Coronial

402 results for fall risk

TAScommunity2015-03-18

Coroner's Finding: Bronson, Connan Taiaroa

59y · Male·Multiple blunt injuries following a fall from a cliff

A 59-year-old man with a long history of illicit drug use, homelessness, and untreated mental health symptoms died by suicide after jumping from a cliff. He had refused offers of accommodation and support from his sons s…

methamphetamines
WAaged care2013

Inquest into the Death of Webb, Violet

83y · Female·Diffuse Alveolar Damage in a woman with recent leg fracture and Atherosclerotic …

…ablished safety system. Key lessons: maintain adherence to individualised care plans, particularly for high-risk transfers; anticipate complications when mobilisation constraints are not followed; and ensure consistent d…

geriatric medicineorthopaedic surgeryproceduralsystemfentanyl
NSW2019-08-23

Inquest into the death of Patrick FISHER

35y · Male·multiple injuries received when he fell from a 13th floor balcony

Patrick Fisher, aged 35, died on 7 February 2018 after falling from a 13th floor apartment balcony while evading police attempting to execute arrest warrants. He was a…

methamphetamine
NSWhospital2021-09-28

Inquest into the death of Gwenith ELKINGTON

60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…

… cerebral bleed resulting from haemorrhagic progression of a traumatic brain injury sustained in a bathroom fall on 21 September 2015. The injury caused a contre coup contusion to the opposite cerebral hemisphere. Critic…

emergency medicineneurosurgerydelaycommunicationibuprofen
SAmental health2020-04-30

Coroner's Finding: BENN John Harold

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…

psychiatrygeriatric medicine
NSWaged care2011-05-20

Coroner's Finding: Iris Conyngham

91y · Female·traumatic subarachnoid haemorrhage and acute and chronic subdural haematoma as a…

…admitted to high-care aged care facility (Bennelong House) on 14 October 2009 following stroke and multiple falls. Within one hour of arrival, she fell from bed and lay on the floor for approximately 45 minutes before be…

geriatric medicineproceduralcommunication
VICcommunity2010-05-27

David holland 458408

31y · Male·Multiple injuries in a fall

…ion (0.19g/100mL) and absence of antidepressant medication. He died from multiple injuries sustained in the fall. The coroner made no adverse findings about clinical care but identified the E.J. Whitten Bridge as the sec…

alcohol
QLDhome2019-11-06

Follent, Mitchell James - Non-inquest findings

22y · Male·Multiple injuries from fall from height

Mitchell Follent, 22, died by fall from a third-floor balcony five days after discharge from his first psychiatric admission for post-ictal/dr…

psychiatryneurologydiagnosticcommunicationolanzapine
NThome2008-01-02

Inquest into the death of John Russell Ralkurra Marika

43y · Male·Myocardial infarction secondary to coronary atherosclerosis

…andah after being pushed during an altercation while intoxicated (BAC 0.311%). Stress from the conflict and fall may have precipitated the fatal heart attack. Clinically, this highlights the importance of proactive cardi…

cardiologypathologydiagnostic
VICcommunity2015-05-29

Finding into death of Craig Doherty

49y · Male·Multiple injuries from a fall from height

… manic relapse with paranoid delusions, medication non-compliance, and recent substance use require careful risk stratification; apparent calmness and explicit denial of suicidality may mask high suicide risk in this pop…

psychiatrygeneral practicelithium
VIC2024-09-23

Finding into death of Silvio Rolfo

55y · Male·Sudden and unexpected death in epilepsy

…ed living residence. He was found on the floor beside his bed on the morning of 13 July 2023, having likely fallen during a nocturnal seizure. His epilepsy was managed by a neurologist with annual reviews; his last revie…

general practiceneurologybenztropine
SAhospital2000-05-12

Coroner's Finding: COPPING Leslie Walter

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

…nial recommendations about window safety from two similar deaths (1993, 1996) to country hospitals; lack of risk assessment by nursing staff; and inadequate communication between medical and nursing teams. The hospital h…

emergency medicinegeneral practicesystemcommunication
VIC2020-07-30

Finding into death of Reece Richard D'Antonio

26y · Male·Injuries sustained in a fall from height

Reece D'Antonio, aged 26, died after falling eight stories from the 15th floor of a building while attempting to evade police during a criminal opera…

methamphetamine
VIChospital2025-12-15

Finding into death of Yan Jin

64y · Male·Pneumonia secondary to ischaemic cerebrovascular incidents, hypertension, and at…

…n with history of stroke, hypertension, and atrial fibrillation, was admitted to hospital after a witnessed fall from bed. Despite no fractures, he remained hospitalised for discharge planning given inadequate home suppo…

emergency medicinegeneral medicinepiperacillin/tazobactam
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

…matic brain injury sustained during an unprovoked assault by another prisoner. A single punch caused him to fall backward onto concrete, resulting in extensive skull fractures and intracranial haemorrhages. The coroner f…

neurosurgeryemergency medicinemethadone
TAShospital2024-10-11

Coroner's Finding: Vieth, Karl Heinz

92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…

…table for complex, confused patients requiring prolonged admission. On day four, he suffered an unwitnessed fall resulting in a periprosthetic hip fracture, after which his condition rapidly deteriorated. He died in pall…

general medicineemergency medicinesystemdelaymelatonin
NSWhospital2020-09-09

Inquest into the death of Grace HERINGTON

23y · Female·multiple blunt force injuries from fall from height

Grace Herington, 23, died from multiple blunt force injuries sustained in a fall from a highway off-ramp during an acute psychotic episode induced by cannabis use. She had attended Royal N…

emergency medicinepsychiatrycommunicationsystemcannabis
WA2003-06-06

Inquest into the Death of Phillip Reginald James Steel

43y · Male·Multiple injuries from fall

…ble wedge, the ground collapsed beneath it. Steel attempted to reverse and leap clear but was caught in the fall. The coroner found critical system failures in hazard communication, noting that the reasons for restrictio…

communicationsystem
VIChome2019-10-02

Finding into death of Antonios Vitou

92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …

A 92-year-old C4 quadriplegic man with ischaemic heart disease and cardiomegaly died following a fall at home. Two scheduled disability support shifts (1:00pm and 8:30pm) failed on 31 January 2019 due to staff…

cardiologyemergency medicinesystemcommunicationbisoprolol
NSW2024-03-13

Inquest into the death of O A

44y · Male·multiple injuries from fall from cliff

…ilial Mediterranean fever (FMF) and bipolar affective disorder with drug-induced psychosis died following a fall from a cliff at Vaucluse during a police rescue operation. He had been managing severe FMF pain with oxycod…

rheumatologyallergy and immunologycommunicationsystemoxycodone
1891021

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