236 results for “orthopaedic surgery”
11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…
Child MML was an Aboriginal boy born in April 2010 who suffered catastrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolle…
21y · Female·pulmonary embolism in association with deep vein thrombosis of the left leg
…year-old woman died from pulmonary embolism associated with deep vein thrombosis following ankle fracture surgery and immobilisation. She was discharged without thromboprophylaxis despite multiple VTE risk factors (immo…
80y · Male·gunshot wound to the head
An 80-year-old man with chronic back pain died by self-inflicted gunshot wound to the head on 1 March 2011. Five days before his death, he mentioned suicide using a rifle to his long-term general practitioner, Dr D., but…
66y · Female·Hypoxic-ischaemic encephalopathy
A 66-year-old woman with COPD, obstructive sleep apnoea, and obesity underwent routine knee surgery at Royal Darwin Hospital. Post-operative care was inadequate. Despite dropping oxygen saturations to 88% …
63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …
A 63-year-old man died on 11 March 2008 from multisystem organ failure, sepsis and pneumonitis following a fall. He was admitted to Dandenong Hospital with rib fractures and pelvic injuries. Clinical deterioration occurr…
56y · Female·pulmonary thromboembolism due to left calf deep vein thrombosis
…s while detained under the Mental Health Act in hospital. She presented with seizures and underwent wrist surgery. On 13 July, an intern noted oxygen saturation of 95% on supplemental oxygen and obtained arterial blood …
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical…
25y · Male·positional asphyxia in a man with extensive old hypoxic brain damage, acute ches…
Corey Paddy, a 25-year-old Aboriginal man with severe hypoxic brain injury from a 1998 car accident, died at Katherine Hospital from positional asphyxia while receiving concurrent morphine therapy and suffering from acut…
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 …
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…
98y · Male·comminuted pertrochanteric fracture of left hip sustained in mechanical fall
A 98-year-old man with osteoporosis, dementia, and ischaemic heart disease sustained a comminuted pertrochanteric hip fracture in a fall at his residential aged care facility on 24 July 2023, dying four days later. He ha…
43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity
…d were ineffective for pain, doses were not reduced and were actually increased following hip replacement surgery. Key clinical failures included: lack of coordinated management plan between specialists and general prac…
Female·bilateral acute bronchopneumonia
Ivy Pearl Ghobrial died from bilateral acute bronchopneumonia at a nursing home in September 2001, following a hypoxic brain injury sustained from a hanging attempt in March 2000. The coroner found the death resulted ine…
75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis
…steroid injection. Junior doctor Dr M. appropriately identified possible septic arthritis and contacted orthopaedic registrar Dr N., who advised withholding antibiotics pending joint aspiration at Armidale Rural Referra…
76y · Female·colchicine toxicity
A 76-year-old woman with gout died from colchicine toxicity after being prescribed 500µg three times daily on 9 December 2010 for an acute attack. She developed diarrhoea from 15 December and died on 19 December with a p…
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…
83y · Female·neck compression from a wheelchair restraint strap
Ruth Ann Dicker, an 83-year-old resident of an aged care facility with epilepsy, Parkinson's disease, and dementia, died from neck compression caused by a wheelchair lap belt restraint. After a significant history of fal…
38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis
Kevin Harris, a 38-year-old man with obesity, sustained a left tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflam…
90y · Female·Surgical repair of fractured neck of femur sustained in a fall complicated by CO…
Maria Grazia Nardiello, aged 90, died following surgical repair of a fractured neck of femur sustained in a fall at an aged care facility, complicated by COVID-19 infection. She was pushed by another resident with dement…
32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf
A 32-year-old man died from pulmonary embolism six days after emergency appendectomy for perforated appendicitis. VTE prophylaxis was appropriately prescribed. However, the clinical team failed to investigate persistent …
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