236 results for “orthopaedic surgery”
47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…
David Waymouth, a 47-year-old prisoner with extensive medical comorbidities including hepatitis C, obesity, chronic pain requiring methadone, and depression, fell from his bed in prison and sustained a right hip fracture…
22y · Female·septic shock complicating osteomyelitis secondary to cellulitis in a woman with …
Sarah Hammoud, aged 22 with cerebral palsy and intellectual disability, died from septic shock complicating osteomyelitis secondary to cellulitis. She resided in a supported residential service and had recurrent elbow in…
59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)
Mrs DA, aged 59, died from multiple drug toxicity (propoxyphene, citalopram, oxazepam and others) in March 2014. She had suffered a severe stroke in 2006 with resultant significant disability, chronic pain, and subsequen…
82y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest as a result of fractured …
…n died from hypoxic-ischaemic encephalopathy following perioperative cardiac arrest during ankle fracture surgery. The anesthetist failed to recognise clinical deterioration, did not intubate despite signs of hypoxia an…
64y · Male·hypoxic-ischaemic encephalopathy complicating cardiac arrest due to retroperiton…
…ding occurred six days post-injury while on high-dose enoxaparin (100mg twice daily) initiated under an orthopaedic protocol. Critical failings included: (1) no blood tests performed after admission to monitor haemoglob…
88y · Female·Complications of fractured neck of femur
…by another resident with vascular dementia in a secured aged care unit. The fall occurred on 3 June 2018, surgery was performed on 4 June, and the patient deteriorated over 6 weeks before dying on 12 July 2018. Clinical…
85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …
Lydia Maxfield, 85, died 5 days after elective left total knee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnorm…
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…
89y · Female·Pulmonary embolism due to deep venous thrombosis
…finding it 'recent invention'. A timely X-ray would likely have identified the fracture, allowing earlier surgery and reducing thromboembolism risk. The coroner emphasised that clinical judgment requires confirmatory im…
53y · Male·Drowning
Paul James Du Toit, 53, died by drowning after sustaining severe pelvic injuries at Stingray Head Beach on 20-21 March 2012. While intoxicated, he exited a vehicle during a night-time beach drive in darkness and fell fro…
87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…
An 87-year-old woman with multiple comorbidities (diabetes, atrial fibrillation, peripheral vascular disease) sustained a periprosthetic fracture requiring distal femur replacement. She deteriorated significantly during …
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…
93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…
A 93-year-old man with dementia, heart failure, and chronic renal disease died of general inanition following a hip fracture sustained in a fall at an aged care facility. He was under a guardianship order with special po…
94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …
A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheimer's dementia at …
73y · Male·Consequences of myocardial infarction with coronary artery atherosclerotic disea…
Leonard Bartholomeusz, aged 73, died of myocardial rupture on 6 May 2013, six days after hip fracture surgery. He suffered a fall on 30 April 2013 following which ECG testing revealed cardiac abnormality. A first EC…
63y · Male·pulmonary emphysema
Stanley McIntyre, a 63-year-old man with severe treatment-resistant schizophrenia, died from pulmonary emphasema on 23 June 2021 while subject to a Psychiatric Treatment Order. He had advanced COAD diagnosed only one mon…
67y · Male·undetermined; likely exposure and dehydration
David William Mather, a 67-year-old homeless man, was admitted to Royal Darwin Hospital on 29 September 2003 with a displaced compound fracture of the left humerus. He left the ward on 4 October 2003 in hospital pyjamas,…
76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …
…hat his neurology had been normal on discharge from Alfred Hospital, missing the baseline for comparison. Surgery occurred 10 July but permanent spinal cord damage had likely already occurred. Earlier recognition and su…
90y · Female·Intracerebral haemorrhage
…er Hospital in April 2002 for surgical repair of a fractured femur. She was rehabilitating on Ward G51 (orthopaedics) with a goal to regain independent mobility so she could return to her aged care hostel. On 18 May 200…
76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…
…form but not flagged as anaesthetic alert; (2) absent pre-operative physician assessment despite previous surgery six months earlier that required ICU admission for atrial fibrillation; (3) consultant anaesthetist's ass…
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