211 results for “falls risk”
85y · Female·Head injury due to a fall from a bus
… coroner identified a public safety matter: an elevated seat located adjacent to the open side door created risk for elderly passengers with mobility issues. The coroner recommended that Communities@Work and Transport Ca…
80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…
…o concerns regarding his care at the aged care facility or hospital. The case highlights the high mortality risk in elderly patients with femur fractures (25% at 30 days, 50% at one year) and the complex medical manageme…
85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…
… management at both hospitals was found appropriate. The coroner noted his son had advised staff about fall risk and suggested bed rails, but the patient had capacity to make decisions and was alert and independently mob…
43y · Male·Incised right radial artery
…abis combinations cause profound CNS depression, impaired judgment, and motor control loss, increasing fall risk and inability to self-protect from hemorrhage. Early recognition of liver disease and addiction severity sh…
89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…
…r. Post-mortem revealed old subdural haematomas and evidence of progressive supranuclear palsy (explaining falls), but these did not contribute to death. The coroner found his detention was lawful and appropriate, and h…
54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine
…essons include recognition that vulnerable populations in congregate settings require adequate monitoring; falls in individuals with pre-existing cardiac disease and cervical vulnerability can be rapidly fatal; and the …
36y · Male·Cardiac failure associated with intravenous methylamphetamine abuse and exertion
…isconduct. Clinical lesson: amphetamine users, particularly those injecting intravenously, face significant risk of sudden cardiac death during physical exertion or emotional stress, even at sub-lethal drug concentration…
68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…
…lapse. Speech pathology had prescribed texture-modified diet and nasogastric feeding due to high aspiration risk. The patient and family repeatedly requested 'normal' food despite education about risks. The coroner found…
81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…
An 81-year-old man with end-stage dementia, severe frontal lobe injury, and ischaemic heart disease died from pneumonia following hip fracture surgery. He fell while hip protectors were being cleaned after bowel incontin…
17y · Male·head injury in a fall from a height
Bailey Blackwell, a 17-year-old Aboriginal man, died from a head injury sustained in a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open cliff face, the ground…
Unknown·Cause of death unable to be determined in the absence of post-mortem examination
…es or post-mortem examination. Neither wore life jackets despite having them available. The case highlights risks of rock fishing at unprotected locations. The council subsequently initiated safety reviews and sought to …
93y · Female·Subdural haemorrhage in the setting of a fall (palliated)
A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Discharge plann…
53y · Male·Multiple injuries fall from height (paraglider)
…ht checks. The coroner emphasised that interrupted pre-flight checks and failed take-offs create heightened risk of omitting critical safety steps. Key lessons include the importance of completing pre-flight checks in th…
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
…p force wounds while on approved leave from a mental health inpatient facility. He had been assessed as low risk and granted frequent leave. Clinical lessons include: the complexity of managing patients with multiple com…
64y · Male·Multiple organ failure due to paracetamol toxicity
… four times daily for over 12 years for pain management. He presented with nonspecific symptoms (lethargy, falls, acute deterioration) that were misattributed to his known dementia and psychogenic polydipsia. By present…
55y · Male·Head injury from a fall, contributed to by chronic alcoholism and cirrhosis, res…
…pital's ICU following a seizure. He was transferred to Ward 4A on 14 October 2002 and classified as highest-risk for falls under the "Falling Stars" program. Despite this classification and clear clinical indication, he …
91y · Female·asphyxiation due to neck entrapment on KA524 bedpole following fall from bed
…e policy and training requirements, missing a potential resuscitation window; and the facility inadequately risk-assessed the bedpole despite a June 2010 Department of Health warning following a similar death. Facility m…
89y · Female·pneumonia and acute renal failure following a fractured right femur due to a fal…
Margaret Evalina Bugg, aged 89, died from pneumonia and acute renal failure following a spiral fracture of her right femur sustained during a fall from a stand-up lifter on 17 December 2015. A mobility assessment in Octo…
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…
58y · Female·Acute subdural haemorrhage due to blunt force trauma to the head
…ute 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…
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