402 results for “fall risk”
29y · Male·Injuries sustained in a fall from a height
… poor insight, repeated medication non-compliance, and loss of employment support can contribute to suicide risk. The coroner identified the EJ Whitten Bridge as a suicide hotspot and made recommendations for safety barr…
2y · Male·Severe hypoxic ischaemic encephalopathy (grade 3)
…inion suggested outcome might have been identical in hospital, the coroner found that given documented high-risk factors (previous shoulder dystocia, cephalo-pelvic disproportion, postpartum haemorrhage), home birth was …
44y · Male·unascertained - may have been injury from fall, drowning, or predation from mari…
…oard from a precarious area. Clinically, the case highlights the importance of: (1) assessing mental health risk before offshore work, (2) communicating psychiatric diagnoses to occupational health when relevant to safet…
36y · Female·Haemorrhage complicating elective caesarean section (placenta praevia accreta)
…h underlying placenta accreta. Although imaging could not definitively exclude accreta preoperatively, high-risk preparations were made. During surgery, when the placenta proved morbidly adherent with severe hemorrhage, …
34y · Male·Drowning by misadventure to which alcohol intoxication was a contributing factor
…im and fell from the boardwalk into 6.3m deep water. The coroner identified multiple system failures: CEG's risk assessment failed to identify drowning risk from the open water's edge; emergency management procedures wer…
74y · Female·Infective exacerbation of chronic obstructive airways disease in the setting of …
…alin was erroneously included in her Webster-pak despite being ceased by palliative care. She experienced a fall due to drowsiness from the medication on 17 March, was admitted to hospital on 19 March with declining cons…
35y · Male·drowning (immersion)
Damien Mills, a 35-year-old mortgage broker, drowned in the Indian Ocean after falling off a charter boat returning from Rottnest Island on 31 October 2014. While intoxicated, he was likely k…
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
…016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature risk mitigation, poor observation procedures, failure to properly search for dangerous items, inadequate staff t…
26y · Female·Hypoxic brain injury in the setting of immersion
…ation unresponsive to medical management. Nursing staff offered her a bath to relieve discomfort. No formal risk assessment was completed despite protocols suggesting this was necessary. Amy was found face-down in the ba…
85y · Female·neck injury (cervical spine fracture) as a consequence of a fall
…pine fractures sustained when she fell from a toilet chair at her nursing home. She had multiple documented falls and explicit care plan instructions never to be left alone on the toilet due to high falls risk and dement…
34y · Male·undetermined; possible drowning or shark attack
…emergency protocols, and complacency about safety procedures must be challenged regardless of perceived low risk.
44y · Male·Severe head injuries from large tree limb falling onto vehicle roof during extre…
…nfrastructure, Energy and Resources (now State Growth). Since 2000, DIER had known the trees posed a safety risk and recommended removal as part of road-widening works to create a safe clear zone. However, environmental …
22y · Male·Multiple injuries secondary to fall from a height
…t documented over 10 hours (9:45pm to 8:29am) despite nursing care plans specifying frequent engagement and risk monitoring; no medication administration despite paranoia-related disengagement; unclear communication abou…
21y · Male·multiple injuries from fall from water tower
…tric ward after being found climbing a power pole. After 8 days, despite being assessed at moderate suicide risk and displaying poor insight into his illness, he was granted unsupervised leave in his father's care with u…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
…ever diagnosed. At a rural hospital, a GP appropriately referred her to a tertiary centre after recognising risk of internal trauma. At the Women's and Children's Hospital, a registrar misread her temperature (38°C as 36…
33y · Female·Blunt impact injuries
…ck her, her companions were unable to assist. The arborist assessment suggested the tree was 'above average risk' but noted trees in worse condition are commonly found in camping areas. The coroner found no direct causal…
32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma
…on. He was left face-down in a cell for over an hour while arresting officers attended other calls, with no risk assessment conducted. Critical failures included: no designated watch house keeper despite policy requireme…
19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…
Tommy Ngo, 19, died from ischaemic brain injury following cardiac arrest caused by blunt force neck injuries sustained during Chinese lion dancing training. He was propelled into a steel pole when his partner missed a ju…
34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…
…nary embolism and paradoxical stroke following elective fracture repair surgery. She had multiple known DVT risk factors: immobility from leg casting, recent long-haul flight, oral contraceptive use, and borderline obesi…
42y · Male·Drowning
Two fishermen drowned after being swept into rough seas while rock fishing at Salmon Holes. Neither wore life jackets despite dangerous wave conditions. One man was retrieved deceased; the other was never found. Autopsy …
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