402 results for “fall risk”
90y · Female·Intracerebral haemorrhage
Zenobia Enid Sweet, a 90-year-old woman with mild dementia, was admitted to Sir Charles Gairdner Hospital in April 2002 for surgical repair of a fractured femur. She was rehabilitating on Ward G51 (orthopaedics) with a g…
77y · Female·Sudden Unexpected Nocturnal Death in Epilepsy (SUDEP)
…enomenon. Key clinical lessons include: recognition that seizures occurring in bathrooms/toilets carry high risk of fatal injury; need for appropriate supervision protocols in disability services for residents with epile…
72y · Male·Subdural haematoma in a man receiving warfarin treatment
…icoagulated patients can develop subdural haemorrhage from minor or unwitnessed trauma. The case highlights risks of anticoagulation in vulnerable populations and the importance of careful monitoring and fall prevention …
96y · Female·complications following a fractured distal right femur
… emphasised the ongoing challenge of resident-to-resident aggression in aged care and the need for improved risk monitoring, assessment, and management processes to prevent future incidents.
44y · Male·Multiple blunt force injuries from fall from height
Michael Murray, aged 44, died following a fall from Landslide Lookout in the Blue Mountains. He had been diagnosed with borderline personality disorder (B…
75y · Female·postoperative delirium/exacerbation of community acquired pneumonia following le…
…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 femur fracture requiring hemiarthroplast…
62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…
…p fracture diagnosis. The coroner found empirical evidence shows joint aspiration carries minimal infection risk (0.037-0.08%) and is far outweighed by risks of missing septic arthritis.
85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …
Patricia Cook, 85, died from complications of a subdural haematoma following a fall at a supported residential service (SRS) while on warfarin for atrial fibrillation. She fell on 30 Septembe…
26y · Male·Multiple injuries sustained from a fall of 12 metres through an open hatch on Se…
Colin Arthur Greaves, a 26-year-old casual hydroblaster, died after falling 12 metres through an unsecured hatch (Hatch A) on a Settler tank at Queensland Alumina Limited's Gladsto…
82y · Male·end stage dementia
… Helping Hand Mawson Lakes for two years with progressive cognitive decline, mobility issues, and recurrent falls including one causing intracranial bleeding managed conservatively. In February 2016, he acutely deteriora…
85y · Female·general inanition on a background of vascular dementia and a recent right neck o…
…mentia, congestive cardiac failure, and atrial fibrillation sustained a right neck of femur fracture from a fall at her aged care facility on 5 August 2020, despite being on a sensor mat, ultra-low bed with crash mats, a…
24y · Male·Coroner unable to determine - likely accidental drowning
…se of death due to extensive marine scavenging. The most likely scenario is accidental drowning following a fall into the water while severely intoxicated. No evidence of suicide, foul play, or trauma was identified. The…
Death from fire exposure during bushfire - the finding does not concern individu…
… and damaging or destroying 56 houses and 35 caravans. The fire was caused by a dead standing tree (Tree 4) falling and impacting electrical transmission line 2, causing the line to fall to ground level and creating elec…
72y · Female·drowning
Stella Joan Fraser, aged 72, died by drowning in the Ouse River on 4 June 2021 after leaving the Lachlan Hotel in the evening. She had a history of stroke (2013) with resulting cognitive decline and mobility limitations,…
79y · Female·cardiogenic shock following repair of fractured right femur on a background of a…
…ner found her care at Lyell McEwin Hospital was appropriate. Clinical lessons include careful perioperative risk assessment in elderly patients with significant cardiac disease, early recognition of myocardial ischaemia …
6y · Unknown·Head injuries sustained from impact by a large falling branch from a gum tree
A 6-year-old boy died from catastrophic head injuries sustained when struck by a large falling gum tree branch while camping on private property in rural Victoria. The branch fell from approximately …
55y · Male·Multiple injuries sustained in a fall
…th chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years earlier and was in rehabilitation when…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two r…
35y · Female·neck and chest injuries and drowning due to intentional fall/jump from Tasman Br…
…are or treatment. Her suicide was not foreseeable at that particular time despite consistently high suicide risk. The coroner concluded care was of a good standard and made no recommendations for systemic change.
54y · Female·Multiple injuries sustained in fall from height
…bined with high intoxication, unmanaged depression, and psychosocial stressors can create immediate suicide risk even in those not previously identified as suicidal.
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