Coronial
NTaged care

Death of 75 year old (Ambulance delay)

Demographics

75y, female

Date of death

2026-01-16

Finding date

2026-09-04

Cause of death

Acute subdural haematoma secondary to blunt force head trauma

AI-generated summary

A 75-year-old female nursing home resident fell with head strike on 9 January 2026 at 16:45. Ambulance was called at 17:05 (Priority 2) and upgraded to Priority 1 at 17:47 when she became less responsive. The response was delayed approximately 1.5 hours due to concurrent emergency demand and limited ambulance resources. CT imaging revealed a large acute right subdural haematoma with 19mm midline shift deemed unsurvivable by neurosurgery. She was admitted to ICU, extubated on 10 January, transitioned to palliative care on 11 January, and died on 16 January 2026. A forensic pathologist concluded the head injury was unsurvivable and the ambulance delay did not contribute to death. The operational review found the delay resulted from system capacity constraints, not incorrect prioritisation. This case illustrates the clinical risk of delayed emergency response for elderly, frail patients with head injuries and highlights system-wide ambulance capacity challenges in the Northern Territory, requiring urgent funding and resource allocation.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • fall with head strike
  • anticoagulant therapy
  • frailty
  • cognitive impairment and mobility limitations
  • ambulance response delay due to concurrent emergency demand and resource constraints
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