64 results for “emergency orthopaedic assessment”
76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …
…l lower limb weakness, but recognition was delayed due to severe delirium which complicated neurological assessment. Staff at Frankston Hospital failed to recognise that his neurology had been normal on discharge from Al…
75y · Female·multiple injuries due to or as a consequence of motor vehicle collision
… slow reaction times—supported by hospital consultants, friends, police, and an occupational therapist's assessment—her licence was reinstated seven days before her death when GP Dr P. issued a medical certificate. Purtl…
51y · Male·Complications of chronic ethanol use
… self-discharged from St Vincent's ED earlier that day after presenting with hip pain. When he contacted emergency services again reporting vomiting and subsequently haematemesis, his call was initially triaged as Prior…
21y · Female·pulmonary embolism in association with deep vein thrombosis of the left leg
… should have been risk-stratified and offered prophylaxis. Key failures included: non-completion of risk assessment documentation, failure to obtain family history despite father's stated concerns, and non-adherence to F…
70y · Male·hypovolaemic shock due to the consequences of fractured femur
…y 2018 and sustained a spiral femur fracture with internal bleeding. Care workers failed to seek medical assessment after the fall, instead conducting their own rudimentary examination. The fracture and indicators of inj…
87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…
… to tertiary hospital for enteral nutrition; earlier goals-of-care discussions; and improved nutritional assessment protocols at district hospital level.
87y · Female·pneumonia following complications from a fractured left wrist sustained in a fal…
Mrs Webberley, 87, resident of a residential aged care facility (RACF), sustained an unwitnessed fall on 1 November 2021 resulting in a left wrist fracture (Colles' fracture). She was initially assessed at the RACF but n…
70y · Male·carcinoma of the lung
…red to hospital in February 2017, diagnosis was delayed by reliance on urgent x-ray ordering rather than emergency department referral. Expert evidence suggests earlier diagnosis would not have changed outcome, but earl…
17y · Male·Hypoxic ischaemic encephalopathy due to hanging
A 17-year-old male who transitioned from female died by hanging on 21 April 2020, seven days after discharge from psychiatric inpatient care. He had complex medical needs including chronic back pain, spinal fusion, post-…
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
…erative pneumonia and cardiac failure on 7 January 2010. Key clinical lessons include: immediate medical assessment mandatory after any fall causing visible injury; hip fracture must be excluded when elderly patients wit…
48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…
… 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, obesity, and smoking. The patient had fiv…
Female·Pulmonary thromboembolism due to deep vein thrombosis following lower leg fractu…
…re treated conservatively 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 4…
74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…
A 74-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis following a cervical spinal fracture. He presented to rural ED with mental health concerns, was restrained by security guards after …
53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures
… following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (1) pain assessment in non-verbal patients requires structured tools (Abbey pain scale) and information from family/carers a…
32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf
A 32-year-old man died from pulmonary embolism six days after emergency appendectomy for perforated appendicitis. VTE prophylaxis was appropriately prescribed. However, the cli…
74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…
…rom the vehicle. The critical failures were: inadequate restraint system, failure to conduct proper risk assessment when standard restraint was unavailable, lack of mandatory supervision on the bus, and driver distractio…
92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…
…istory was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the Emergency Medical Unit (EMU) for five days despite clinical deterioration, developing delirium and confusion. The …
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
…rinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessment before discharge from acute care despite uncontrolled pain and ongoing opioid toxicity; discharge to a l…
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
Nola Inez Daniel, 83, died from complications following a hip fracture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fall at Regis Forrest Ga…
82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation
An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturing her hip. Af…
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