233 results
85y · Female·Complications of a left ankle fracture (operated)
An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…
69y · Male·Septic arthritis of the knee
Frank Hall-Bentick, a 69-year-old man with severe muscular dystrophy and restrictive lung disease dependent on 24-hour BiPAP, presented to Austin Hospital with septic arthritis of the right knee and septic shock. A multi…
80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…
Ronald Arthur Elliott, aged 80, died of aspiration pneumonia complicated by severe oropharyngeal dysphagia and COPD following a hip fracture. He fell on 12 June 2020, underwent left hip hemiarthroplasty at Flinders Medic…
85y · Female·general inanition on a background of vascular dementia and a recent right neck o…
An 85-year-old woman with vascular dementia, congestive cardiac failure, and atrial fibrillation sustained a right neck of femur fracture from a fall at her aged care facility on 5 August 2020, despite being on a sensor …
68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)
Ms Heraghty, a 68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) …
98y · Male·comminuted pertrochanteric fracture of left hip sustained in mechanical fall
A 98-year-old man with osteoporosis, dementia, and ischaemic heart disease sustained a comminuted pertrochanteric hip fracture in a fall at his residential aged care facility on 24 July 2023, dying four days later. He ha…
80y · Female·multiple injuries in the setting of a fall
Catherine Mary Reid, aged 80, died from multiple fractures sustained in a fall during a mechanical hoist transfer at a disability care facility. While being transferred from wheelchair to bed using an overhead ceiling ho…
40y · Female·Sepsis secondary to ureteritis, pyelonephritis and aspiration pneumonia with a c…
A 40-year-old woman with cerebral palsy, autism, and schizoaffective disorder living in specialist disability accommodation died from sepsis secondary to ureteritis, pyelonephritis, and aspiration pneumonia. She had sust…
36y · Female·Stab wound to the right chest
Amanda Jane Harris, 36, was fatally stabbed by her intimate partner Daniel Eckersley on 7 July 2018 in Cranbourne North, Victoria. Eckersley was prescribed high-dose tramadol (700-800mg daily) for chronic pain over 22 mo…
74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…
Ms Papanastasiou, a 74-year-old aged care resident confined to a wheelchair, died from bilateral femoral fractures sustained when she fell from her wheelchair during sudden bus braking. The wheelchair was secured using o…
68y · Female·Pulmonary embolism due to deep venous thrombosis secondary to fractured left dis…
Mary Morrow, aged 68, died from pulmonary embolism and deep vein thrombosis following a fractured left ankle sustained in Queensland on 23 June 2021. She received appropriate VTE prophylaxis initially (enoxaparin) but th…
75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis
A 75-year-old woman with chronic pain and previous staphylococcal infections presented to Glen Innes District Hospital with a swollen, warm right knee 10 days after a corticosteroid injection. Junior doctor Dr M. appropr…
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…
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 …
49y · Female·Cannot be determined
Melissa Caddick, a financial advisor running a Ponzi scheme, disappeared on 12 November 2020 after ASIC executed a search warrant at her home. Her decomposed foot washed ashore 100 days later. Clinical lessons emerge: th…
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…
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…
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…
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…
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