Coronial

402 results for fall risk

NSWaged care2022-06-24

Inquest into the death of Thomas FULCHER

70y · Male·hypovolaemic shock due to the consequences of fractured femur

…ed a spiral femur fracture with internal bleeding. Care workers failed to seek medical assessment after the fall, instead conducting their own rudimentary examination. The fracture and indicators of injury went unrecogni…

orthopaedic surgeryemergency medicinediagnosticcommunication
TAS2017-04-20

Coroner's Finding: Fisher, Melissa

32y · Female·multiple blunt traumatic injuries sustained in a fall from height

…sa Fisher, a 32-year-old experienced nurse and bushwalker, died from multiple blunt injuries sustained in a fall of approximately 50 metres whilst attempting to summit Federation Peak in Southwest National Park, Tasmania…

TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for che…

oncologygeneral medicinesystemdelay
VICaged care2017-03-07

Finding into death of Angelo Raffaelle Palma

65y · Male·Intracranial haemorrhage following a fall

…l consultation confirming poor prognosis, he died the following day. The coroner found no evidence that the fall was related to recent diabetes medication cessation, and found no deficiencies in falls risk assessment, ge…

emergency medicineneurosurgeryrisperidone
VIC2025-08-15

Finding into death of Cain Brian Cameron

35y · Male·Fall from a height injuries including a ruptured thoracic aorta associated with …

Cain Brian Cameron, aged 35, died on 26 October 2023 following a fall from the fifth level of the Holiday Inn carpark in Werribee while evading police arrest. He fell 17 metres …

emergency medicineforensic medicinemethamphetamine
VIC2022-07-18

Finding into death of Rosy Loomba

38y · Female·Multiple injuries, predominantly head, sustained in a fall from a height

Rosy Loomba, a 38-year-old woman, died from multiple injuries sustained in a fall from a cliff at Boroka Lookout in the Grampians National Park. She climbed over safety fencing to access a …

QLDhospital2015-07-28

Mills, Stephen John

57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…

A 57-year-old man with bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls ri…

psychiatryneurosurgerysystemcommunicationseroquel xr
VIC2024-12-16

Finding into death of Caroline Monique Hall

52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…

…multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She fell in her bedroom on the afternoon of 7 May 2021 and appeared relatively well afterwards, walking u…

general practiceemergency medicinediagnosticdelaymorphine
VIChospital2023-11-02

Finding into death of Renato Ettore Poletti

72y · Male·Upper cervical spine injury sustained in a fall from a ladder

A 72-year-old man suffered a fall from a 3-metre ladder during home garden maintenance, sustaining a severe upper cervical spine injury (C2 f…

trauma surgeryneurosurgerymidazolam
WAPodcast2017-05-30

Inquest into the Death of Shaun McBRIDE

28y · Male·drowning

A 28-year-old scaffolder died by drowning after falling from a cantilevered scaffold under a loading jetty while dismantling it. The scaffold collapsed when he …

proceduralcommunication
TASaged care2026-01-07

Coroner's Finding: Bird, Allan Roy

92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…

A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died …

geriatric medicineorthopaedic surgerydiagnosticsystembenzodiazepine
NSW2017-11-20

Inquest into the death of Glennon Johnstone

87y · Male·Complications of acute subdural haematoma

An 87-year-old prisoner died from complications of acute subdural haematoma sustained in a fall at Kirkconnell Correctional Centre. He fell while walking in the common area and struck his head on metal f…

neurosurgerygeriatric medicinesystemdelay
TAShospital2023-09-12

Coroner's Finding: Harris, Peter Blackwell

75y · Male·pneumonia and head injury from fall

…isturbance and hyponatraemia (low serum sodium of 124 mmol/L). Initial clinical assessment did not identify falls risk. After 4 days, he fell backwards suddenly while standing in the corridor despite a care assistant bei…

general medicinegeriatric medicinediagnosticquetiapine
VIChospital2024-10-24

Finding into death of Constantin Daoussianis

80y · Male·Complications post fall from ladder sustaining multiple injuries including to th…

An 80-year-old man died from complications of a fall from a ladder while pruning vegetation at his holiday property. He sustained multiple injuries including ri…

emergency medicineintensive care
NThospital2004-07-02

Inquest into the death of John Colbert

55y · Male·Head injury from a fall, contributed to by chronic alcoholism and cirrhosis, res…

…pital's ICU following a seizure. He was transferred to Ward 4A on 14 October 2002 and classified as highest-risk for falls under the "Falling Stars" program. Despite this classification and clear clinical indication, he …

neurosurgeryemergency medicinesystemdelaydiazepam
TASaged care2023-04-03

Coroner's Finding: Hazell, Nancy

100y · Female·frailty and fracture of the right neck of femur

Nancy Muriel Hazell, aged 100, was a long-term resident of an aged care facility with appropriate falls prevention measures in place including bed/chair sensors, call bells, and physiotherapy. She sustained an …

orthopaedic surgerygeriatric medicinesystem
QLD2015-02-20

Mapperson, Wayne George - Non-inquest findings

58y · Male·Multifocal bleed into brain (subarachnoid and subdural haemorrhage) from injurie…

A 58-year-old truck driver and forklift operator died from a severe head injury sustained in a workplace fall on 29 August 2012. He fell while using an unsuitable, unsecured ladder to access a mezzanine storage area. …

trauma surgeryintensive caresystemprocedural
TASaged care2022-10-04

Coroner's Finding: Mundy, Gilbert Raymond

69y · Male·Chronic obstructive pulmonary disease, congestive cardiac failure and injuries s…

A 69-year-old man with severe COPD, congestive cardiac failure, epilepsy and high falls risk died following a fall from his motorised scooter at a post office. He had left his nursing home alone…

geriatric medicineemergency medicinesystem
TASaged care2022-11-09

Coroner's Finding: Tate, Barry Ronald

75y · Male·bronchopneumonia

Barry Ronald Tate, 75, died of bronchopneumonia following a fall at a palliative care ward. He sustained an unwitnessed fall on 26 September 2019 while attempting to shave …

palliative careoncology
VIChome2017-10-31

Finding into death of Henry Charles Ackerman

78y · Male·Neck injuries received in a fall

A 78-year-old man with Ménière's disease and depression died from neck injuries sustained in a fall from a ladder while using an electric hedge trimmer in his garden. He was found deceased by a friend after …

sertraline

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