Coronial

402 results for fall risk

VICcommunity2019-05-15

Finding into death of Desmond John Watson

65y · Male·Neck trauma and severe ischaemic heart disease in the setting of immersion

…ultimately unsuccessful. The coroner could not determine whether a cardiac event or board impact caused the fall. Key clinical lessons include the unpredictability of sudden cardiac events in individuals with risk factor…

forensic medicineemergency medicinesystem
VIChome2025-07-24

Finding into death of Jill Hughes

75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis

A 75-year-old woman died from infective complications of a left hand wound sustained in a fall from a ladder in November 2023, complicated by undiagnosed diabetic ketoacidosis. Despite family encouragem…

infectious diseasesendocrinologydelaydiagnostic
NSWcommunity2025-03-06

Inquest into the death of Fiona Turnbull

59y · Female·multiple injuries from fall from height

…na Turnbull, a 59-year-old woman with chronic schizophrenia on clozapine, died from multiple injuries after falling from her third-floor balcony on 12 October 2017 during a psychotic relapse. The death occurred shortly a…

psychiatryemergency medicinedelaycommunicationclozapine
SAhospital2022-12-16

Coroner's Finding: Roocroft, Bryan

84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…

Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…

geriatric medicineorthopaedic surgeryoxazepam
QLDaged care2012-10-19

Anderson, Stanley Charles

86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…

…Gympie General Hospital from coronary and cerebral atherosclerosis, precipitated by injuries sustained in a fall at a nursing home. While transferring from a bath trolley to a comfort chair using a mechanical hoist and s…

geriatric medicineoccupational and environmental healthsystemcommunication
TAShome2020-01-03

Coroner's Finding: Combes, Margot Janeece

47y · Female·pulmonary thromboembolus

A 47-year-old nurse suffered a workplace fall resulting in a left ankle fracture requiring below-knee immobilisation. She was managed conservatively with…

orthopaedic surgerygeneral practice
NSW2011-12-23

Coroner's Finding: Sarah Kate Waugh

18y · Female·Multiple fractures of the skull, separation of C2 and C3 and generalised cerebra…

Sarah Waugh, aged 18, died on 24 March 2009 following a fall from a horse (Dargo) during a Jackaroo/Jillaroo course at TAFE NSW Western Institute Dubbo. The coroner fou…

diagnosticprocedural
NSWcommunity2019-03-22

Inquest into the death of Aarron McKay

27y · Male·multiple injuries

A 27-year-old British man died from multiple injuries after falling from a five-storey building on New Year's Eve 2016. He had ingested LSD, ketamine, and cannabinoids, whi…

LSD
VIChome2022-10-06

Finding into death of Ms F

79y · Female·Combined Effects of Neck Compression and Haemothorax in the Setting of a Fractur…

…in NSW (2012) and Tasmania (2016) had recommended against using this model in aged care due to unacceptable risk. The critical clinical lesson is recognising that mobility aids and equipment modifications in home setting…

amitriptyline
WA2025-01-08

Inquest into the Suspected Death of Tanghui HUANG

41y · Male·Unascertained - may have resulted from injuries sustained in fall from vessel or…

…ustralia on 21 April 2012. He was last seen painting the mooring winch at 11:30 am and was presumed to have fallen or jumped overboard. Prior to his disappearance, Mr Huang exhibited multiple concerning signs including i…

occupational and environmental healthpsychiatrysystemcommunicationtriazolam
WA2020-06-02

Inquest into the Suspected Death of Barry Ray JESSEN

24y · Male·drowning by misadventure following accidental fall overboard from fishing vessel…

…merston on 17 August 2006 whilst working between Carnarvon and Dirk Hartog Island, Western Australia. After falling unexpectedly into the sea, he drowned. Expert evidence demonstrates that sudden immersion in water cause…

system
NT2017-11-24

Inquest into the death of Damien Kyle-Little

43y · Male·Multiple injuries sustained from falling 66 metres from a Telstra tower

…etrieve tools before an approaching storm. He climbed without a harness and was not holding a required high-risk work licence. The company had prepared a Safe Work Method Statement (SWMS) requiring all climbers to hold b…

systemcommunication
VIC2023-07-12

Finding into death of Carl Anthony Van Der Kaay

50y · Male·Cardiomegaly and ischaemic coronary artery disease

A 50-year-old man with significant cardiac risk factors (family history of heart disease, prior coronary stent, diabetes, hypertension, hypercholesterolaem…

cardiologyemergency medicinesystembisoprolol
NSW2019-04-03

Inquest into the disappearance and suspected death of Luxing Li

28y · Male·unknown

This inquest concerned a 28-year-old man who disappeared on 18 October 2017 from the Skillion, a coastal cliff location known as a suicide site near Terrigal, NSW. The coroner found he died on or soon after that date in …

QLDaged care2026-02-17

Non-inquest findings into the death of Mr G

84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…

…ed behaviours developed a urinary tract infection causing acute delirium, atrial fibrillation, and multiple falls. After presenting to the emergency department with three falls and acute confusion requiring one-to-one nu…

geriatric medicineemergency medicinediagnosticcommunicationdonepezil
TASaged care2025-12-12

Coroner's Finding: Mitchelmore, Susan

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

…aged care facility under a Mental Health Act Treatment Order. She sustained a neck of femur fracture from a fall despite appropriate falls prevention strategies in place. Following surgical fixation at hospital, her post…

geriatric medicinepsychiatryolanzapine
NT2024

Inquest into the death of Road Death 14 of 2024

37y · Male·Blunt force trauma predominantly involving the lower limbs, following a fall fro…

A 37-year-old Aboriginal man died after falling from a coach trailer drawbar while severely intoxicated (BAC 0.23%). He had boarded the drawbar without …

alcohol
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

…on, and respiratory compromise from pneumothorax led to death. Key clinical lesson: recognition of overdose risk in patients with substance use disorders and mental health comorbidities, particularly when access to medic…

emergency medicinetoxicologybaclofen
TASaged care2023-01-30

Coroner's Finding: Munnings, Barry

86y · Male·pneumonia

…in a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium falls risk despite risk-taking behaviours and non-compliance with supervision. Discharged from hospital with pai…

geriatric medicineemergency medicinediagnosticsystem
VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…plan, and level of observations were all appropriate and reasonable given his clinical improvement. Suicide risk prediction in acute psychosis remains challenging; despite family support and appropriate care, the impulsi…

psychiatryintensive carerisperidone
113141521

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