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TAShospital2026-01-21

Coroner's Finding: de-identified KW

87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…

An 87-year-old woman with multiple comorbidities (diabetes, atrial fibrillation, peripheral vascular disease) sustained a periprosthetic fracture requiring distal femur replacement. She deteriorated significantly during …

orthopaedic surgerygeriatric medicinediagnosticsystem
TASaged care2026-01-07

Coroner's Finding: Bird, Allan Roy

92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…

A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner ident…

geriatric medicineorthopaedic surgerydiagnosticsystembenzodiazepine
TASaged care2025-12-12

Coroner's Finding: Mitchelmore, Susan

70y · Female·pneumonia and post-surgical course following repair of neck of femur fracture, i…

Susan Mitchelmore, a 70-year-old woman with multiple comorbidities including COPD, ischaemic heart disease, diabetes, and bipolar disorder, was a resident in an aged care facility under a Mental Health Act Treatment Orde…

geriatric medicinepsychiatryolanzapine
TASaged care2025-10-14

Coroner's Finding: de-identified XT

86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …

An 86-year-old woman with advanced dementia and frailty suffered an unwitnessed fall at her aged care facility. Initial assessment failed to identify pubic rami and hip fractures. Post-fall documentation was insufficient…

geriatric medicineemergency medicinediagnosticcommunication
TAShome2025-08-05

Coroner's Finding: Iliev, Patricia

57y · Female·starvation due to insufficient food intake

Patricia Iliev, a 57-year-old woman, died from starvation after progressively restricting her food intake over months while immobilised by chronic back pain. She had a gastrointestinal stromal tumour and advanced lung di…

general practicepsychiatrysystemdelayaspirin
TASaged care2025-06-16

Coroner's Finding: McDonald, Maureen June

87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…

Maureen 'Kitty' McDonald, 87, died from terminal exacerbation of COPD with an antecedent sacral pressure wound infection. She was admitted to residential aged care in October 2020 with a stage-two sacral pressure injury …

geriatric medicinegeneral practicesystemcommunicationantibiotics
TASaged care2025-06-13

Coroner's Finding: de-identified OQ -2

84y · Male·Head injury - left lateral convexity acute subdural haematoma with 2mm midline s…

An 84-year-old man with Parkinson's disease and moderate dementia was admitted to a rehabilitation unit after a fall at an acute hospital. He had been assessed as high falls risk and required a patient sitter at the acut…

geriatric medicinerehabilitation medicinecommunicationsystem
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheimer's dementia at an aged care fa…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
TASaged care2025-04-08

Coroner's Finding: Zito, Adelina

93y · Female·acute right lower limb ischaemia

Adelina Zito, a 93-year-old resident of an aged care facility, died from acute limb ischaemia after a 6-7 day delay in escalating her care. She developed right leg pain around 26-28 July 2022 that worsened despite parace…

geriatric medicinegeneral practicediagnosticsystemparacetamol
TASaged care2025-01-24

Coroner's Finding: Sheedy, Alan Noel

86y · Male·Traumatic closed head injury suffered in a fall

Alan Noel Sheedy, 86 years old, died from traumatic closed head injury sustained in a fall at a residential aged care facility. He had been admitted for respite care following previous falls and was assessed as moderate …

geriatric medicineneurologylevetiracetam
TASaged care2025-01-14

Coroner's Finding: Rickard-Simms, Adrienne Rosemary

75y · Female·postoperative delirium/exacerbation of community acquired pneumonia following le…

A 75-year-old woman with chronic kidney disease, anemia, and significant mobility impairment fell in her aged care facility despite documented high falls risk and appropriate preventive measures. She sustained a neck of …

geriatric medicineorthopaedic surgery
TASaged care2024-12-18

Coroner's Finding: Martin, Shirley Dorothy

91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…

Shirley Dorothy Dawn Martin, an 91-year-old with advanced Alzheimer's disease and multiple comorbidities, sustained a hip fracture from an unwitnessed fall at an aged care facility on 8 August 2022. She underwent surgica…

geriatric medicineorthopaedic surgery
TAShospital2024-11-26

Coroner's Finding: de-identified FG

57y · Male·partially suspended hanging

A 57-year-old man with longstanding alcohol use disorder, anxiety, and recent-onset suicidal ideation died by hanging in hospital after a 108-day admission for orthopaedic injuries sustained from intentional jumping. He …

orthopaedic surgerypsychiatrycommunicationsystemdiazepam
TASaged care2024-11-18

Coroner's Finding: Bradburn, Lester Basil

73y · Male·Traumatic head, facial and chest injuries caused by fall down stairs at resident…

A 73-year-old man with Parkinson's disease and recent falls died from traumatic injuries after falling down six stairs while exiting a residential aged care facility at 5:00 AM. He had been admitted only 10 days prior an…

geriatric medicineneurologysystemcommunication
TASaged care2024-11-01

Coroner's Finding: Blades, Ross Stuart

71y · Male·RACF acquired pneumonia and Alzheimer dementia

Ross Stuart Blades, a 71-year-old man with Alzheimer dementia and squamous cell carcinoma, died of RACF-acquired pneumonia while residing in an aged care facility. He was found deceased on the floor beside his bed. The c…

geriatric medicineinfectious diseasescommunicationsystem
TASaged care2024-10-22

Coroner's Finding: Whish-Wilson, Leslie Bruce

76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…

Leslie Bruce Whish-Wilson, 76, sustained a fall in his aged care room in January 2024, leading to a right femoral neck fracture requiring surgical repair. Post-operatively, he developed hospital-acquired pneumonia compli…

geriatric medicineorthopaedic surgerysystemdelay
TAShospital2024-10-22

Coroner's Finding: Grimsey, Doreen

91y · Female·congestive cardiac failure

A 91-year-old woman with dementia residing in aged care fell in her room and was transported to hospital for assessment of a suspected pelvic fracture. She deteriorated acutely in the ED with respiratory compromise requi…

geriatric medicineemergency medicine
TAShospital2024-10-11

Coroner's Finding: Vieth, Karl Heinz

92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…

A 92-year-old man with complex cardiac history was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the Emergency Medical Unit (EMU) for five days despite clinical deterioration, …

general medicineemergency medicinesystemdelaymelatonin
TASaged care2024-09-27

Coroner's Finding: Webberley, Patricia

87y · Female·pneumonia following complications from a fractured left wrist sustained in a fal…

Mrs Webberley, 87, resident of a residential aged care facility (RACF), sustained an unwitnessed fall on 1 November 2021 resulting in a left wrist fracture (Colles' fracture). She was initially assessed at the RACF but n…

geriatric medicineorthopaedic surgerysystem
TAScommunity2024-03-15

Coroner's Finding: Gillam, Paul Thomas

73y · Male·Multiple injuries (head, neck, chest, pelvis, and limb) sustained as a pedestria…

Paul Thomas Gillam, aged 73, died from massive injuries sustained when struck by a log truck while crossing the Bass Highway in Burnie. He was attempting to cross at an unmarked section without a pedestrian crossing. The…

general practicegeriatric medicine

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