Coronial

82 results for history of falls

VIChospital2011-11-07

Finding into death of Cecil John Dunne

86y · Male·head injury (acute intracerebral haemorrhage and subarachnoid haemorrhage)

An 86-year-old man with recurrent falls history was admitted to hospital after a fall at home. He was initially assessed as low falls risk (11/20 …

geriatric medicineemergency medicinediagnosticsystemwarfarin
VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

…blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining a subdural haemorrhage that progressed despite maximal medical ther…

haematologyinfectious diseasessystemdocumentationhydroxyurea
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

…CT brain identified a pre-existing subacute subdural haematoma from a prior fall. Despite documented fall history, no falls assessment, mobility evaluation, or comprehensive care plan was completed during his two-week a…

oncologygeneral medicinesystemdelay
QLDhospital2015-07-28

Mills, Stephen John

57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…

… bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on admission despite prior …

psychiatryneurosurgerysystemcommunicationseroquel xr
VIC2019

Finding into death of Geoffrey Joseph O"Neill

91y · Male·Head injuries sustained in a fall

…emorrhage not amenable to surgical intervention. O'Neill had relevant risk factors including age, previous falls in the prior two years, use of a walking stick, and cardiac history. The stairs appeared to comply with bu…

VICmental health2019-09-19

Finding into death of Vanna Vassallo

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

… subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She had sustained three falls during admission, with the final unwitnessed fall on 14 May 2017 resulting in massive intracranial bleedin…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
TASaged care2023-06-27

Coroner's Finding: Guy, Peter Joseph

82y · Male·hypostatic pneumonia

…pression fracture from an unwitnessed bed fall on 1 April 2022. The facility had documented multiple prior falls but failed to implement standard fall prevention measures including bed alarms or bed rails, despite clear…

geriatric medicineemergency medicinesystemprocedural
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

…idities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unable to self-recover. Despite this predictable high-risk prof…

general medicinecardiologydischargecommunication
SAhospital2016-09-12

Coroner's Finding: PIRRI Pasquale

90y · Male·acute myocardial infarction on a background of ischaemic heart disease, pneumoni…

A 90-year-old man with extensive cardiac history (previous bypass surgery and pacemaker) died of acute myocardial infarction following pneumonia and cogni…

cardiologygeriatric medicine
QLDhospital2009-11-11

Baker, Philip

55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease

…ring dialysis, was admitted to Rockhampton Hospital with severe headache and neck pain. He experienced two falls during his hospital stay (one in the bathroom, one near his bed). Initial imaging showed no acute patholog…

emergency medicinegeneral medicinemorphine
TASaged care2023-08-07

Coroner's Finding: Colpo, Dario

92y · Male·left haemothorax and rib fractures resulting from a fall at a residential aged c…

…n with multiple comorbidities (cardiac failure, COPD, chronic renal failure, diabetes) and documented high falls risk sustained a fall at a residential aged care facility on 12 May 2021, resulting in left haemothorax an…

geriatric medicinephysiotherapysystemproceduralrivaroxaban
SAaged care2010-05-14

Coroner's Finding: HUTTON Arthur John

87y · Male·asphyxia due to neck entrapment between bedpole and mattress

An 87-year-old man with dementia and a history of falls died from asphyxia when his neck became entrapped between a bedpole and the mattress after falli…

geriatric medicineoccupational therapysystemprocedural
SAhospital2020-12-18

Coroner's Finding: FROST Gary Desmond

57y · Male·Right acute subdural haematoma following a fall

…ght acute subdural haematoma following a fall while in supported residential care. He experienced multiple falls over several weeks with head trauma. On 11 February 2019, after falling backwards and striking his head de…

emergency medicineneurosurgery
QLDaged care2016-05-03

Thomas, Florence Lillian - Non-inquest findings

85y · Female·neck injury (cervical spine fracture) as a consequence of a fall

…ine fractures sustained when she fell from a toilet chair at her nursing home. She had multiple documented falls and explicit care plan instructions never to be left alone on the toilet due to high falls risk and dement…

geriatric medicineemergency medicinesystemcommunication
TASaged care2023-08-08

Coroner's Finding: Bell, Elizabeth Robertson

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

…advanced Alzheimer's disease, cognitive impairment, impulsive behaviour, and was assessed as high-risk for falls. A movement sensor alarm, which was part of her prescribed falls prevention strategy, was not in place or …

geriatric medicinephysiotherapysystemproceduralmorphine
VIC2011-07-28

Finding into death of Mr M

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

…l while attempting to walk to the toilet unassisted after not being provided with a urinal bottle, despite falls risk assessment identifying he needed assistance with toileting. Initial examination appeared thorough wit…

emergency medicineneurosurgerysystemdelaywarfarin
VIChome2013-12-16

Finding into death of Kenneth John Lister

52y · Male·Head injury sustained in a fall following excessive consumption of alcohol

…nd post-traumatic stress disorder, was found deceased at home following a fall with head injury. He had a history of frequent falls while intoxicated. At the time of his death, he had recently been arrested for drunkenn…

forensic medicineemergency medicinealcohol
WAmental health- 26 May 2014

Inquest into the Death of Marjorie Mary DONE

84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…

An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act s…

psychiatrygeriatric medicineanti-psychotic medications
NSWcommunity2021-01-29

Inquest into the death of Deborah Spencer

56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…

Deborah Spencer, a 56-year-old woman with a history of heavy alcohol use and previous falls, died from blunt head injury with hyoid bone fracture. She was fo…

emergency medicineintensive care
VICcommunity2016-06-07

Finding into death of Simon Mark Everill

55y · Male·Complications of right middle cerebral artery infarction

…nd epilepsy, suffered a right middle cerebral artery infarction on 3 September 2014 after experiencing two falls during a day service activity. His symptoms—including altered consciousness, weakness, and facial drooping…

general practiceemergency medicinediagnosticcommunicationsimvastatin

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