A 79-year-old man died from head injuries sustained in a bicycle fall on a rural road. While riding at approximately 40 km/h on a descent, he swerved to avoid mud and debris on the road surface, struck another cyclist's rear wheel, and fell heavily onto bitumen. He sustained a large acute subdural haemorrhage deemed non-survivable. The coroner identified that paramedics did not notify police despite recognising life-threatening injuries, though this delay did not affect outcome. Key learning: paramedics should consider notifying police of serious falls to enable scene investigation and road hazard identification. Road maintenance protocols and debris management from property access points warrant review to prevent similar incidents.
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Specialties
neurosurgeryemergency medicineparamedicineforensic medicine
large acute subdural haemorrhage with midline shift
delayed police notification despite life-threatening injuries recognised by paramedics
Coroner's recommendations
Ambulance Victoria to approach Victoria Police and Emergency Services Telecommunications Authority to review circumstances of when police should be notified about serious falls
Review of road maintenance and debris management protocols at property access crossovers to prevent hazardous materials on road surfaces
Wellington Shire Council to continue implementation of Road Management Plan with appropriate response times and inspection frequencies for roads with debris hazards
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