82 results for “history of falls”
51y · Male·Blunt head injury sustained in the circumstances of a seizure
John Jansen, a 51-year-old man with poorly controlled epilepsy and chronic alcoholism, died from blunt head injury sustained during a seizure in his home. He had not taken his anti-epileptic medication (Epilim) for four …
80y · Male·Pneumonia, with multi-organ failure in the form of liver failure (due to chronic…
…y Correctional 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 t…
30y · Female·tricuspid valve bacterial endocarditis
…or pulmonary embolism, discharging her with a diagnosis of viral illness. Four days later, paramedic Shaun Falls attended her home but failed to explore her chest pain complaint, misrecorded her elevated heart rate (136…
68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…
A 68-year-old man died of community-acquired pneumonia complicated by asplenia (absent splenic function), chronic liver disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia,…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
…raventricular, and brainstem haemorrhages. The critical clinical lesson: elderly patients with significant falls and loss of consciousness warrant brain imaging regardless of absent neurological signs, as ICH symptoms m…
22y · Male·Multiple injuries from fall from height
…ncies included: inadequate risk assessment despite multiple static risk factors (intellectual disability, history of self-harm ideation, vulnerability); failure to involve primary carer (mother) in discharge planning; l…
58y · Female·Acute subdural haemorrhage due to blunt force trauma to the head
…ed from acute subdural haemorrhage following blunt head trauma. She had chronic alcoholism and documented history of falls when intoxicated. The coroner could not definitively determine whether the fatal head injury res…
35y · Male·Unknown
…y—four days later than it might have been. His body was found on 6 June in a pool at the base of Minnehaha Falls. The cause of death could not be determined due to decomposition. The coroner identified a critical commun…
93y · Female·Subdural haemorrhage in the setting of a fall (palliated)
A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Disch…
Female·Pulmonary thromboembolism due to deep vein thrombosis following lower leg fractu…
Two women aged 48 and 59 presented to Shellharbour Hospital ED with lower leg fractures sustained in falls. Both were treated conservatively with immobilization (splint and plaster back slab) and discharged home w…
36y · Female·combined effects of baclofen toxicity and blunt head injury
Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treated with off-label baclofen prescribed by…
54y · Female·mixed drug toxicity
A 54-year-old nurse with chronic pain from a 1990 back injury died from mixed drug toxicity involving morphine, codeine, doxylamine and nitrazepam. She was prescribed multiple CNS depressants for years despite being desi…
89y · Female·pneumonia and acute renal failure following a fractured right femur due to a fal…
Margaret Evalina Bugg, aged 89, died 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 Octo…
91y · Female·asphyxiation due to neck entrapment on KA524 bedpole following fall from bed
Martha McKee, 91, died from asphyxiation when her neck became entrapped on a KA524 bedpole after falling from bed at Mid Richmond Aged Care on 28 July 2010. Multiple systemic failures contributed: one night carer was res…
0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…
… death. Key failures: inadequate documentation, lack of formal risk counselling despite complex obstetric history (prior caesarean/VBAC at home), no clear escalation plan despite known GBS risks, and failure to engage o…
59y · Female·multiple injuries from fall from height
…linicians, not families; (3) Information sharing between NSW Police and Ambulance NSW about mental health history was inadequate—police possessed records of Fiona's psychiatric history but failed to communicate this whe…
83y · Male·Traumatic asphyxia in a man with coronary artery atherosclerosis
Norman Anderson, 83, died from traumatic asphyxia when he became entrapped face-down in the mesh webbing of a Siltex 'Disappearing Cotside' bed rail at Toorak House aged care facility on 14 November 2000. The coroner fou…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
…der, died in custody from septicemia secondary to chronic peptic ulcer disease. He had a documented ulcer history diagnosed in November 2020 and should have been on proton pump inhibitor therapy. While in remand at MRRC…
84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…
Barbara Westcott, aged 84, died of positional asphyxia on 31 March 2012 when her head and neck became trapped between her mattress and a bed pole at Vaucluse Gardens aged care facility in Hobart, Tasmania. The bed pole, …
63y · Male·Drowning
Antonio D'Augello, a 63-year-old man with schizophrenia and acquired brain injury, died by drowning in an irrigation channel four days after discharge from emergency care. He had deteriorated after stopping antipsychotic…
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