Matthew Forde, 29, was struck by a reversing VicRoads maintenance van while retrieving a fallen surfboard from the Princes Highway emergency lane. The van driver had hearing difficulties and could not hear the reversing sensor alert. Despite being resuscitated at the scene and transported to hospital, Forde sustained unsurvivable head injuries. The coroner noted the van lacked an externally audible reversing alarm which would have alerted Forde to the vehicle's approach. A key clinical lesson is the importance of trauma resuscitation and early transfer to definitive care, though prognosis was poor from the outset due to the severity of closed head injury. The preventable element relates to vehicle safety rather than clinical care.
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