402 results for “fall risk”
87y · Male·acute renal failure and two major haemorrhagic strokes
…gic strokes after three months in an aged care facility. During his stay at Plumpton Villa, he suffered two falls and sustained a significant thermal burn to his arm from a wall heater, and developed aspiration pneumonia…
65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …
…ting condition causing vertebral fusion made him highly vulnerable to severe injury from minimal force. The fall caused C2 and C5/6 vertebral fractures with spinal compression and subarachnoid haemorrhage, resulting in r…
81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…
…no concerns with care provided by the aged care facility or hospital. Clinical lessons include: maintaining fall prevention equipment even during brief periods of unavailability, monitoring for post-operative complicatio…
23y · Female·Injuries sustained in a fall from a height
Jacqueline Pringle, 23, died from injuries sustained in a fall from the 60th floor of an apartment after consuming alcohol and MDMA at Crown Casino. She had a complex psy…
53y · Male·Multiple injuries fall from height (paraglider)
A 53-year-old experienced paraglider with 1300 flying hours died from multiple injuries sustained in a fall from height after separating from his paraglider mid-flight. Investigation revealed he had failed to fasten…
92y · Male·Head and neck injuries sustained in a fall in a man with multiple co-morbidities
A 92-year-old man with dementia, multiple comorbidities, and a documented high falls risk died from head and neck injuries sustained in a fall at an aged care facility. He had experienced six…
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…
67y · Male·hypothermia
…by Wischnewski's ulcers. He exhibited paradoxical undressing and confused behaviour typical of hypothermia. Risk factors included advanced age, living alone, pre-existing disease (severe heart disease found at autopsy), …
91y · Male·Hypostatic pneumonia due to traumatic fracture of C7 and subluxation of C6/7, re…
…n Care Home in Tasmania with complex medical history including Alzheimer's disease, osteoporosis, and prior falls. On 24 January 2015, he fell while seated on a lightweight plastic chair in an outdoor area with uneven gr…
40y · Male·multiple injuries from fall from building
…ouglas Springgay, a 40-year-old man with chronic schizophrenia, died from multiple injuries sustained after falling from the Transport SA building in Walkerville on 19 April 2008. He was on approved leave of absence from…
82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…
Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Privat…
35y · Male·HEAD INJURIES SUSTAINED IN AN INDUSTRIAL ACCIDENT
…t the base of a curtain wall using an elevated work platform (EWP), a task added mid-project without formal risk assessment. The coroner found he removed his safety harness and stood directly on deteriorated louvre frame…
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 ca…
71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …
…y 2, sustaining a subdural haematoma requiring surgery. Although care was suboptimal, the coroner found the fall's cause multifactorial and could not conclude that timely antibiotics would have prevented it or materially…
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 …
51y · Female·traumatic closed head injuries sustained after falling from a ramp into a sunken…
…paint marking the edge, which blended with the floor. WorkSafe found the unguarded edge created foreseeable fall risk. Post-accident, bollards were installed on one side but not the other three sides of the sunken area. …
62y · Male·Head injuries sustained in a fall from height
…on in intercepted letters (December 2012 and March 2013) and was appropriately placed under observation and risk assessment by Justice Health on multiple occasions. Each time he denied current intent and was downgraded t…
40y · Unknown·Pulmonary thrombo-emboli complicating deep vein thrombosis of the right leg
…sm. Homeless individuals face barriers to accessing healthcare; proactive intervention and documentation of risk factors might have changed the outcome, though his refusal of care limited available options.
60y · Female·Complications of metastatic melanoma in the setting of neck of femur fracture fo…
…ied from complications of metastatic melanoma in the setting of a neck of femur fracture sustained during a fall. A skin lesion on her left calf, noted in January 2010, was clinically diagnosed as benign seborrhoeic kera…
79y · Male·Pneumonia complicating ischaemic heart disease and dementia
…mptoms. During hospitalisation he developed delirium in the context of respiratory infection, experienced a fall, and had declining swallow function with aspiration risk. Comfort care was implemented on 7 July and he die…
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