233 results
89y · Male·peri-prosthetic fracture of right femur
89-year-old man resident in aged care suffered an unwitnessed fall in his bathroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls risk. Post-operatively his condition deteriorate…
83y · Female·Complications arising from a fall with C2 fracture and neck of femur fracture
An 83-year-old woman with dementia, Alzheimer's disease, and a prior hip fracture sustained injuries from a fall in her aged care facility's dining room. Staff were absent from the dining room for approximately 7 minutes…
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…
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulati…
84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…
Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…
83y · Male·aspiration pneumonia
Ellis Newton Hughes, 83-year-old retired mining engineer with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 a…
43y · Female·hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thro…
A 43-year-old woman died of pulmonary embolism following Achilles tendon rupture. She fell in a car park on 4 October 2021, sustaining a right ankle injury initially treated conservatively with immobilisation. An Achille…
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-…
75y · Male·multifactorial causes on a background of ischaemic heart disease, generalised va…
Robert Bischard, a 75-year-old man with multiple complex comorbidities including coronary artery disease, chronic kidney disease, and diabetes, died five days after elective right total knee replacement surgery. The coro…
87y · Male·infective exacerbation of chronic obstructive lung disease
An 87-year-old 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 app…
73y · Female·atherosclerotic and hypertensive coronary vascular disease
Ms Wallace, a 73-year-old woman with hypertension and other comorbidities, developed atrial fibrillation during orthopaedic surgery for a fibula fracture. She was discharged on flecainide 50mg daily, metoprolol, and riva…
70y · Male·hypovolaemic shock due to the consequences of fractured femur
Thomas Fulcher, a 70-year-old man with intellectual disability and osteoporosis in a group home, fell on 19 January 2018 and sustained a spiral femur fracture with internal bleeding. Care workers failed to seek medical a…
47y · Female·Traumatic closed head injury likely sustained in a fall from standing
TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …
97y · Male·respiratory failure attributed to aspiration pneumonia on a background of advanc…
Richard Underwood, aged 97, died from respiratory failure due to aspiration pneumonia on a background of advanced dementia, a surgically repaired neck of femur fracture, and gastrointestinal haemorrhage. He was admitted …
80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…
Ian Ross Lauder, aged 80, died at an aged care facility from pneumonia and general inanition on a background of advanced vascular dementia, cerebrovascular disease, and a recently operated right hip fracture. He had suff…
20y · Female·multi-organ failure due to polypharmacy overdose
A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where i…
89y · Female·complications of a femoral neck fracture (operated) in an elderly woman with mul…
An 89-year-old woman with dementia suffered a femoral neck fracture when pushed by another dementia patient in a secure geriatric unit corridor. She underwent surgical repair but deteriorated post-operatively and died 10…
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospita…
83y · Male·pulmonary fat embolism complicating interstitial lung disease
An 83-year-old experienced motorcyclist died from pulmonary fat embolism complicating interstitial lung disease following a compound fracture of the right tibia sustained in a motorcycle crash. Mr Salter lost concentrati…
86y · Male·hospital acquired pneumonia
Maurice Attwood, 86 years old, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration ri…
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