Coroner's Finding: TS de-identified
Deceased
TS
Demographics
47y, female
Date of death
2019-04-27
Finding date
2022-05-27
Cause of death
Traumatic closed head injury likely sustained in a fall from standing
AI-generated summary
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 0.23% (4.5 times the legal driving limit), causing significant impairment of balance, coordination, and judgment. She had alcohol-induced cirrhosis, previous head injuries with subdural haematomas, and multiple documented falls. Clinical lessons include: recognition that chronic malnutrition and alcoholism cause osteoporosis and increased fall risk; importance of assessing fall risk in patients with eating disorders and alcohol use disorder; need for stronger intervention when patients understate alcohol consumption and have deranged liver function; and consideration of capacity assessment and safeguarding in patients with recurrent hospitalizations related to substance abuse and self-harm.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
Contributing factors
- Chronic alcoholism with blood alcohol concentration of 0.23% at time of death
- Alcohol-induced cirrhosis of the liver
- Severe malnutrition and anorexia nervosa
- Osteoporosis secondary to chronic malnutrition and alcohol abuse
- History of previous head injuries with subdural haematomas
- Multiple documented falls
- Impaired balance and coordination from acute alcohol intoxication
- Chronic eating disorder with purging behavior
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