Coronial

56 results for mobility impairment

VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

… thresholds for hospital readmission; comprehensive documentation of injuries and mechanism is essential; mobility assessment should accompany trauma evaluation; observations of at-risk prisoners must be thorough and pro…

emergency medicineforensic medicinediagnosticcommunicationheroin
VICaged care2019-03-19

Finding into death of Anthony Charles Debono

97y · Male·Complications of a fractured left neck of femur (operated), sustained in a fall

A 97-year-old man with vascular dementia, visual impairment, gait instability and multiple falls risk factors fell during a supervised outing from his aged care fac…

geriatric medicineorthopaedic surgerysystemcommunication
VIChospital2023-08-11

Finding into death of Mr H

58y · Male·aspiration pneumonia complicating sigmoid volvulus, in a man with multiple scler…

Mr H, a 58-year-old man with end-stage multiple sclerosis and recurrent sigmoid volvulus, presented to Box Hill Hospital on 25 January 2023 with abdominal pain and distension. He underwent rectal tube insertion via sigmo…

surgeryemergency medicinemorphine
VIChospital2020-08-12

Finding into death of Antoine Alam

81y · Male·Injuries sustained in a motor vehicle collision (pedestrian)

81-year-old man struck by car while crossing Thompson Road in North Geelong to access a bus stop. He sustained severe head injuries with intracranial haemorrhage and bilateral haemothoraces and died at Alfred Hospital. T…

citalopram
VIChome2023-07-27

Finding into death of Loris Lesley O'Meara

75y · Female·Renal failure and ketoacidosis in a woman with chronic alcoholism and type 2 dia…

A 75-year-old woman with type 2 diabetes and chronic alcoholism died from renal failure and ketoacidosis at home. She was isolated, dependent on her elderly husband for care, and living in squalor. Over 20 disclosures of…

general practicegeriatric medicinecommunicationsystemmetformin
SAaged care2010-05-14

Coroner's Finding: HUTTON Arthur John

87y · Male·asphyxia due to neck entrapment between bedpole and mattress

…nd the risk of entrapment was objectively foreseeable given the resident's known fall history, cognitive impairment, and the gap between bedpole and mattress. Key lessons include: bedpoles require formal risk assessment …

geriatric medicineoccupational therapysystemprocedural
VIChospital2024-04-08

Finding into death of Benjamin Suggate

40y · Male·Complications of Influenza A infection in a man with cerebral palsy and congenit…

…d no clinical mismanagement by SCOPE or Barwon Health staff. His profound neurological disabilities and immobility placed him at inherently high risk for severe respiratory infections. The case illustrates challenges in …

respiratory medicineinfectious diseasesantiviral medication
TAS2022-11-22

Coroner's Finding: Stevens, Cynthia

90y · Female·Multiple rib and pelvic fractures due to a fall from a wheelchair on sloping lan…

… weaker attendant brakes which cannot hold a wheelchair on slopes; (2) failure to recognise frailty and immobility as key risk factors requiring maximum safety precautions; (3) unsafe placement of a vulnerable elderly pa…

ophthalmologygeriatric medicineproceduralsystem
QLDcommunity2016-12-21

Capps, Ruth

75y · Female·multiple injuries due to or as a consequence of motor vehicle collision

…ck pain, osteoarthritis, and recurrent falls. Despite a previous licence cancellation in 2012 due to poor mobility and slow reaction times—supported by hospital consultants, friends, police, and an occupational therapist…

general practiceoccupational therapydiagnosticcommunicationnitrazepam
VIChome2019-10-02

Finding into death of Antonios Vitou

92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …

…facilitated the circumstances of death. Key clinical lessons: high-risk patients with cardiac disease and mobility impairment require reliable supervision and care coordination; administrative failures in disability serv…

cardiologyemergency medicinesystemcommunicationbisoprolol
QLDhome2009-09-15

Leach, Irene Clare

94y · Female·compression of the neck

A 94-year-old woman died from neck compression after becoming trapped between a waterlift roof, her walking frame, and the ceiling of her home. The waterlift had been installed in the 1990s without compliance with releva…

system
VIChome2023-06-28

Finding into death of Kelvin Maurice Jeffery

96y · Male·Blunt chest trauma from quad bike accident

A 96-year-old man died from blunt chest trauma sustained in a quad bike accident on his rural property. He had declined in health with poor eyesight, kyphosis, and hand tremors, prompting him to stop driving his car. He …

emergency medicineintensive caresystem
VIChome2017-06-22

Finding into death of Steven Pimblett

47y · Male·Pneumonia

Steven Pimblett, 47, with mild intellectual disability, died of pneumonia at home. A home care worker noticed significant health deterioration over two months—inability to walk, laboured breathing, swollen feet—and suspe…

general practicepublic healthcommunicationsystem
QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

Joshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hosp…

paediatricsemergency medicinecommunicationsystembaclofen
WAaged care2023-10-11

Inquest into the Death of Kathryn PAPANASTASIOU

74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…

Ms Papanastasiou, a 74-year-old aged care resident confined to a wheelchair, died from bilateral femoral fractures sustained when she fell from her wheelchair during sudden bus braking. The wheelchair was secured using o…

geriatric medicineorthopaedic surgerysystemprocedural
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…

general medicinegastroenterologydiagnosticcommunicationmovical

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