Coronial

214 results for fall in elderly

VICaged care2023-05-15

Finding into death of Nickolaos Vlahos

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…

geriatric medicinesystemcommunication
VIChospital2014-11-17

Finding into death of Kam Wah Koh

84y · Male·Pneumonia complicating fractured cervical spine in the setting of fall

…pneumonia and Type 2 respiratory failure nine days after sustaining a severe cervical spine fracture from a fall on a bus. Following the acute traumatic injury, he was appropriately managed in ICU with monitoring of resp…

trauma surgeryorthopaedic surgerydexamethasone
VICcommunity2022-12-20

Finding into death of Charles Frederick Norton

87y · Male·Ischaemic heart disease in the setting of immersion

… stenosis. In the week before death, he experienced arm weakness, side pain, confusion, hallucinations, and falls. He was taken to hospital and then a respite centre. The autopsy could not confirm drowning; his lungs sho…

general practiceemergency medicinesystemdiltiazem
VIChospital2025-09-30

Finding into death of Robert Thoai Dao

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…

paramedicineemergency medicinediagnosticprocedural
VIC2011-07-28

Finding into death of Mr M

82y · Male·closed head injury (subdural haematoma) sustained in a fall

An 82-year-old man on warfarin died from a subdural haematoma sustained in a fall at a rehabilitation centre. He fell while attempting to walk to the toilet unassisted after not being provi…

emergency medicineneurosurgerysystemdelaywarfarin
TAShospital2020-04-01

Coroner's Finding: Button, Shirley Gwendoline

69y · Female·subdural haematoma

A 69-year-old woman sustained a head injury from a witnessed fall, striking her head on a brick wall. She lost consciousness, experienced headache, vision problems and vomit…

emergency medicineradiologydiagnosticanticoagulant
QLDaged care2011-05-31

Frost, Margery

85y · Female·Coronary atherosclerosis with other significant factors being acute bronchitis, …

…d supervision arrangements, particularly when caring for vulnerable residents with wandering behaviours and fall risks.

geriatric medicinesystem
NSWaged care2016-10-20

Inquest into the death of Savvas Epsimos

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…

geriatric medicineemergency medicineproceduralcommunication
TASaged care2021-03-25

Coroner's Finding: Clark, Philip Patrick

79y · Male·advanced dementia, atherosclerotic and hypertensive cerebrovascular disease, and…

… and supervision at the facility was entirely appropriate, with no evidence of mistreatment or contributory fall-related injury. This case illustrates appropriate end-of-life care management in an aged care setting.

geriatric medicinepalliative care
VIChospital2020-09-28

Finding into death of Graham William Summerfield

82y · Male·Complications of multiple injuries (palliated), sustained in a quad bike inciden…

…ly have changed the outcome. Key clinical lessons include the importance of assessing fitness to drive in elderly patients and documenting safety counselling when patients ignore licensing restrictions.

trauma surgeryintensive care
TAShospital2019-07-25

Coroner's Finding: Horcicka, Josef Vratislav

89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…

…clinical lesson: MRI is superior to CT for detecting ligamentous cervical spine injuries, particularly in elderly patients with haematoma on imaging.

orthopaedic surgeryemergency medicinediagnosticproceduralmorphine
VIChospital2020-03-30

Finding into death of Timothy Leighton Richardson

82y · Male·Ischaemic heart disease

…ior coronary artery grafts and a recent myocardial infarction in January 2019. In June 2019, he sustained a fall and imaging revealed cardiomegaly and severe heart failure. He deteriorated progressively and was transferr…

cardiologyforensic medicine
WAhospital2009-08-25

Inquest into the Death of Partington

88y · Female·pneumonia and morphine toxicity in an elderly lady with a recent left leg and le…

Pauline Margaret Partington, an 88-year-old woman, suffered an unwitnessed fall at a residential aged care facility on 4 May 2008 and sustained a fractured left neck of femur, displaced f…

geriatric medicinegeneral medicinecommunicationsystemmorphine
TASaged care2023-01-30

Coroner's Finding: Munnings, Barry

86y · Male·pneumonia

…in a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium falls risk despite risk-taking behaviours and non-compliance with supervision. Discharged from hospital with pai…

geriatric medicineemergency medicinediagnosticsystem
TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

An 81-year-old man suffered a witnessed fall at a shopping centre with head strike to the right parietal region. He presented to the ED with a small hae…

emergency medicinecardiologydiagnosticproceduralparacetamol
TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

…isease and long-standing gastro-oesophageal reflux disease (GORD) sustained a traumatic brain injury from a fall at home on 3 July 2021. He was admitted to hospital on 6 July 2021 with subdural and subarachnoid haemorrha…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
NSWhospital2025-05-28

Inquest into the Death of Garry Small

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…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
NSWaged care2025-01-28

Inquest into the Death of Robert Driver

89y · Male·Cervical spine trauma

…dvance care planning/MOLST documentation, careful consideration of cervical spine immobilisation in frail elderly patients (with poor evidence base and associated morbidities), and the need to escalate during night hour…

emergency medicineneurosurgerydelaycommunicationrisperidone
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

Michele Valentino, 81, died from a head injury sustained in a fall on 20 December 2019, with death occurring on 24 December 2019. A CT angiogram at 3:45pm showed worsening in…

emergency medicineradiologydiagnosticcommunicationaspirin
SAhospital2000-05-12

Coroner's Finding: COPPING Leslie Walter

84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…

An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…

emergency medicinegeneral practicesystemcommunication

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