Finding into death of Margaret Smith
91y · Female·Unascertained
Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory…
136 results for “fall in elderly patient”
91y · Female·Unascertained
Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory…
87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
An 87-year-old woman on irreversible anticoagulation suffered a subdural haematoma from a fall. She presented to a community hospital lucid with stable vitals. A CT scan confirmed acute subdural haemato…
83y · Male·Acute subdural haemorrhage following a fall
…who failed to identify a small (3-4 mm) acute subdural haematoma in the right temporo-frontal region. The patient was admitted for observation and surgical repair of facial wounds. On 31 October, Mr Bedford deteriorated…
70y · Male·ischaemic heart disease
…c stenosis died suddenly of acute myocardial infarction while in compulsory mental health detention. He had fallen the previous morning and was assessed by a locum doctor at midnight with findings interpreted as mechanic…
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…
93y · Male·Alzheimer's dementia (as recorded on MCCD); however, the death resulted from a f…
…sey Community Hospital on 22 July 2022, three weeks after sustaining a fractured neck of right femur from a fall on 1 July 2022. While the coroner found no issues with his clinical care, a critical administrative failure…
84y · Male·Complications of large right subdural haematoma
An elderly man with cognitive impairment and multiple comorbidities fell out of bed at an aged care facility while a…
82y · Female·complications of a closed head injury (operated) sustained in a fall
…ndant vigilance. Lockable hand brakes on wheelchairs can prevent rolling away. The death underscores that elderly persons requiring wheelchair assistance should obtain professional occupational therapy or physiotherapy …
76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…
…r-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her husband lost control of a shopping trolley with a missin…
73y · Female·end stage renal failure
Patricia Andrew, a 73-year-old woman with Down syndrome, end-stage renal failure, type 2 diabetes, and intellectual disability, was resident in a Department of Human Services community unit. She deteriorated over several…
89y · Female·Complications of fractured neck of femur in the setting of a fall in a woman wit…
An 89-year-old woman with dementia and high falls risk sustained a fall at an aged care facility on 24 August 2019. The enrolled nurse in charge, on her thi…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
…tured her right femur while ambulating with a frame in the low-stimulus area despite being assessed as high falls risk. She underwent surgery on 27 August but her acute mania, severe agitation, and challenging behaviour …
85y · Male·metastatic prostate cancer
… in 2017, subsequently diagnosed with metastatic disease in 2018 with a Gleason score of 9. He suffered two falls in custody, the second resulting in hip fracture shortly before death. The coroner found the cause of deat…
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…
93y · Male·digoxin toxicity complicating acute on chronic renal failure
…ied from digoxin toxicity complicating acute-on-chronic renal failure. He presented to hospital following a fall at home with a serum digoxin level of 3.68 nmol/L—well above the therapeutic range. The key clinical lesson…
79y · Female·cardiogenic shock following repair of fractured right femur on a background of a…
… Lyell McEwin Hospital was appropriate. Clinical lessons include careful perioperative risk assessment in elderly patients with significant cardiac disease, early recognition of myocardial ischaemia post-surgery, and ti…
89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…
…egia/quadriplegia. An MRI scan would have detected the ligamentous injury and prevented mobilisation. The patient underwent delayed neurosurgical fusion but deteriorated with post-operative pneumonia and was managed pal…
84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…
…s. The coroner found the death was not deliberately self-inflicted but likely resulted from confusion—the patient may have opened the window intending to leave, unaware of the height or his location. Critical system fai…
75y · Male·acute right subdural haemorrhage sustained in a fall
…75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at a supermarket on 14 August 2014, then falling onto concrete at a shopping centre on 15 …
73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…
… Attending paramedics failed to follow Ambulance Victoria spinal injury guidelines, treating it as a simple fall despite dispatch information indicating a potentially dangerous injury. They did not perform neurological e…
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