Coronial
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TAShospital2023-08-02

Coroner's Finding: Slatter, Ronald Reginald

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…

geriatric medicineorthopaedic surgerycommunicationsystem
TASaged care2023-04-14

Coroner's Finding: Taylor, Irene Barbara

99y · Female·pneumonia due to a fractured right neck of femur (hip) sustained in a fall

A 99-year-old woman with advanced dementia resident in aged care fell and sustained a right femoral neck fracture. Despite being assessed as high falls risk with multiple prevention measures in place, she was not wearing…

geriatric medicineorthopaedic surgerysystem
TAShospital2023-04-14

Coroner's Finding: Hardie, Nathan John

41y · Male·Multiple injuries to head, trunk and limb sustained in motorised bicycle collisi…

Nathan John Hardie, aged 41, died from multiple injuries sustained in a motorised bicycle collision with a parked truck on 25 May 2021, five days after the accident on 30 April 2021. He was riding an unregistered, unroad…

neurosurgerytrauma surgeryamphetamine
TASaged care2023-04-03

Coroner's Finding: Hazell, Nancy

100y · Female·frailty and fracture of the right neck of femur

Nancy Muriel Hazell, aged 100, was a long-term resident of an aged care facility with appropriate falls prevention measures in place including bed/chair sensors, call bells, and physiotherapy. She sustained an unwitnesse…

orthopaedic surgerygeriatric medicinesystem
TASaged care2023-02-22

Coroner's Finding: Cash, Robert

89y · Male·peri-prosthetic fracture of right femur

89-year-old man resident in aged care suffered an unwitnessed fall in his bathroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls risk. Post-operatively his condition deteriorate…

orthopaedic surgerygeriatric medicinesystem
TAShospital2022-12-21

Coroner's Finding: Procter, Sheelagh Patricia

67y · Female·pulmonary thromboembolus due to deep vein thrombosis

Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulati…

orthopaedic surgerygeriatric medicineenoxaparin
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

Ellis Newton Hughes, 83-year-old retired mining engineer with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 a…

orthopaedic surgeryemergency medicine
TAShospital2022-09-27

Coroner's Finding: Borton Jessica Rose-Aida

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…

orthopaedic surgeryemergency medicinediagnosticsystem
TAShome2022-07-04

Coroner's Finding: Wallace., Vivienne Lorraine

73y · Female·atherosclerotic and hypertensive coronary vascular disease

Ms Wallace, 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 riva…

cardiologyorthopaedic surgeryflecainide
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …

emergency medicinegeneral practicecommunicationsystemalcohol
TAShospital2022-03-09

Coroner's Finding: Salter, Lyndsay Kenneth

83y · Male·pulmonary fat embolism complicating interstitial lung disease

An 83-year-old experienced motorcyclist died from pulmonary fat embolism complicating interstitial lung disease following a compound fracture of the right tibia sustained in a motorcycle crash. Mr Salter lost concentrati…

emergency medicineorthopaedic surgery
TAShospital2022-02-23

Coroner's Finding: Attwood, Maurice

86y · Male·hospital acquired pneumonia

Maurice Attwood, 86 years old, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration ri…

orthopaedic surgeryintensive care
TASaged care2021-07-14

Coroner's Finding: Cano, Carmen

84y · Female·complications of a fractured left hip suffered in an unwitnessed fall in aged ca…

An 84-year-old woman with dementia and osteoporosis residing in aged care suffered an unwitnessed fall in a corridor, sustaining a left hip fracture. She underwent high-risk surgical repair on day 3 post-fall. Post-opera…

geriatric medicineorthopaedic surgerydiagnostic
TAShospital2021-05-12

Coroner's Finding: Porthouse, David John

70y · Male·uraemic encephalopathy

David John Porthouse, a 70-year-old man with chronic kidney disease, diabetes, and cardiac disease, fell at home in February 2020 causing a neck of femur fracture. He was treated surgically and remained hospitalised. Dur…

orthopaedic surgerygeneral medicine
TAShospital2021-04-12

Coroner's Finding: Fowler, Alice Mary

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…

geriatric medicineorthopaedic surgerysystemdelay
TAS2020-05-18

Coroner's Finding: Barber, Gavin John

55y · Male·head injury sustained in a single motorcycle crash

A 55-year-old man with multiple comorbidities (bipolar disorder, OCD, asthma, bronchiectasis, methadone dependency) died from head injury sustained in a motorcycle crash. He was riding 3 weeks after a previous motorcycle…

general practiceorthopaedic surgerycommunicationmethadone
TASaged care2020-02-14

Coroner's Finding: Whitney, Margaret Ann

81y · Female·hypovolemic shock due to haemorrhage during orthopaedic repair of a femur fractu…

Margaret Ann Whitney, an 81-year-old woman with vascular dementia, died from hypovolemic shock due to haemorrhage during orthopaedic surgery for a femoral fracture sustained in a fall at her nursing home. She had been su…

geriatric medicineorthopaedic surgeryapixaban
TAShome2020-01-03

Coroner's Finding: Combes, Margot Janeece

47y · Female·pulmonary thromboembolus

A 47-year-old nurse suffered a workplace fall resulting in a left ankle fracture requiring below-knee immobilisation. She was managed conservatively with a temporary cast for one week, then a permanent plaster cast appli…

orthopaedic surgerygeneral practice
TAShospital2019-09-30

Coroner's Finding: Frith, Aaron Douglas

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

Aaron Frith, a 36-year-old man with obesity and hypertension, sustained a ruptured right Achilles tendon on 28 August 2018. He underwent surgical repair on 15 September 2018 and was discharged on aspirin prophylaxis. He …

orthopaedic surgeryemergency medicinediagnosticsystemaspirin
TAShospital2019-07-25

Coroner's Finding: Horcicka, Josef Vratislav

89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…

An 89-year-old man with Parkinson's disease fell at home on 16 August 2016, sustaining a cervical spine fracture. Initial CT imaging missed the C5 inferior articular process fracture, reporting only a paraspinal haematom…

orthopaedic surgeryemergency medicinediagnosticproceduralmorphine

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