402 results for “fall risk”
59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)
…s and aspiration pneumonia. He had experienced progressive functional decline over 12+ months with multiple falls, recurrent respiratory infections, urinary retention requiring indwelling catheterization, and aspiration …
25y · Female·injuries sustained in fall from height
A 25-year-old woman with depression died by jumping from the West Gate Bridge. In the two months before her death, she attended four general practitioners across two medical practices with depression and anxiety, was com…
42y · Male·Multiple injuries sustained in a fall from a height
…eared calm and presented without overt distress. The coroner noted the inherent unpredictability of suicide risk and the difficulty health professionals face in predicting when patients will act on suicidal ideation, emp…
44y · Male·unascertained
…hat safety protocols were not adhered to despite being explicitly discussed. Key clinical lessons relate to risk assessment, compliance with safety procedures despite familiarity, and the rapid deterioration of condition…
29y · Male·Multiple injuries sustained in a fall from a height
Mr BB, a 29-year-old male, fatally assaulted his de facto partner Ms AA with a weight plate while she slept, then jumped from a 23-storey building. The relationship, which began in June 2020, progressed rapidly during CO…
4y · Female·Injuries sustained in fall from height
…stand-alone' mandatory reporters independent of other services; family violence disclosures require serious risk assessment; and improved training and information sharing between healthcare, legal, and protective service…
0y · Male·Unascertained
…ions were made for development of Australian Standards for baby hammocks, improved consumer awareness about risks, and consistency in health sector guidance.
Paul Rossington: exposure or drowning or combination of both. Kristen Schroder: …
Two young adults, Paul Rossington (30) and Kristen Schroder (26), died after falling overboard from a cruise ship in the Tasman Sea on 8-9 May 2013. Kristen fell from their cabin balcony du…
28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…
…ford, a 28-year-old woman with bipolar affective disorder and schizophrenia, died on 27 December 2009 after falling from a pedestrian bridge onto the Mitchell Freeway in Perth. She was an involuntary patient at Graylands…
15y · Female·Head injury
Child C, a 15-year-old girl in Department of Communities care, died from a catastrophic head injury sustained when she fell from a moving car on 27 November 2020. She had self-selected to return to her mother's care in J…
44y · Male·Positional asphyxia
…ed. Key clinical lessons: unsafe medication handling and sharing of controlled antipsychotics poses serious risk; combination of alcohol with clozapine and cannabis caused profound CNS depression; patients with mental il…
82y · Male·Complications of multiple injuries (palliated), sustained in a quad bike inciden…
An 82-year-old man died from complications of multiple injuries sustained in a quad bike incident. He had failed a VicRoads eyesight test two years earlier, losing his driver's licence, yet continued riding an unregister…
33y · Male·Head injuries sustained in motor vehicle (tree fell on vehicle)
…ch involved excavation that damaged root systems. An arboricultural assessment post-incident identified the fallen tree as having similar risk factors to trees requiring high-priority removal. No inspections were conduct…
48y · Male·Hypoxic ischaemic encephalopathy complicating upper cervical spine and cord inju…
…rain injury. The coroner highlighted that tree trimming and removal is hazardous work requiring appropriate risk control measures, adequate worker training, and emergency procedures. WorkSafe Victoria's guidance lacked s…
87y · Male·Ischaemic heart disease in the setting of immersion
… stenosis. In the week before death, he experienced arm weakness, side pain, confusion, hallucinations, and falls. He was taken to hospital and then a respite centre. The autopsy could not confirm drowning; his lungs sho…
17y · Female·traumatic head injuries
Margaret Mary Lore, 17 years old, died from traumatic head injuries after falling approximately 20 metres from a cliff at Blackmans Bay, Tasmania on 28 January 2017. She had consumed app…
45y · Male·Multiple injuries and fall from a height
…hough good practice would have included explicit agreement to avoid alcohol and more thorough discussion of risk factors, particularly his intent to drive and his wife's statement that reconciliation was unlikely. The co…
37y · Male·Unascertained
…rmination of cause. The coroner could not definitively establish whether death was by suicide or accidental fall, making an open finding. Clinical lessons include the importance of ensuring mental health care continuity,…
51y · Male·multiple injuries sustained by a high velocity fall from a height
…all officers appropriately trained and well-coordinated, with no systemic failures. The tragedy underscores risks when people with severe untreated mental illness, experiencing command hallucinations and delusional belie…
58y · Female·Haemorrhagic shock complicating pulmonary thromboembolism in the setting of deep…
A 58-year-old woman with obesity (BMI 38) sustained a metatarsal fracture and was treated with a below-knee plaster cast by her GP. Despite appropriate initial assessment and consultation with a haematologist regarding V…
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