Coronial

26 results for balance impairment

TASaged care2025-12-12

Coroner's Finding: Mitchelmore, Susan

70y · Female·pneumonia and post-surgical course following repair of neck of femur fracture, i…

Susan Mitchelmore, a 70-year-old woman with multiple comorbidities including COPD, ischaemic heart disease, diabetes, and bipolar disorder, was a resident in an aged care facility under a Mental Health Act Treatment Orde…

geriatric medicinepsychiatryolanzapine
VICcommunity2023-06-05

Finding into death of Peter Boyle

61y · Male·Drowning

…g into water to free a sail line entangled in his yacht's propeller. He had Parkinson's disease affecting balance and swimming ability, wore only underwear without a life jacket, and misjudged the vessel's drift velocit…

occupational and environmental healthneurologysystemamantadine
VIC2025-03-31

Finding into death of John David Hogarth

59y · Male·Injuries sustained in a motorcycle incident (rider)

…rol on the Western Freeway near Ballan, Victoria. He was riding a roadworthy Harley Davidson when he lost balance after riding over asphalt repair bumps on the road surface. The coroner found no mechanical defect with t…

diazepam
VICcommunity2026-03-18

Finding into death of NJC

17y · Male·drowning

…dence established that the combination of alcohol and cannabis impaired his judgment, motor coordination, balance and cognitive function, giving him false confidence while reducing his ability to swim effectively and re…

forensic medicineaddiction medicinealcohol
TAScommunity2023-08-25

Coroner's Finding: Gudge, Gian George

35y · Male·Neck and chest injuries sustained in a single motorcycle crash; specifically cer…

… alcohol before riding, proper vehicle maintenance, and recognition of increased crash risk with alcohol impairment.

alcohol
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

…ures included: failure to review progress notes and blood test results before discharge, inadequate fluid balance documentation, poor communication between physicians, and failure to alert the treating doctor to abnorma…

surgerygastroenterologycommunicationsystemmixtard insulin
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

… autopsy, blood alcohol concentration was 0.23% (4.5 times the legal driving limit), causing significant impairment of balance, coordination, and judgment. She had alcohol-induced cirrhosis, previous head injuries with s…

emergency medicinegeneral practicecommunicationsystemalcohol
VICcommunity2025-05-09

Finding into death of Takamasa Takeda

31y · Male·Head injuries - horse rider struck by a motor vehicle

…e driver had a blood THC level of 3 ng/mL within three hours of collision, which the coroner found on the balance of probabilities impaired driving ability to some extent. However, multiple factors contributed: poor vis…

systemcannabis
VICcommunity2023-11-23

Finding into death of Daryl Scott Perkins

31y · Male·Multiple injuries sustained in a motor vehicle incident (passenger)

…t. Although acquitted of culpable driving causing death in criminal proceedings, the coroner found on the balance of probabilities that the driver's decision to operate the vehicle while significantly intoxicated with u…

systemalcohol
VICaged care2023-01-16

Finding into death of Heather Amy Robertson

83y · Female·Complications arising from a fall with C2 fracture and neck of femur fracture

…ntinuous supervision. The resident stood and walked unobserved to an adjoining lounge area where she lost balance and fell, sustaining a C2 vertebral fracture and neck of femur fracture. She died 5 days later from compl…

geriatric medicineemergency medicinesupervisionsystem
NT2024

Inquest into the death of Road Death 47 of 2024

26y · Male·Blunt force head injuries from ATV motor vehicle crash, with acute alcohol toxic…

… seatbelt, excessive speed, and distraction. Key clinical lesson: alcohol significantly impairs judgment, balance, and coordination at these blood levels, and combined with other risk factors creates catastrophic crash …

forensic medicineemergency medicinealcohol
SAhospital2014-05-19

Coroner's Finding: DONNELL Kevin George

60y · Male·end stage refractory chronic congestive cardiac failure on a background of chron…

…and severely impaired left ventricular function (EF 18%). Despite aggressive diuresis attempts, his fluid balance remained difficult to manage due to both his cardiac disease and psychiatric condition causing poor compl…

cardiologypsychiatry
QLDaged care2018-06-05

Milward, Paul Joseph

53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…

Paul Joseph Milward, aged 53 with Huntington's disease causing cognitive impairment and swallowing difficulties, died from choking on a bread sandwich while unsupervised in his aged care r…

geriatric medicinespeech pathologycommunicationsystemsodium valproate
NSWhome2023-04-26

Inquest into the death of AX

70y · Female·Cause of death could not be determined - available evidence does not allow a fin…

…heories of possible poisoning. The coroner found insufficient evidence to determine cause of death on the balance of probabilities, with both natural and non-natural causes remaining reasonably open. Key lessons include…

forensic medicinecardiologysystemdelaycandesartan
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIC2020-03-23

Finding into death of Scott Andrew Fewson

46y · Male·Multiple injuries sustained in a motorcycle incident (driver)

…ons, and bar staff that he was too intoxicated to ride, Fewson insisted on riding his motorcycle. He lost balance getting onto his motorcycle, failed to negotiate a right-hand bend in the dark on damp roads, and collide…

alcohol
QLDcommunity2008-10-24

Duncan, Joseph Douglas

18y · Male·Head injuries sustained in a motor vehicle accident following a police pursuit

… the decision to continue pursuit at high speed (120+ km/h) toward the city was questioned. The driver's impairment and unfamiliarity with the complex road geometry made the risk substantial. The coroner noted the primar…

communicationsystemalcohol
NSWcommunity2026-02-24

Inquest into the deaths of Jebriel Dandan and Seiffedine Malas

24y · Male·Multiple Traumatic Injuries sustained as a result of motor vehicle crash during …

…(cocaine, cannabis, tramadol >2x therapeutic range, benzodiazepam) caused substantial CNS depression and impairment. The coroner made recommendations to amend police policy to mandate lights/sirens activation when target…

forensic medicinetoxicologyproceduralcommunicationcocaine
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

…ollowing drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural tap procedures performed 7 February 2003, trauma to intercostal vessels led…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.