Coronial

55 results for deep venous thrombosis risk

SAmental health2003-03-28

Coroner's Finding: GAVA Mario

80y · Male·bilateral pulmonary thromboembolism

… coroner found the detention lawful and the cause of death clear. Key clinical lessons include recognising venous thromboembolism risk in immobilised elderly patients with dementia, ensuring appropriate mobility and thro…

psychiatrygeriatric medicine
QLDhospital2026-01-20

Non-Inquest findings - DUCHATEL Daniella Jade

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…

orthopaedic surgeryemergency medicinediagnosticcommunicationaspirin
TAShome2020-01-03

Coroner's Finding: Combes, Margot Janeece

47y · Female·pulmonary thromboembolus

…, the case highlights the clinical lesson that patients requiring below-knee immobilisation with additional risk factors—particularly morbid obesity—warrant individualised risk assessment for thromboprophylaxis. While an…

orthopaedic surgerygeneral practice
VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

…requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to bleeding risk from the cancer and instability during chemotherapy. After surgery, he received appropriate short-term VTE …

colorectal surgerygastroenterologycommunicationsystemwarfarin
WAhospital2013-05-01

Inquest into the Death of Squires, John Gregory

47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis

…tectomy at Geraldton Regional Hospital on 31 August 2009 after a 5-hour coach journey that morning. The VTE Risk Assessment Form correctly classified him as high-risk and recommended thromboprophylaxis, but surgical staf…

surgeryanaesthesiadiagnosticdelayheparin
QLDhospital2016-06-20

Bradshaw, Scott Anthony - Non-inquest findings

38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi

… rapidly deteriorated and died in cardiac arrest. Autopsy revealed pulmonary thromboembolism from bilateral deep vein thrombi as the cause of death, with dilated cardiomyopathy as a contributor. Experts differed on wheth…

emergency medicineintensive carediagnosticcommunicationhypnodorm
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units in…

neurosurgeryneurologymedicationsystemheparin
VIChome2012-09-05

Finding into death of Jennifer Porter

45y · Female·Pulmonary thromboembolism

…ase and reduced mobility (living in supported accommodation) should prompt consideration of thromboembolism risk assessment and appropriate imaging. Early recognition of VTE risk factors and lower threshold for imaging i…

general practicepathologydiagnosticdoxycycline
QLDhospital2015-05-26

SM - Non-inquest findings

32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf

…ntal oxygen for six days was abnormal; fractured clinical handover processes; and absence of documented VTE risk reassessment post-operatively despite reduced mobility. An arterial blood gas was never performed despite p…

general surgeryanaesthesiadiagnosticcommunicationheparin
VIChospital2019-06-07

Finding into death of Maria Kerr

60y · Female·Pulmonary thromboembolism in a woman recovering from a fractured right ankle

… clinically appropriate and would not have changed had she been seen earlier, critical gaps existed: no VTE risk assessment was performed despite significantly reduced mobility, no prophylactic anticoagulation was offere…

emergency medicineorthopaedic surgerysystemcommunication
VIChospital2022-01-20

Finding into death of Ann-Maree Manno

57y · Female·Pulmonary thromboembolism

…57, died from pulmonary thromboembolism 8 days after laparoscopic gastric band surgery. She had significant risk factors: obesity (BMI 37.9), history of unprovoked DVT in 2007 and 2016, and recent surgery. A haematologis…

bariatric surgeryanaesthesiacommunicationsystemheparin
NSWhospital2020-10-02

Inquest into the death of Madeline Newcombe

63y · Female·Pulmonary thromboembolism

… knee arthroplasty despite aspirin and sequential compression devices. The surgeon assessed her as standard risk and did not prescribe low molecular weight heparin (LMWH). The coroner found this was a rare, ultimately un…

orthopaedic surgeryanaesthesiacommunicationdiagnosticaspirin
VIChospital2016-11-10

Finding into death of Beverley Joy Leggett

79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement

A 79-year-old woman died from pulmonary embolism eight days after undergoing elective right total hip replacement. She received multimodal VTE prophylaxis including aspirin, early mobilisation, mechanical foot compressio…

orthopaedic surgeryanaesthesiasystemaspirin
VIChospital2018-01-18

Finding into death of Kathryn Maree Jelbart

59y · Female·Multiorgan failure and polymicrobial sepsis secondary to severe bone marrow fail…

…s. The death was preventable through pre-treatment genetic testing, which would have identified her extreme risk and allowed therapeutic alternatives or drastically reduced dosing. This case identified a significant gap …

nephrologytransplant medicinediagnosticsystemazathioprine
QLDhospital2013-05-22

Thoresen, Cynthia

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…

orthopaedic surgeryemergency medicinedelaysystemmorphine

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