Coronial

236 results for orthopaedic surgery

TAShospital2024-09-12

Coroner's Finding: Chapman, Jane Ann

74y · Female·Post-operative exacerbation of delirium and terminal functional deterioration du…

…fection. She fell from an Emergency Department trolley bed, sustaining a neck of femur fracture requiring surgery. Post-operatively, she developed diabetic ketoacidosis and influenza A, requiring ICU admission. She died…

emergency medicineorthopaedic surgeryproceduralsystem
NThospital2008-12-18

Inquest into the death of Paulo Melo

29y · Male·Blunt head and neck injuries sustained in an unintentional motor vehicle acciden…

A 29-year-old man sustained severe blunt head and cervical spinal cord injuries in a motor vehicle accident. He remained unconscious with high intracranial pressure and C5 spinal cord transection. After 12 days with no i…

intensive caretrauma surgerycommunicationmorphine
VIChospital2016-03-11

Finding into death of Chloe Mary Murphy

1y · Female·head injury from non-accidental trauma

Chloe Murphy, an 11-month-old girl, died from severe head injuries on 5 December 2010 after being left in the care of a babysitter (Mrs Jenkins) on 3 December. Medical assessment revealed a skull fracture, bilateral subd…

neurosurgeryintensive care
SAaged care2013-08-30

Coroner's Finding: CHAPLIN Doreen Hilda

82y · Female·fat embolism syndrome and bronchopneumonia following nail fixation of bilateral …

… were unsupported during the lift and were vulnerable to fracture from minimal force due to osteoporosis. Surgery on 13 September was necessary but triggered fat embolism. Clinical lessons: (1) strict adherence to safe …

orthopaedic surgerygeriatric medicineproceduralsystem
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-ope…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
VICaged care2020-01-30

Finding into death of Adele Di Quinzio

86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…

…e comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was immobile. A sacral pressure injury developed wit…

geriatric medicineorthopaedic surgerysystemcommunicationcefalexin
NThospital2007-03-12

Inquest into the death of Isabelle Manyita

31y · Female·Septicaemia following Acute Osteomyelitis following Fractures of the Left Leg

Isabelle Manyita, a 31-year-old Aboriginal woman, died from septicaemia following acute osteomyelitis complicating fractures of her left leg. She presented to Royal Darwin Hospital on 22 April 2005 with a tibial and fibu…

emergency medicineorthopaedic surgerymorphine
NThome2001-03-09

Inquest into the death of Sebastian Barry Davis

10y · Male·Septic arthritis of the left shoulder with acute heart failure resulting from to…

Sebastian Barry Davis, aged 10, died from septic arthritis of the left shoulder resulting in acute heart failure. He had congenital sensory neuropathy with anhidrosis from birth, causing inability to sweat and lack of pa…

paediatricsinfectious diseases
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

…hage, and fractured humerus. She was initially managed conservatively at Ballarat Base Hospital with neurosurgery consultation. Subsequently she developed acute delirium, a large bowel obstruction, and NSTEMI. She was t…

emergency medicineneurosurgerysystem
NSWcommunity2023-05-25

Inquest into the disappearance and suspected death of Melissa CADDICK

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…

psychiatryforensic medicinedelaysystem
TASaged care2025-10-14

Coroner's Finding: de-identified XT

86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …

… despite severe pain. Hospital transfer occurred four hours post-fall, revealing fractures unsuitable for surgery. She died from hypostatic pneumonia secondary to fracture complications. Key lessons: implement standardi…

geriatric medicineemergency medicinediagnosticcommunication
VIChospital2022-09-07

Finding into death of Mr AB

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-…

psychiatryemergency medicinesystemcommunicationquetiapine
VICaged care2020-05-04

Finding into death of Jane Nola Rolph

90y · Female·Complications of a right fractured neck of femur (operated) sustained in a fall …

A 90-year-old woman with dementia sustained a fractured neck of femur after being nudged by another aggressive dementia-affected resident in an aged care facility, resulting in a fall. Despite appropriate initial managem…

geriatric medicineorthopaedic surgery
SAhospital2011-08-05

Coroner's Finding: SEMMLER Howard Malcolm

60y · Male·cardiorespiratory failure due to malignant pleural effusion due to metastatic ma…

…e lesion failed to heal over 16 months despite standard care including wound dressing, antibiotics, and orthopaedic review. Malignant melanoma was diagnosed only in July 2008 following biopsy, at which point the cancer …

general practiceorthopaedic surgerydiagnosticdelay
WAaged care2014-07-23

Inquest into the Death of Daniel

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

Nola Inez Daniel, 83, died from complications following a hip fracture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fal…

geriatric medicineorthopaedic surgerydiagnosticcommunication
VIChospital2021-12-06

Finding into death of Ingeburg Hildegard Muller

85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…

An 85-year-old woman sustained multiple serious injuries (bilateral rib and pelvic fractures, thoracic spine fractures) in a motor vehicle collision on 20 June 2018. She was treated with ICU admission, induced coma, and …

emergency medicineintensive caresystemantibiotics
TAShospital2019-02-22

Coroner's Finding: Mansfield, Doreen

78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…

Doreen Mansfield, a 78-year-old woman with bipolar affective disorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall i…

psychiatryorthopaedic surgerysystemlithium
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…

orthopaedic surgerygeneral medicinesystemdelay
VICaged care2023-11-30

Finding into death of Catherine Mary Reid

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…

geriatric medicineorthopaedic surgeryprocedural
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