Coronial

402 results for fall risk

TAS2021-11-16

Coroner's Finding: Chilvers, Peter Michael

49y · Male·massive non-survivable head, trunk and limb injuries from a 100-metre fall

…-year-old experienced mountaineer, died from massive head, trunk and limb injuries sustained in a 100-metre fall while abseiling on Mt Geryon. He tied two 60-metre ropes together using an abnormal figure-8 knot that was …

NSWcommunity2021-01-29

Inquest into the death of Deborah Spencer

56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…

Deborah Spencer, a 56-year-old woman with a history of heavy alcohol use and previous falls, died from blunt head injury with hyoid bone fracture. She was found unconscious near Lemongrove Bridge in…

emergency medicineintensive care
NSWaged care2018-09-25

Inquest into the death of Melissa STANDEN

13y · Female·Hanging

…nd physical and cognitive disabilities (mosaicism), died from hanging at Westmead Children's Hospital after falling from a hospital bed at Allowah respite facility. She became entangled by her t-shirt on the bed frame co…

paediatricsoccupational therapydiagnosticsystem
TAShome2024-09-19

Coroner's Finding: Wright, Ronald James

81y · Male·Pulmonary thromboembolism as a result of multiple traumatic injuries caused by a…

… safety, particularly for older workers, is critical and that this preventable death highlights the ongoing risk of unsafe ladder use among elderly males.

trauma surgeryintensive caresystem
NT2013-12-04

Inquest into the death of Paul James Du Toit

53y · Male·Drowning

…m immobile and unable to escape the rising tide. Medical experts confirmed the injury was consistent with a fall rather than vehicular impact, though the exact circumstances remain unclear. The coroner concluded the deat…

forensic medicineorthopaedic surgeryalcohol
VIChospital2012-03-19

Finding into death of Mawuone Ngutgar

21y · Male·cerebral edema, cerebral infarcts and pneumonia; subdural haematoma

… a blood alcohol level of 0.32 g/100ml—more than double the level that causes severe CNS depression. He had fallen backwards at the doorway, striking his head on concrete, causing subdural haematoma, cerebral oedema, and…

neurosurgerytrauma surgeryalcohol
TASaged care2023-05-22

Coroner's Finding: Courtney, Wesley Paton

84y · Male·Head and neck injuries sustained in a fall; specifically facial bone fractures a…

…ogressive aphasia and cognitive decline residing in aged care sustained fatal head and neck injuries from a fall on 13 May 2020. He had experienced seven documented falls over 2.5 months at the facility despite appropria…

geriatric medicineemergency medicine
VICaged care2021-04-23

Finding into death of Josephine Helen Clarke

69y · Female·Complications of a subdural haemorrhage (palliated) sustained in a fall

Josephine Helen Clarke, age 69, died from complications of a subdural haemorrhage sustained in a fall at Kingston Centre rehabilitation facility on 11 September 2018. Mrs Clarke had been recovering from a suba…

geriatric medicineneurosurgerysystemcommunication
SAaged care2016-02-08

Coroner's Finding: FORD Marie Janet

84y · Female·acute left subdural haematoma

…njuries should be referred to hospital for assessment and CT scanning. This case illustrates the particular risk of intracranial bleeding in anticoagulated elderly patients with dementia, where cerebral atrophy delays sy…

geriatric medicineemergency medicinecommunicationsystemwarfarin
QLDhome2009-04-24

Joy, Michael Joseph

43y · Male·intra-abdominal haemorrhage due to traumatic rupture of splenic blood vessels du…

…ility and residential care, died from intra-abdominal haemorrhage due to splenic vessel rupture following a fall in his bathroom on 24 February 2007. He was missed from the disability care service roster that day due to …

general practicepathologysystemcommunication
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
VICaged care2016-02-08

Finding into death of Leslie Frederick Alexander

77y · Male·Subarachnoid and subdural haemorrhage post head trauma secondary to a fall

Leslie Alexander, 77, died from subarachnoid and subdural haemorrhage following a fall at an aged care facility. He fell on 29 March and again on 30 March 2015, striking his head. Initial assess…

general practiceemergency medicinediagnosticcommunication
VICcommunity2011-03-25

Finding into death of Gerard Patrick O'Brien

34y · Male·Injuries sustained in a fall from a height

Gerard Patrick O'Brien, aged 34, died from injuries sustained in a fall from the Westgate Bridge following a brief police pursuit. The coroner found he intentionally took his own …

QLDhome2010-12-13

King, Brenda Elizabeth

58y · Female·Acute subdural haemorrhage due to blunt force trauma to the head

…cute 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 resulted from…

pathologyemergency medicinecommunicationsystemalcohol
VICmental health2014-02-10

Finding into death of Frank (Francesco) Sette

72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall

…ations. Clinical staff were present and responding appropriately to his acute agitation and behaviours. The fall occurred unexpectedly despite close supervision and 15-minute visual observations. Post-mortem examination …

psychiatrygeriatric medicinesodium valproate
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
VICaged care2020-11-05

Finding into death of Sylvia Valerie Woolford

88y · Female·Complications of fractured neck of femur

…old woman with advanced dementia died from complications following a fractured neck of femur sustained in a fall caused by another resident with vascular dementia in a secured aged care unit. The fall occurred on 3 June …

geriatric medicineorthopaedic surgerysystem
VIChospital2025-10-28

Finding into death of Jean Elizabeth Crocker

90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …

A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was…

emergency medicinegeneral medicinemedicationdiagnosticwarfarin
VIC2013-04-18

Finding into death of Scarlet Ryle Spain

20y · Female·Head injuries sustained from fall from a height

A 20-year-old woman died from head injuries sustained in a fall from height at an abandoned warehouse being used as squat accommodation. She fell approximately 5.4 metres …

SAhospital2021-06-30

Coroner's Finding: VOIVODICH Guido

84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …

…he declined despite physiotherapy attempts, becoming bed-bound with poor oral intake. The coroner found the fall circumstances not suspicious, care was appropriate, and no recommendations were made. Clinical lessons incl…

psychiatrygeriatric medicineapixaban
156721

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