Coronial

236 results for orthopaedic surgery

TAShospital2024-11-04

Coroner's Finding: de-identified EK

80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…

An 80-year-old man underwent elective microdiscectomy for spinal pain in April 2023. In late June, he developed a wound infection with Staphylococcus aureus causing discitis. Despite appropriate diagnosis and aggressive …

orthopaedic surgeryinfectious diseasesantibiotics
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

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…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

…ritical opportunities to diagnose septic arthritis through joint aspiration were missed. By the time an orthopaedic surgeon reviewed her on day 4, she was critically ill with septicaemia. She died of septic arthritis of…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
VIChospital2020-07-07

Finding into death of Marek Koziol

61y · Male·Injuries sustained in motor vehicle collision (pedestrian)

A 61-year-old legally blind man was struck by a motor vehicle while crossing a busy highway with his guide dog. He sustained severe head injuries including subarachnoid and subdural haemorrhage, and diffuse axonal injury…

trauma surgeryintensive care
SAhospital2012-06-25

Coroner's Finding: POLKLASER Irmgard Giesela

76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…

A 76-year-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her hu…

orthopaedic surgerytrauma surgerysystemdelay
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and c…

psychiatrygeneral surgerydiagnosticdelay
WAcommunity

Inquest into the Death of Paul DICKSON

34y · Male·multiple injuries

Paul Dickson, a 34-year-old man with severe paranoid schizophrenia managed on a Community Treatment Order, died by suicide on 11 November 2013 after stepping in front of a truck. He had been discharged from Graylands Hos…

psychiatryemergency medicineolanzapine
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

…this delay was not related to his death. The death resulted from natural causes precipitated by the fall, surgery, and underlying advanced cancer causing frailty and cachexia.

orthopaedic surgeryemergency medicine
SAhospital2022-08-15

Coroner's Finding: Larchin, John

87y · Male·infective exacerbation of chronic obstructive lung disease

… man with a long smoking history and no prior diagnosis of lung disease suffered a hip fracture requiring surgery. Postoperatively, he developed delirium and hypoxia. Two Inpatient Treatment Orders were appropriately ma…

orthopaedic surgerypsychiatryhaloperidol
TAShospital2015-02-20

Coroner's Finding: Lucas, Troy Dale

41y · Male·multiple injuries sustained in a motorcycle crash with superimposed infection

Troy Dale Lucas, aged 41, died from multiple injuries sustained in a motorcycle crash on 15 May 2012 in East Devonport, Tasmania. He collided head-on with a Toyota Corolla driven by Jacqueline Roberts-Thompson, who was t…

trauma surgeryintensive care
TAShome2024

Coroner's Finding: Heraghty, Susanna Elizabeth

68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)

… she died by her own hand days later. The coroner found no fault with the hospital's decision to classify surgery as futile, accepting that doctors appropriately prioritised patient safety and that Ms Heraghty could not…

orthopaedic surgeryanaesthesiaoxycodone
WAhome2023-01-09

Inquest into the Death of Child F (Name Subject to Suppression Order)

3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…

Child F, aged 3 years, died of pneumonia and respiratory failure complicating metachromatic leukodystrophy (MLD), a rare neurodegenerative genetic disorder. He had previously suffered severe non-accidental injuries inclu…

paediatricsneurologymorphine
VIChospital2019-05-17

Finding into death of Mabel Grace Ellen Pritchard

90y · Female·Hospital acquired pneumonia in the setting of recent fractures of neck of humeru…

A 90-year-old woman with multiple comorbidities residing in aged care sustained a hip fracture from a fall in January 2018. Following surgical repair and initial hospital treatment, she was transferred to a rehabilitatio…

geriatric medicineorthopaedic surgerysystempiperacillin/tazobactam
SAaged care2021-11-25

Coroner's Finding: McCormack, Donald Stewart

81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…

…entia, severe frontal lobe injury, and ischaemic heart disease died from pneumonia following hip fracture surgery. He fell while hip protectors were being cleaned after bowel incontinence. Post-operatively he developed …

geriatric medicineorthopaedic surgery
WAhospital2017-03-31

Inquest into the Death of John HOUGHTON

72y · Male·Metastatic bladder cancer; likely mechanism pulmonary embolism from combined eff…

…ld have changed outcomes, but consensus held that cystoscopy should have been prioritised before elective surgery. System delays in obtaining diagnostic procedures in the public system contributed to this adverse outcom…

urologyorthopaedic surgerydiagnosticdelaynitrofurantoin
SAaged care2024-05-22

Coroner's Finding: Feldstein, Victoria

87y · Female·General inanition complicating mixed vascular and Alzheimer's dementia on a back…

Victoria Feldstein, 87, died of general inanition complicating mixed vascular and Alzheimer's dementia following a left humeral fracture sustained in aged care. She fell on 16 August 2020, initially managed conservativel…

geriatric medicineorthopaedic surgery
VIChome2015-08-26

Finding into death of Frank Day

60y · Male·Pulmonary thromboembolism in a man with deep vein thrombosis following a fractur…

…in on 3 November but was diagnosed with musculoskeletal pain; ECG and troponin were normal. He attended orthopaedic follow-up on 6 and 13 November where healing was noted. The patient and his partner reported a cold foo…

emergency medicineorthopaedic surgerycommunicationsystemmorphine
VICaged care2011-10-04

Finding into death of Shane Peter Kerstjens

42y · Male·Pulmonary thromboembolism and deep calf vein thrombosis

Shane Kerstjens, a 42-year-old man with cerebellar dystrophy and intellectual disability, died from pulmonary thromboembolism and deep vein thrombosis. He sustained a tibia and fibula fracture on 6 September 2007, requir…

orthopaedic surgeryrehabilitation medicinesystemdelayenoxaparin
VICcommunity2026-02-19

Finding into death of Kathleen Smith

53y · Female·Unascertained (presumed drowned)

… presumed to have drowned at Sorrento Back Beach. She was experiencing severe anxiety about upcoming foot surgery due to severe flatfoot deformity and osteoarthritis. Her GP recommended psychological counselling and pre…

general practiceorthopaedic surgerycommunicationdelaysertraline
QLDhospital2015-01-29

Carpenter, Harold James

66y · Male·Coronary atherosclerosis with emphysema as secondary cause

…omplicated by sepsis. Despite intervention including stent insertion and nephrostomy, he declined further surgery and opted for palliative care. Medical review found excellent diagnostic skills, comprehensive care, and …

emergency medicineorthopaedic surgeryoxycodone
134512

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