Coronial

136 results for fall in elderly patient

SAaged care2024-01-19

Coroner's Finding: Elliott, Ronald Arthur

80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…

… regarding his care at the aged care facility or hospital. The case highlights the high mortality risk in elderly patients with femur fractures (25% at 30 days, 50% at one year) and the complex medical management requir…

orthopaedic surgerygeneral medicine
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

…ractures. Additionally, an ED clinician erroneously prescribed 100mg therapeutic enoxaparin for the wrong patient due to EMR design flaws and lack of verification; nursing staff did not question it. Dual antiplatelet th…

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
ACThospital2022-09-16

Inquest into the death of Mrs Judith Gaye Flynn

72y · Female·subdural haemorrhage sustained from a fall from a hospital bed on 18 January 201…

…ed when she fell from a hospital bed on the General Medicine Ward at Canberra Hospital. She was a high-risk fall patient with cognitive impairment, a history of falls, and postural hypotension. Although medical assessmen…

general medicineemergency medicinesystemcommunication
VIChospital2021-11-30

Finding into death of Eileen Violet Smith

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…

rehabilitation medicineneurosurgeryproceduralcommunication
SAhome2011-08-11

Coroner's Finding: PIRO Barbara Mary

91y · Female·pulmonary thromboembolism and subcutaneous abscess formation complicating pressu…

…ated ankle fracture and pressure sores. She had sustained a fracture-dislocation of her right ankle after a fall, which she refused medical treatment for, resulting in permanent deformity and immobility. Pressure sores d…

geriatric medicineemergency medicinedelaysystem
ACTcommunity2018-02-27

AN INQUEST INTO THE DEATH OFELFRIEDE ADELE TREMETHICK

85y · Female·acute exacerbation of congestive heart failure, following injuries suffered in a…

…ratory arrest. The coroner found she died from acute exacerbation of congestive heart failure following her fall. While expert review identified suboptimal paramedic care (limited initial assessment, ineffective communic…

emergency medicineparamedicineproceduralcommunicationmethoxyflurane
VICaged care2025-09-10

Finding into death of Frances Mary Hayden

78y · Female·Complications of mandibular fractures sustained in a fall, in the setting of mal…

Frances Hayden, 78, died from complications of mandibular fractures sustained in a fall at an aged care facility. She had long-standing schizoaffective disorder with associated anorexia, resultin…

geriatric medicinepsychiatry
VIChome2025-07-24

Finding into death of Jill Hughes

75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis

A 75-year-old woman died from infective complications of a left hand wound sustained in a fall from a ladder in November 2023, complicated by undiagnosed diabetic ketoacidosis. Despite family encouragem…

infectious diseasesendocrinologydelaydiagnostic
TAShospital2024-09-12

Coroner's Finding: Chapman, Jane Ann

74y · Female·Post-operative exacerbation of delirium and terminal functional deterioration du…

…fluenza A, requiring ICU admission. She died from post-operative delirium and functional deterioration. The fall was preventable: the coroner found that failure to raise bed rails and leave her unsupervised were key fact…

emergency medicineorthopaedic surgeryproceduralsystem
TASaged care2017-06-12

Coroner's Finding: Bugg, Margaret Evalina

89y · Female·pneumonia and acute renal failure following a fractured right femur due to a fal…

…ed from pneumonia and acute renal failure following a spiral fracture of her right femur sustained during a fall from a stand-up lifter on 17 December 2015. A mobility assessment in October 2015 had determined she requir…

emergency medicinegeriatric medicineproceduraldiagnostic
TAShospital2022-11-11

Coroner's Finding: Revell, Dianne Judith

65y · Female·decompensated liver failure

…cirrhosis secondary to 20 years of heavy alcohol use and hepatitis C, was admitted following an intoxicated fall causing an olecranon fracture. Post-operatively, she developed a small bowel obstruction and rapidly decomp…

general surgerygastroenterologycommunication
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
SAaged care2024-06-19

Coroner's Finding: Coom, William Cyril Denver

92y · Male·unascertained

A 92-year-old man with advanced dementia died in aged care following an unwitnessed fall on 3 December 2021. He deteriorated rapidly after a second fall at 11:45pm and died shortly after. The prec…

geriatric medicinegeneral practicecommunicationsystem
SAhospital2022-12-16

Coroner's Finding: Roocroft, Bryan

84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…

Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…

geriatric medicineorthopaedic surgeryoxazepam
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

…hes, 83-year-old retired mining engineer with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 at Royal Hobart H…

orthopaedic surgeryemergency medicine
SAaged care2020-05-28

Coroner's Finding: COCHRAN Henry Reginald

89y · Male·ischaemic heart disease and chronic obstructive pulmonary disease with aspiratio…

…g home from cardiorespiratory failure with aspiration pneumonia. He was found on the bathroom floor after a fall and pronounced dead shortly after. He had hypoxia documented from 6 June and was on oxygen therapy. The cor…

general practicegeriatric medicine
TAShospital2022-02-23

Coroner's Finding: Attwood, Maurice

86y · Male·hospital acquired pneumonia

…ld, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration risk, severe malnutrition, as…

orthopaedic surgeryintensive care
SAhospital2022-03-29

Coroner's Finding: Davies, Allen William Harold

85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…

…Royal Adelaide Hospital where he developed severe pharyngeal dysphagia and delirium requiring a Level 1 Inpatient Treatment Order. A geriatrician identified underlying neurodegenerative dementia as likely cause of dysph…

neurosurgerygeriatric medicinehaloperidol
TASaged care2023-11-20

Coroner's Finding: Gray, Laurence Keith

96y · Male·Traumatic closed head injuries sustained in a fall

A 96-year-old man with cognitive impairment and previous traumatic brain injury from a 2021 fall was admitted to residential aged care on 16 February 2022. He had a minor slip from his chair on admission …

geriatric medicinegeneral practice
TAShospital2019-02-22

Coroner's Finding: Mansfield, Doreen

78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…

…mitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall in her room on 1 August 2015, fracturing her left femur, and died from complications on 2 August 2015. A fa…

psychiatryorthopaedic surgerysystemlithium

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