Coroner's Finding: Weber, Kevin Howard
Deceased
Kevin Howard Weber
Demographics
66y, male
Date of death
2018-03-12
Finding date
2018-07-26
Cause of death
subdural haematoma from head injury sustained in a fall
AI-generated summary
Kevin Howard Weber, aged 66, fell backwards down four steps at a public memorial site, striking his head on concrete. He sustained a subdural haematoma requiring urgent craniotomy. Despite surgical evacuation, he developed elevated intracranial pressure and remained neurologically unresponsive, dying 19 days post-injury. This case highlights the potential role of environmental safety measures in fall prevention among older adults. The coroner noted that while a handrail was absent, it was unclear whether one would have prevented this particular fall. The council subsequently decided to install a mid-rail despite current regulations not requiring one for steps under one metre. No preventable medical management issues were identified; the death resulted from the severity of the traumatic head injury sustained.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Procedures
Contributing factors
- loss of balance on steps
- fall from height of approximately one metre onto concrete
- absence of handrail on steps
- elevated intracranial pressure post-operatively
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