Coronial

402 results for fall risk

VIC2012-02-29

Finding into death of Keith Phillip Dickman

56y · Male·Head injuries sustained in a fall from a height

Keith Dickman, a 56-year-old experienced plumber, died from severe head injury sustained in a fall from a 2-metre 'A' frame ladder while installing air conditioning ducting at height in a ceiling cavity. Wo…

occupational and environmental healthoccupational therapysystemcommunication
NT2014-12-01

Inquest into the death of Simone Montgomerie

26y · Female·Blunt chest injury arising from a fall from a horse

Simone Montgomerie, a talented 26-year-old jockey, died from blunt chest trauma after falling from her horse Riahgrand during the 2013 Darwin Cup. The horse reacted unusually to a pedestrian crossin…

system
VIChospital2026-01-23

Finding into death of MD

82y · Male·Complications of large bowel obstruction in a man with diverticular disease and …

…d mass while incarcerated at Port Phillip Prison. He presented with abdominal pain and vomiting following a fall, and imaging confirmed large bowel obstruction. A colorectal fellow recommended emergency surgery (laparoto…

general surgerycolorectal surgerywarfarin
TAScommunity2024-06-18

Coroner's Finding: Robinson, Robert John

72y · Male·Drowning following a traumatic closed head injury due to a fall down an embankme…

Robert John Robinson, a 72-year-old man with intellectual disability, died from drowning following a traumatic head injury sustained when he fell from an unfenced embankment into a creek at Rose Bay Park. He fell approxi…

TAScommunity2019-02-04

Coroner's Finding: Cowen, Craig

51y · Male·drowning

Craig Alan Cowen, aged 51, drowned after falling into water at Dover wharf while acutely intoxicated. He had consumed alcohol to excess and cannabis befo…

alcohol
VIChome2015-11-05

Finding into death of Bradley Alan Scott

43y · Male·Incised right radial artery

…/cannabis combinations cause profound CNS depression, impaired judgment, and motor control loss, increasing fall risk and inability to self-protect from hemorrhage. Early recognition of liver disease and addiction severi…

forensic medicinetoxicologyalcohol
VIChospital2019-05-17

Finding into death of Mabel Grace Ellen Pritchard

90y · Female·Hospital acquired pneumonia in the setting of recent fractures of neck of humeru…

A 90-year-old woman with multiple comorbidities residing in aged care sustained a hip fracture from a fall in January 2018. Following surgical repair and initial hospital treatment, she was transferred to a rehabil…

geriatric medicineorthopaedic surgerysystempiperacillin/tazobactam
VICcommunityNew2026-07-01

Finding into death of VNP

41y · Female·Injuries sustained in a fall from a height

…ts in the days prior, including ED review and ENGAGE program follow-up on 6 July, revealed no acute suicide risk. The coroner found no preventable factors or opportunities for intervention; acute intoxication significant…

general practicepsychiatryalcohol
VIC2022-04-20

Finding into death of John Kennard

39y · Male·Injuries sustained in a fall from a height

John Kennard, aged 39, died from injuries sustained falling from a fourth-floor balcony while attempting to escape police executing a bench warrant for his arrest. …

proceduralcommunicationmethadone
SAaged care2024-01-19

Coroner's Finding: Elliott, Ronald Arthur

80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…

…o concerns regarding his care at the aged care facility or hospital. The case highlights the high mortality risk in elderly patients with femur fractures (25% at 30 days, 50% at one year) and the complex medical manageme…

orthopaedic surgerygeneral medicine
TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

…isease and long-standing gastro-oesophageal reflux disease (GORD) sustained a traumatic brain injury from a fall at home on 3 July 2021. He was admitted to hospital on 6 July 2021 with subdural and subarachnoid haemorrha…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

…ladstone Base Hospital from intracranial and intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal sepsis. A nurse fell while carrying the newborn to another resuscitat…

obstetricsmidwiferydiagnosticmedicationantibiotics
TAShome2020-07-17

Coroner's Finding: Thompson, Paul Christopher

57y · Male·acute subdural haematoma, cause undetermined (could result from trauma, fall, se…

…g Thompson unresponsive. The medical evidence identified four plausible causes: direct trauma from punches, fall-related head injury, seizure-induced collapse, or spontaneous bleeding. Thompson had multiple prior head in…

forensic medicineneurologydelayalcohol
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

…gitation and multiple medications, and inadequate communication between medical and nursing staff regarding fall risks. While no criminal convictions were warranted, the coroner identified systemic failures in remote hos…

psychiatryemergency medicinemedicationcommunicationacuphase
NSWcommunity2022-04-08

Inquest into the death of Marcus Harrison

30y · Male·Multiple injuries due to a fall from a height

Marcus Harrison, a 30-year-old man with schizophrenia, died between August-October 1997 after falling from a height into Sydney Harbour. His body was found in the harbour in October 1997 but remained uniden…

psychiatryforensic medicine
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

…betes mellitus. He was residing in NDIS-funded short-term accommodation at Carroll House when he suffered a fall on 22 June 2023. He subsequently developed severe anaemia, hypoglycaemia, and gastrointestinal bleeding fro…

cardiologygastroenterologyoxycodone
SAmental health2005-01-27

Coroner's Finding: ROBJOHNS Ronald Thomas

89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…

…er. Post-mortem revealed old subdural haematomas and evidence of progressive supranuclear palsy (explaining falls), but these did not contribute to death. The coroner found his detention was lawful and appropriate, and h…

psychiatrygeriatric medicinesertraline
TAS2022-11-22

Coroner's Finding: Stevens, Cynthia

90y · Female·Multiple rib and pelvic fractures due to a fall from a wheelchair on sloping lan…

…ant brakes which cannot hold a wheelchair on slopes; (2) failure to recognise frailty and immobility as key risk factors requiring maximum safety precautions; (3) unsafe placement of a vulnerable elderly patient on slopi…

ophthalmologygeriatric medicineproceduralsystem
VIChome2018-07-10

Finding into death of Shrihan Gannaram

0y · Male·Multiple injuries sustained from impact with the ground from an extended height …

…y suicide within days of the child's death. The coroner found the child died from injuries sustained in the fall. While maternal and child health services appropriately screened for postnatal depression per guidelines, t…

paediatricsobstetricssystem
QLDcommunity2022-03-08

Powell, Christopher Ian

54y · Male·Multiple injuries due to crane rollover (bucket passenger); fall from height exc…

…fter a rear outrigger sank into unstable ground. The casualty suffered multiple traumatic injuries from the fall. The EWP was operating on complex fill-over-clay ground without geotechnical assessment. The operator used …

occupational and environmental healthforensic medicinediagnosticsystem
19101121

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