Coronial
VIChospital

Finding into death of Bailey James Blackwell

Deceased

Bailey James Blackwell

Demographics

17y, male

Coroner

Coroner Kate Despot

Date of death

2023-09-22

Finding date

2023

Cause of death

head injury in a fall from a height

AI-generated summary

Bailey Blackwell, a 17-year-old Aboriginal man, died from a head injury sustained in a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open cliff face, the ground crumbled beneath his grip, causing him to fall and strike his head. He sustained a severe brain injury, extensive intracranial haemorrhage, skull base fractures, and bilateral lung injuries. Despite rapid emergency response and transport to Alfred Hospital, his injuries were deemed non-survivable by neurosurgical and trauma consultants. The death was classified as misadventure. Key clinical lessons include the importance of rapid pre-hospital assessment and MICA intubation, and recognising when injuries are incompatible with survival to allow dignified end-of-life care. Environmental safety measures at the site were inadequate, with insufficient signage and fencing to prevent public access to dangerous areas.

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

Specialties

trauma surgeryneurosurgeryemergency medicineparamedicineintensive care

Clinical conditions

traumatic brain injuryintracranial haemorrhageskull base fracturespulmonary lacerationbilateral pneumothorax

Procedures

intubationintercostal catheter insertionthoracostomyCT scanblood product administration

Contributing factors

  • inadequate fencing at site
  • lack of prohibitive signage at cliff edge
  • fall from approximately 20 metres
  • head strike against cliff face during fall
  • severe intracranial haemorrhage
  • extensive brain injury

Coroner's recommendations

  1. Install signage at the fence line at Big Hill site in Stawell at the carpark to prevent pedestrian access to the open cutting area and warn of risk
  2. Place fencing across the tunnel/cave entrance on Scenic Road to prevent pedestrian access to the open cutting
  3. Install signage prohibiting access into the tunnel/cave entrance on Scenic Road
Full text

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