Coronial

74 results for leg surgery

WAaged care

Inquest into the Death of Nola Inez DANIEL

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

…ial bruising. The fracture was not diagnosed until 16 hours later on Boxing Day. She underwent hip repair surgery on 29 December but died from post-operative pneumonia and cardiac failure on 7 January 2010. Key clinical…

orthopaedic surgeryemergency medicinediagnosticcommunicationfentanyl
WAaged care2013

Inquest into the Death of Webb, Violet

83y · Female·Diffuse Alveolar Damage in a woman with recent leg fracture and Atherosclerotic …

An 83-year-old woman with diabetes, cardiovascular disease, and mobility limitations fell from her bed while on a bedpan at an aged care facility, sustaining a compound ankle fracture. The registered nurse on duty had le…

geriatric medicineorthopaedic surgeryproceduralsystemfentanyl
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

…oncerns recognition of capacity impairment from hepatic encephalopathy and appropriate use of mental health legislation to enable life-saving treatment in refusing patients. The death should have been identified and rep…

gastroenterologygeneral medicinesystemlactulose
VICcommunity2020-05-11

Finding into death of Jolanta Boyd

48y · Female·Multiple injuries sustained when struck by a train

…cluding Barwon Health and Alfred Hospital following a train strike incident on 25 May 2018 that injured her leg. At discharge from Alfred Hospital on 15 June 2018, she had appropriate psychiatric assessment and referral…

psychiatryemergency medicinecommunicationsystemalcohol
VIChospital2021-04-14

Finding into death of Mark James O'Brien

56y · Male·Complications of atraumatic bilateral femoral fractures (repaired) during a seiz…

… days until a CT scan on 26 June 2019, during which time Mr O'Brien continued rehabilitation on an unstable leg. He suffered a third seizure on 19 July 2019 with further fracture displacement, was palliated, and died th…

orthopaedic surgerygeriatric medicinediagnosticcommunicationsodium valproate
NSWprison2023-03-01

Inquest into the death of William Haines

37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis

A 37-year-old Aboriginal man died of pulmonary thromboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday with lethargy, shortness of breath, and tachycardia. Initial assessm…

emergency medicinecardiologydiagnosticsystemenoxaparin
VIChospital2023-07-19

Finding into death of Daryl William Nioa

74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…

… other spinal injuries. Critical failures included: (1) clinicians initially attributed neurological signs (leg paralysis, reduced sensation) to behavioural issues rather than investigating organic causes; (2) delayed C…

emergency medicineneurosurgerydiagnosticdelayclonazepam
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

…plicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She presented acutely with a leg wound and was found to have cardiac tamponade from pericardial effusion. Despite appropriate acute hospital…

paediatricsgeneral practicesystemdelaytemazepam
QLDaged care2012-10-19

Anderson, Stanley Charles

86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…

…ring from a bath trolley to a comfort chair using a mechanical hoist and sling, he became unstable and fell legs-first onto the floor, fracturing both legs and his left hip. The coroner identified several preventable sy…

geriatric medicineoccupational and environmental healthsystemcommunication
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

…48-year-old woman with morbid obesity and smoking history presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, no venous thromboembolism (VTE) risk assessment was performed de…

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…

emergency medicinegeneral practicesystemcommunication
SAhospital2009-12-31

Coroner's Finding: LYNN Matthew John

20y · Male·hypoxic encephalopathy

Matthew Lynn, aged 20, died from hypoxic encephalopathy after sustaining head injuries in a motor vehicle collision. While hospitalised in ICU, his endotracheal tube (ETT) became displaced around 12:20am on 23 January 20…

intensive careanaesthesiadiagnosticcommunicationpropofol
VIC2013-10-21

Finding into death of Harold Claude Long

83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…

This coronial finding examines the deaths of 11 train passengers in the Kerang level crossing collision on 5 June 2007, where a semi-trailer struck a V/Line passenger train. The investigation found that 6 passengers died…

emergency medicineparamedicinesystemproceduralmorphine
VICcommunity2013-10-21

Attachment a

Blunt force trauma sustained in level crossing collisions between heavy vehicles…

Coronial investigation into 26 deaths at 12 level crossing incidents in Victoria between 2002-2009, with focus on the Kerang incident (5 June 2007) where 11 train passengers died after a semi-trailer collided with a pass…

emergency medicineparamedicinediagnosticcommunication

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