Coronial

402 results for fall risk

WAcommunity2002-06

Inquest into the Death of David Stanley William Poole

40y · Male·Complications following fracture of the pelvis

David Stanley William Poole, a 40-year-old crane operator, fell from a mobile crane carrier approximately 1.6 metres to the ground while attempting to correct the positioning of packing timbers on the crane deck on 5 Apr…

emergency medicineorthopaedic surgerysystemdelaymorphine
NSWhospital2023-03-03

Inquest into the death of Irene Charlish

68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…

Irene Charlish, a 68-year-old woman with longstanding schizoaffective disorder and multiple comorbidities, fell at her residential facility on 6 June 2017, sustaining a pneumothorax and rib fracture. She was admitted to …

emergency medicinepsychiatryclozapine
TAShospital2017-05-17

Coroner's Finding: Woulleman-Jarvis, Anne Maree 2017 TASCD 188

62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…

A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed…

general practiceemergency medicinediagnosticcommunicationwarfarin
WA2015-05-26

Inquest into the Death of Samuel Eya LEOPOLODO

27y · Male·Unascertained - either multiple injuries or immersion (drowning) or combination …

Samuel Leopoldo, a 27-year-old Filipino seafarer, died after falling overboard from the container ship MSC Siena on 17 November 2011 while rigging a pilot ladder in rough se…

systemcommunication
NSWhospital2014-12-05

Inquest into the death of Edna Beryl WHALEN

89y · Female·Pulmonary embolism due to deep venous thrombosis

…-Mustapha's initial ED assessment was inadequate; she failed to order hip X-rays despite a clear history of fall with hip pain, mobility loss, and inability to weight bear. The coroner was critical of her detailed physic…

emergency medicineorthopaedic surgerydiagnosticdelay
WA- 14 March 2014

Inquest into the Death of Wayne ROSS

45y · Male·multiple injuries sustained from a 25-metre fall down an unprotected stope when …

… preparation of the stope for surveying; the deceased's misinterpretation of these instructions; inadequate risk assessment procedures (the deceased assessed a high-risk task as 'low' risk); removal of bollard warnings w…

occupational and environmental healthforensic medicinecommunicationsystem
VIChospital2022-07-22

Finding into death of Gregory Roberts

37y · Male·Complications of electrocution and injuries sustained in a fall

…regory Roberts, a 37-year-old builder, died from complications of electrocution and injuries sustained in a fall after inadvertently touching a 22,000-volt high-voltage aerial powerline with a metal tape measure while wo…

emergency medicinetrauma surgerysystemproceduralmorphine
SAaged care2008-06-06

Coroner's Finding: MANN Richard Lesley

45y · Male·choking on food

…hed medication protocols; was restrained inappropriately with medical tape during showering; and suffered a fall with head injury immediately after restraint removal. Rather than triggering heightened observation, these …

psychiatrygeneral practicemedicationcommunicationhaloperidol
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her …

general practicegeriatric medicinemedicationcommunicationoxazepam
NSWcommunity2018-12-13

Inquest into the death of H P

52y · Male·Multiple blunt force injuries from a fall from height

A 52-year-old man with paranoid schizophrenia subject to a Community Treatment Order died from injuries sustained after jumping from a third-floor balcony during enforcement of the order. Mental health workers and police…

psychiatrycommunicationsystempaliperidone
QLDhospital2013-05-22

Thoresen, Cynthia

88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall

Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…

orthopaedic surgeryemergency medicinedelaysystemmorphine
WAcommunity2004-03-11

Inquest into the Death of Warren Bradley Jack

29y · Male·Head Injury

Warren Bradley Jack, 29-year-old fisherman, died from severe head injury after falling from a fishing vessel during a refuelling operation. On 24 April 2000, after returning from a fishing tr…

emergency medicineintensive carealcohol
NTPodcast2015-11-25

Inquest into the death of Zoe Woolmer

23y · Female·Multiple injuries from a fall of approximately 30 metres from a cliff to rocks b…

Zoe Woolmer, a 23-year-old tourist, died after falling approximately 30 metres from a cliff ledge at Kestrel Falls in Kings Canyon while being guided by The Ro…

emergency medicineoccupational and environmental healthsystemprocedural
NSW2019-10-04

Inquest into the death of Caitlyn FISCHER

22y · Female·blunt force head injuries

Caitlyn Fischer, 22, died from blunt force head injuries after suffering an accidental fall at fence 2 during the cross country phase of a CCI one-star eventing competition at Sydney International Ho…

emergency medicineparamedicinesystemdelay
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

…r-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of injury. C…

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
NSWhospital2023-09-11

Inquest into the death of TE

26y · Female·multiple blunt force injuries from fall from height; significant contributing co…

A 26-year-old woman with severe borderline personality disorder died by suicide following a fall from cliffs. She presented to hospital after a serious suicide attempt earlier the same day. Expert evidenc…

psychiatryemergency medicinediagnosticcommunicationpregabalin
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

… or CPVT) that could not have been identified pre-training. Key preventable factors included lack of proper risk assessment of the tunnel obstacle, absence of timely defibrillation (delayed by water hazard), and difficul…

emergency medicinecardiologysystemdelay
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

Aaron, aged 14, died by suicide from a fall from an 11th-floor balcony. Over 12 years, he had 14 child protection notifications for exposure to domesti…

paediatricspsychiatrydiagnosticsystem
TASaged care2018-10-15

Coroner's Finding: McTye, Wilma

81y · Female·acute on chronic subdural haematoma

… 81-year-old woman with Lewy Body Dementia died from acute on chronic subdural haematoma following multiple falls in aged care. The nursing home had appropriately assessed her as high falls risk and implemented reasonabl…

geriatric medicineneurology
SAhospital2000-04-28

Coroner's Finding: SODY Caleb

20y · Male·ruptured heart and aorta due to fall from a height

A 20-year-old male with newly diagnosed disorganised schizophrenia died by suicide from a fall from the 5th floor of a hospital maternity building while detained under the Mental Health Act. He had been…

psychiatryemergency medicinesystemdelayolanzapine
111121321

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