Coronial

402 results for fall risk

VICcommunity2021-03-03

Finding into death of Michael Brian Sanders

57y · Male·Unascertained causes; presumed suicide by jumping from cliffs

…whelming the deceased. The case highlights the importance of recognising acute stress responses and suicide risk in community settings, including workplaces. Earlier disclosure of financial crises to trusted colleagues a…

TAScommunity2025-07-02

Coroner's Finding: de-identified LM

41y · Male·multiple blunt force injuries sustained in a fall from height from the Tasman Br…

…y. The coroner urgently recommends implementing structural modifications to eliminate suicides at this high-risk location, noting that evidence shows safety barriers reduce total suicides rather than simply displacing th…

psychiatryforensic medicinesystemalcohol
SAhospital2015-07-17

Coroner's Finding: ASTON Marjorie Irene

86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…

…er requesting it on 4 January. The patient presented to a telehealth service on the morning of death with a fall and head injury while on warfarin with known haematuria, but was not referred to hospital. Her death was pr…

cardiologygeneral practicecommunicationsystemwarfarin
VIChome2024-04-23

Finding into death of Robert Norman Spencer

59y · Male·ischaemic heart disease in the setting of chronic ethanol use

Robert Spencer, 59, called 000 at 4:27 am reporting weakness and inability to mobilise following a fall. He was triaged as Code 3 (non-urgent) and underwent secondary triage call-back attempts without success. A…

emergency medicineparamedicinesystemdelay
VIChospitalPodcast2025-02-05

Finding into death of Daniel Francis McNeill

39y · Male·Complications following extradural haemorrhage (operated) sustained in an electr…

A 39-year-old man died from complications of extradural haemorrhage sustained in an e-scooter fall. He was riding a high-powered e-scooter (capable of 84 km/h, exceeding legal limits) while under the influe…

emergency medicineneurosurgerymethamphetamine
TAS2024-11-11

Coroner's Finding: Kennedy, Hayden

18y · Male·head injury sustained in motor vehicle crash

…hat helmet use might have reduced injury severity and highlighted gaps in safety regulation for UTVs, which fall outside quad bike safety requirements despite similar risk profiles.

forensic medicineemergency medicinealcohol
VIC2018-07-11

Finding into death of Danny Leigh Edlington

25y · Male·Head injury sustained when he fell while negotiating a two-stage jump and was im…

…ack operators implement protocols requiring rider separation through staggered starts to minimise collision risk.

WAhospital2016-10-24

Inquest into the Death of David WAYMOUTH

47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…

…tion, and severe constipation. He was readmitted to hospital eight hours after discharge following a second fall at the toilet. Despite multidisciplinary team care including ICU management and emergency colectomy, he dev…

orthopaedic surgerygeneral surgerymethadone
WA2022-12-23

Inquest into the Death of Ms L (Name Subject to Suppression Order)

27y · Female·multiple injuries sustained from fall from 30-storey building

…o officer actions caused or contributed to her death. Key clinical lessons include recognising that suicide risk is highly unpredictable and can fluctuate rapidly; depression following medical diagnoses requires careful …

general practicegynaecologyfluoxetine
WA2024-05-08

Inquest into the Death of Michael John BIRD

22y · Male·Multiple injuries from fall from 21st floor balcony

…arch was unaware of the psychosis and, without this critical information, appropriately assessed him as low-risk for psychiatric emergencies. The coroner found police negotiators did everything possible during a two-hour…

general practicepsychiatrycommunicationsystemzolpidem
NSWcommunity2023-03-16

Inquest into the death of Luis Fernandez

78y · Male·Not determined - no remains found, no postmortem examination possible

Luis Fernandez, 78, was reported missing on 1 January 2019 after last being seen on 28 December 2018 near Glenfield station. The coroner found he is now deceased but cannot determine the place, cause, or manner of death …

geriatric medicineforensic medicinesystemcommunication
TAS2022-04-21

Coroner's Finding: Beesley, Nathaniel Owen

32y · Male·crush injuries sustained in a rock fall

…ch 2017. Scaling—the removal of loose rock from pit walls—is an inherent control measure for addressing rockfall risk, but carries significant residual danger. The rock that killed Beesley fell without prior warning, des…

occupational and environmental healthforensic medicinesystem
NSW2010-12-08

Coroner's Finding: Timothy Jon Haynes

Traumatic asphyxia as a result of being buried by soil and a steel beam followin…

Timothy Jon Haynes died on 14 May 2009 in East Maitland, NSW, when a trench wall collapsed during excavation work, causing him to be buried by soil and a steel beam. He died from traumatic asphyxia. The coroner found the…

VICmental health2024-04-19

Finding into death of Allison Naomi Eagle

44y · Female·Unascertained, presumed sudden cardiac death

44-year-old woman with schizophrenia and bipolar affective disorder died unexpectedly in a psychiatric inpatient unit. She had obstructive sleep apnoea and was on multiple antipsychotic medications. On the night before h…

psychiatryrespiratory medicinezuclopenthixol deconoate
VIChospital2012-02-29

Finding into death of Joanne Feeney

40y · Female·Multiple injuries sustained in a fall from a height followed by being struck by …

…ss and was struck by three vehicles. Clinically, this case highlights the importance of recognising suicide risk in patients with substance abuse history, ensuring appropriate psychiatric assessment and follow-up post-di…

emergency medicinepsychiatrysystemmethamphetamine
VIChospital2015-02-04

Finding into death of Joan Coutts

72y · Female·Pneumonia in the setting of multiple rib fractures and chronic obstructive pulmo…

…artment on Good Friday with severe (9/10) right-sided chest pain from multiple rib fractures sustained in a fall. She was triaged to Category 5 (least urgent) despite severe pain and high-risk comorbidities. Although exa…

emergency medicinegeneral practicediagnosticcommunication
VIChospital2022-04-28

Finding into death of Hunter Patrick Boyle

2y · Male·Consistent with drowning

Hunter Patrick Boyle, a 2-year-old boy, drowned in a farm dam while under the care of his grandfather. Hunter and his grandfather visited a neighbouring property to feed a horse; within 30 seconds to 1 minute of losing s…

emergency medicinepaediatricsmorphine
WAhome2018-10-23

Inquest into the Death of Lorraine Jane HANSEN

25y · Female·Head injuries

…1.8 km away at an intersection. Multiple mechanisms of injury were possible: glancing motor vehicle strike, fall to bitumen roadway, or blunt object assault. Critical CCTV footage that might have clarified events was ina…

systemalcohol
QLD2013-03-28

Lambert, Stuart John

31y · Male·Chest injuries (principal cause) with autism and epilepsy as underlying causes

… multiple rib fractures, with the coroner unable to definitively establish whether injuries resulted from a fall onto a pot plant, previous injuries, or resuscitation attempts. Key clinical lessons include: respite carer…

general practiceemergency medicinecommunicationsystemepilim ec
NSWcommunity2018-05-31

Inquest into the death of Sarah Teelow

20y · Female·Atlanto-occipital (C0/1) injury caused by exposure to high force or force impact…

…e of the waves, speed was identified as a contributing factor to the severity of injury and kinetics of the fall. The helmet worn, designed for skydiving not water skiing, did not materially contribute to her death. Syst…

system
115161721

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