Coronial

402 results for fall risk

TAShospital2021-04-12

Coroner's Finding: Fowler, Alice Mary

91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur

Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December…

geriatric medicineorthopaedic surgerysystemdelay
SAaged care2024-05-22

Coroner's Finding: Donato, Anthony

85y · Male·blunt craniocerebral trauma following a fall

Anthony Donato, aged 85, died from blunt craniocerebral trauma following an unwitnessed fall at an aged care facility. He had dementia, hypertension, sleep apnoea, and previous falls. He was assessed …

geriatric medicineemergency medicine
TASaged care2021-07-14

Coroner's Finding: Cano, Carmen

84y · Female·complications of a fractured left hip suffered in an unwitnessed fall in aged ca…

An 84-year-old woman with dementia and osteoporosis residing in aged care suffered an unwitnessed fall in a corridor, sustaining a left hip fracture. She underwent high-risk surgical repair on day 3 post-fall. …

geriatric medicineorthopaedic surgerydiagnostic
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

…tract infection. He was on SMZ-TMP antibiotics, which interact significantly with warfarin. After the first fall on 1 February, he had postural hypotension, mild head pain, and confusion, but the post-fall clinical pathw…

general medicineemergency medicinediagnosticsystemwarfarin
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

…y Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged against medic…

orthopaedic surgerygeneral medicinesystemdelay
ACThospital2022-09-16

Inquest into the death of Mrs Judith Gaye Flynn

72y · Female·subdural haemorrhage sustained from a fall from a hospital bed on 18 January 201…

…stained when she fell from a hospital bed on the General Medicine Ward at Canberra Hospital. She was a high-risk fall patient with cognitive impairment, a history of falls, and postural hypotension. Although medical asse…

general medicineemergency medicinesystemcommunication
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate fal…

geriatric medicineemergency medicinediagnosticmedicationaspirin
TAShospital2020-07-27

Coroner's Finding: McNeair, Jacqueline

79y · Female·subdural haematoma following mechanical fall with head strike

…al haematoma and died 11 days later. The coroner found the care provided was adequate and appropriate, with fall risk appropriately assessed at level two requiring one-staff assistance. While the patient's progressive in…

emergency medicinegeneral medicine
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 inpati…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIChospital2014-03-17

Finding into death of Mervyn Barry Maslin

67y · Male·Complications arising from multiple injuries — fall from a height

A 67-year-old man died from complications of multiple injuries sustained in a fall from a 3-metre ladder while conducting home roof repairs in Tasmania. He fell forward through polycarbonate…

neurosurgerytrauma surgerysystem
NThospital2016-09-01

Inquest into the death of Kerry James Murphy

73y · Male·Acute subdural haematoma

Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was admitted with pneumonia, NSTEMI, and di…

emergency medicinecardiologysystemcommunicationblood thinners
TASaged care2023-06-27

Coroner's Finding: Guy, Peter Joseph

82y · Male·hypostatic pneumonia

…ld man with dementia and multiple comorbidities died of hypostatic pneumonia following complications from a fall at a residential aged care facility. He sustained an L2 compression fracture from an unwitnessed bed fall o…

geriatric medicineemergency medicinesystemprocedural
TASaged care2023-08-08

Coroner's Finding: Bell, Elizabeth Robertson

84y · Female·pneumonia and fracture of the neck of right femur following a fall

Mrs Bell, aged 84, died from pneumonia and a fractured right femoral neck sustained in a fall at a residential aged care facility. She had advanced Alzheimer's disease, cognitive impairment, impulsive …

geriatric medicinephysiotherapysystemproceduralmorphine
VICaged care2020-01-13

Finding into death of Annie Chettle

74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…

…old aged care resident with multiple comorbidities including dementia, schizoaffective disorder, and a nine-fall history in twelve months, fell from a shower chair while a personal care assistant briefly left to fetch cl…

geriatric medicineemergency medicinediagnosticcommunication
TASaged care2023-02-22

Coroner's Finding: Cash, Robert

89y · Male·peri-prosthetic fracture of right femur

89-year-old man resident in aged care suffered an unwitnessed fall in his bathroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls ri…

orthopaedic surgerygeriatric medicinesystem
VIC2018-02-02

Finding into death of Friederike Antonia Ruhle

25y · Female·Chest injury in a workplace incident

…racecourse during track work. Her horse was spooked, likely by recent barrier railing works, causing her to fall and be struck by the horse's hooves. She suffered multiple rib fractures, bilateral haemothoraces, and pulm…

emergency medicinetrauma surgerysystem
VIChome2015-10-08

Finding into death of Edna May Pullen

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…

neurosurgerygeriatric medicine
TAS2021-06-18

Coroner's Finding: Gleeson, Craig; Lucas, Alistair & Welsh, Michael

Male·Mr Gleeson: fatal chest injuries from fall; Mr Lucas: chest and abdominal injuri…

…d an engineered platform, and deployed the skip bin as a barrier. Welsh's death occurred despite reasonable risk management protocols being largely in place. Critical lessons: rigorous adherence to fall protection, prope…

systemprocedural
VIChospital2018-10-16

Finding into death of Leli Pulis

55y · Male·Multiple injuries sustained in a fall from a height

A 55-year-old man died from multiple injuries sustained in a fall from a height while clearing guttering from his home carport. He fell through corrugated iron and plastic r…

neurosurgeryorthopaedic surgerysystemfentanyl
ACTcommunity2021-08-02

Inquest into the death of KATHLEEN BAIN HENDERSON

85y · Female·Head injury due to a fall from a bus

…e driveway after standing to exit. The coroner found the manner and cause of death was head injury due to a fall from a bus. Clinical management at hospital was appropriate. The coroner identified a public safety matter:…

system
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