402 results for “fall risk”
54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine
… schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at supported accommodation. JI had significa…
73y · Male·Blunt head injury from fall, complicated by warfarin therapy
…man on warfarin therapy for atrial fibrillation died from traumatic head injury sustained in an unwitnessed fall from a ladder while pruning roses at his home. He had been admitted to intensive care but died 11 days late…
26y · Male·Neck injury from falling glass crate
… dragged from a sea container and toppled, striking his neck despite company policy prohibiting work in the fall zone. Critical failures included: no written protocols or Job Safety Analysis documents, inadequate task-sp…
76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…
Leslie Bruce Whish-Wilson, 76, sustained a fall in his aged care room in January 2024, leading to a right femoral neck fracture requiring surgical repair. …
80y · Male·Pneumonia, with multi-organ failure in the form of liver failure (due to chronic…
…ional Centre. He had advanced chronic hepatitis C with cirrhosis, ischaemic heart disease, and a history of falls due to poor mobility and hepatic encephalopathy. After a fall on 14 July 2014, he was admitted to hospital…
64y · Female·acute bronchopneumonia complicating Alzheimer's dementia with head injury
…d Alzheimer's dementia died from acute bronchopneumonia following a head injury sustained in an unwitnessed fall. She was under a guardianship order with special powers at the time. Following a fall on 11 September 2021,…
95y · Female·acute left subdural haematoma complicating anticoagulant therapy for deep vein t…
…ffered an acute left subdural haematoma, likely related to anticoagulation in the context of an unwitnessed fall or head trauma. The coroner found her care and treatment were appropriate. Key clinical lessons include: ca…
99y · Female·pneumonia due to a fractured right neck of femur (hip) sustained in a fall
…ntia resident in aged care fell and sustained a right femoral neck fracture. Despite being assessed as high falls risk with multiple prevention measures in place, she was not wearing hip protectors at the time of the fal…
88y · Female·Head injury in a fall due to atrial fibrillation on anti-coagulants
…-year-old woman with atrial fibrillation on anticoagulation died from a subdural haemorrhage sustained in a fall at a rehabilitation hospital. She was assisted to the toilet by a single nursing student despite a document…
89y · Male·unascertained - natural causes
… Burgess, aged 89, died in Port Phillip Prison's medical unit from unascertained natural causes following a fall on 6 November 2022 that resulted in cervical spine fractures. He was deemed unsuitable for surgical interve…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
…med at Mersey Community Hospital despite the mechanism of injury and unconsciousness suggesting head trauma risk. Eight days later, she suffered a STEMI and received thrombolysis based on standard protocols. However, she…
75y · Male·bilateral subdural haematoma due to fall
…ar-old man with Parkinson's disease, Alzheimer's disease, and significant mobility limitations, sustained a fall at a nursing home on 9 June 2018. He was found on the ground but initially appeared uninjured with no obvio…
91y · Male·Head injuries sustained in a fall
Geoffrey O'Neill, 91 years old, died from head injuries sustained in a fall down stairs while attending a basketball game. He missed a step while ascending the stairs, fell backwards …
80y · Female·Fractured left neck of femur on a background of rectal carcinoma and dementia
…d undiagnosed rectal carcinoma died from complications of a fractured left neck of femur sustained during a fall in her aged care facility's memory support unit. She had sustained three falls over 25 days; the final fall…
91y · Female·pelvic haematoma arising from a fracture of the neck of the left femur sustained…
A 91-year-old woman with dementia, emphysema and cognitive decline was admitted to hospital after a fall. She was assessed as high falls risk but inadequate fall prevention measures were implemented—only verbal a…
52y · Male·Head injury sustained in a fall following excessive consumption of alcohol
…sm, cirrhosis, thrombocytopenia, and post-traumatic stress disorder, was found deceased at home following a fall with head injury. He had a history of frequent falls while intoxicated. At the time of his death, he had re…
90y · Male·bronchopneumonia complicating blunt head and neck trauma and ischaemic and valvu…
…year-old man died from bronchopneumonia complicating blunt head and neck trauma and cardiac disease after a fall in a carpark. He was dropped by a taxi at an unsafe location (a no-standing zone on a steep roadway) rather…
17y · Male·head injury in a fall from a height
Bailey Blackwell, a 17-year-old Aboriginal man, died from a head injury sustained in a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open c…
67y · Male·cervical and thoracic spine injuries sustained in a fall from a mountain bike
…ly, a 67-year-old experienced mountain biker, died from cervical and thoracic spine injuries sustained in a fall from an e-bike on a black-rated trail at St Helens, Tasmania. The coroner could not determine the specific …
83y · Female·Complications arising from a fall with C2 fracture and neck of femur fracture
An 83-year-old woman with dementia, Alzheimer's disease, and a prior hip fracture sustained injuries from a fall in her aged care facility's dining room. Staff were absent from the dining room for approximately 7 minutes…
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