous syncope episodes) that may have contributed to loss of control. He …
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
… for education, and to equipment manufacturers to explore future drill stop technology to prevent similar vascular perforations during orthopaedic procedures.
71y · Male·Aspiration in setting of paralytic ileus in patient in convalescent phase of abd…
A 71-year-old man died from aspiration complicating prolonged paralytic ileus on postoperative day 9 following open abdominal aortic aneurysm repair. Despite clinical signs of persistent ileus (vomiting, abdominal disten…
81y · Male·Head injuries sustained in a motor vehicle incident (pedestrian) in a man with i…
An 81-year-old man with ischaemic cardiomyopathy, diabetes, previous stroke, and peripheral vascular disease was struck by a motor vehicle while crossing Cranbourne Road in Frankston. He sustained severe he…
87y · Male·Complications of head injuries in setting of dementia
An 87-year-old man with vascular dementia died from complications of head injuries sustained in assaults by a fellow nursing home resident…
29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath
… in the kitchen, seized a knife, and deliberately stabbed himself repeatedly in the throat, causing fatal vascular injury to the carotid sheath. Post-mortem examination revealed brain abnormalities suggesting predisposit…
62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…
Robert Paul Rodda, a 62-year-old long-term prisoner with extensive medical comorbidities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. …
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital o…
18y · Male·Incised wound to right axilla with complete transection of basilic vein, brachia…
…propriate pre-hospital care, retrieval, and inter-hospital management, he died approximately 4 hours after injury in a retrieval helicopter en route to John Hunter Hospital. The case presented extraordinary clinical chal…
74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…
…levels between 9-18 June despite prescribing three nephrotoxic drugs (gentamicin, celecoxib, ramipril). A vascular registrar prescribed gentamicin; a consultant physician subsequently added ramipril on 13 June for cardia…
76y · Male·ruptured abdominal aortic aneurysm
Kenneth Carter, 76, died from a ruptured abdominal aortic aneurysm (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two e…
40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…
…erative haemorrhage after left radical nephrectomy for a 10cm renal cell carcinoma. The surgeon applied a vascular stapler to the renal hilum en masse without visualising individual vessels, likely missing the inferior b…
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