402 results for “fall risk”
44y · Male·Multiple traumatic injuries sustained in a fall from height
Ashley Bryant, a 44-year-old former NSW police officer with 24 years service, died by suicide at Minyon Falls on 16 December 2013 while suffering from PTSD, depression and alcohol dependence. The coroner found these …
19y · Female·severe head injury due to fall during gymnastics on Tumbl Trak, striking uncover…
A 19-year-old female gymnast died from severe head injury after falling from a Tumbl Trak apparatus and striking exposed concrete flooring at a gymnastics club. She was perform…
72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis
…ulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unable to self-recover. Despite this predictable high-risk profile, she was dischar…
24y · Male·Injuries sustained in fall from height
…llum Cancer Centre. Despite a history of depression with previous suicidal ideation, SJ was assessed as low-risk by his mental health team and appeared clinically stable and engaged with staff on the morning of his death…
27y · Female·chest injuries
Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trials. She successfully ne…
61y · Male·Intracranial haemorrhage and myocardial infarct
… based on undocumented clinical assessment. The case highlights the need for formal, documented head injury risk assessment by appropriately trained staff in complex presentations.
49y · Male·Multiple injuries sustained after falling from his motorcycle during a race and …
…le injuries sustained when he fell from his motorcycle on a wet track and collided with a tyre barrier. His fall was caused by locking his front wheel while braking heavily during an overtaking maneuver—rider error on a …
17y · Male·cranial and facial trauma
A 17-year-old male with acute schizophrenia died from cranial and facial trauma after running off a 15.6-metre cliff during a psychotic episode. Hours before, he had been seen by a trainee psychologist who failed to reco…
34y · Male·Multiple injuries sustained in a fall from a height
Gregory Caulfield, aged 34, died from multiple injuries sustained falling from a ninth-floor balcony while attempting to escape police attempting to arrest him for burglary. Duri…
63y · Male·Multiple injuries due to fall from height
…; consideration of additive psychotropic medication when mood symptoms emerge; and recognition that suicide risk can be masked in methodical, obsessional patients. The coroner found the discharge decision appropriate bas…
33y · Male·Multiple injuries sustained from falling from height (fifth-floor window ledge) …
AB, a 33-year-old male, died on 20 April 2013 after falling from the fifth-floor window ledge of Liverpool Hospital while under police negotiation. He had been tran…
74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…
…sident from the vehicle. The critical failures were: inadequate restraint system, failure to conduct proper risk assessment when standard restraint was unavailable, lack of mandatory supervision on the bus, and driver di…
25y · Male·Multiple injuries sustained in a fall from a height
…ent should be offered support person contact; clinicians should weight recent suicidal behaviour heavily in risk assessment; voluntary status does not eliminate absconding risk and environmental precautions should reflec…
2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…
… the prescribing doctor not specifying tablet/capsule formulation despite knowing oral drops posed overdose risk; lack of clear warning about side effects and toxicity; and dispensing a concentrated paediatric formulatio…
Male·Multiple injuries consistent with fall from height (intentional self-harm by jum…
Coronal inquest into three intentional self-inflicted deaths by jumping from cliffs at Sydney's Northern Beaches between May 2016 and April 2017. Deceased persons (identities A, B, C protected by non-publication order) d…
30y · Male·unknown - no postmortem examination performed
…are, social work, and law enforcement can allow vulnerable foreign students experiencing acute psychosis to fall through safety gaps, and how administrative delays in missing person investigations deny families timely cl…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
…ervices—Dr B. made multiple referrals to Mirrabooka Clinic but received no engagement; (4) the high suicide risk in untreated/disengaged bipolar disorder, particularly when compounded by major life stressors (loss of chi…
77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…
…her caregivers (daughter and son-in-law) refused residential aged care despite medical recommendations post-fall in June 2009; they disengaged her from GP care and specialist follow-up; she received minimal medical overs…
18y · Male·Unable to determine
…oroner could not determine cause or manner of death, unable to definitively exclude either accidental cliff fall or foul play. Key investigative challenges included delays in accessing electronic data from international …
32y · Male·multiple injuries sustained in a fall from height
A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic relapse. The case reveals critical failings in mental health crisis r…
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