23 results for “open reduction and internal fixation”
83y · Male·aspiration pneumonia
…er 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 at Royal Hobart Hospital. Post-operatively he developed…
85y · Female·general inanition on a background of vascular dementia and a recent right neck o…
An 85-year-old woman with vascular dementia, congestive cardiac failure, and atrial fibrillation sustained a right neck of femur fracture from a fall at her aged care facility on 5 Aug…
86y · Male·hospital acquired pneumonia
…omorbidities including dysphagia with aspiration risk, severe malnutrition, asbestosis, pulmonary fibrosis, and prior strokes. The Coronial Medical Consultant found the hospital care was of good standard with appropriat…
42y · Male·Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pul…
…diac arrest due to a massive pulmonary embolism. He sustained a tibial fracture in a motor vehicle accident and underwent external fixation. He developed a deep venous thrombosis despite receiving standard prophylaxis w…
35y · Male·Hanging
Travis Lee Fernandez, aged 35, died by hanging in custody at Dhurringile Prison in November 2014. He had sustained bilateral m…
96y · Female·complications following a fractured distal right femur
…ed regardless. The coroner emphasised the ongoing challenge of resident-to-resident aggression in aged care and the need for improved risk monitoring, assessment, and management processes to prevent future incidents.
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 ureter…
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, …
91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…
Shirley Dorothy Dawn Martin, an 91-year-old with advanced Alzheimer's disease and multiple comorbidities, sustained a hip fracture from an unwitnessed fall at an aged care facility on 8 Aug…
99y · Male·Pneumonia
A 99-year-old man with cognitive decline sustained a hip fracture from a fall and subsequently underwent surgery with informed consent. He suffered cardiopulmonary arrest post-operatively a…
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 wa…
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 husband lost contro…
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, …
21y · Female·pulmonary embolism in association with deep vein thrombosis of the left leg
…ld 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 (immobilisa…
80y · Female·Pulmonary Thromboembolism in a woman with Left Femur Fracture
… operation was scheduled for 5 July but deferred due to theatre overrun. Surgery was rescheduled for 6 July and commenced at 1:00 pm. Shortly after induction, she suffered a massive pulmonary embolism and died at 3:05 p…
83y · Female·Diffuse Alveolar Damage in a woman with recent leg fracture and Atherosclerotic …
An 83-year-old woman with diabetes, cardiovascular disease, and mobility limitations fell from her bed while on a bedpan at an aged care facility, sustaining a compound an…
58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…
…lls risk assessment should occur at admission, not after the first fall. Delirium assessment was inadequate and was a significant contributing factor. A Patient Safety Assistant was unavailable at the time of the preven…
68y · Female·Pulmonary embolism due to deep venous thrombosis secondary to fractured left dis…
Mary Morrow, aged 68, died from pulmonary embolism and deep vein thrombosis following a fractured left ankle sustained in Queensland on 23 June 2021. She received…
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
…her than ICU. Key shortcomings included inconsistent supplemental oxygen delivery despite morphine PCA use, and inadequate recording of urine output—both potentially significant in a high-risk patient. While the coroner…
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
…n vein, causing massive haemorrhage. Despite aggressive resuscitation including blood products, intubation, and CPR, the patient deteriorated and an air embolism was eventually diagnosed post-mortem. The coroner found t…
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