67y · Male·hypothermia
Richard Thorn, a 67-year-old man with a history of alcoholism and back problems affecting mobility, was found deceased on his bedroom floor. Autopsy confirmed death from hypothermia (core temperature <35°…
70y · Female·pneumonia and post-surgical course following repair of neck of femur fracture, i…
…nd falls prevention measures were suitable and her falls resulted from her impulsivity and failure to use mobility aids. No clinical errors or preventability issues were identified. The case highlights the challenges of …
68y · Male·decompensated heart failure with pulmonary hypertensive crisis complicated by pn…
…bility of his CPAP machine despite documented obstructive sleep apnoea requiring it in the community; (2) mobility barriers limiting access to the prison health centre. However, the coroner found no causal link between t…
52y · Male·Unable to determine
…ns, Tasmania on 25 November 2018 and is presumed dead. He had an acquired brain injury causing cognitive impairment, physical disability, and a tendency to become disoriented. In the weeks before disappearance, witnesses…
68y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)
A 68-year-old woman with mobility limitations from congenital hip dysplasia was struck by a motor vehicle while crossing a pedestrian cross…
59y · Female·Incised wound to right thigh and exsanguination
Mrs Margaret Grace McCreddan, a 59-year-old widow with multiple health conditions including limited mobility and frequent falls, died from exsanguination following an incised wound to her right thigh sustained in a…
95y · Female·Acute intracranial haemorrhage
DRF, a 95-year-old woman with dementia, hearing impairment, mobility limitations, and mild cognitive impairment, died from acute intracranial haemorrhage following…
79y · Male·advanced dementia, atherosclerotic and hypertensive cerebrovascular disease, and…
…tober 2017 following a hip fracture and rehabilitation. In his final two months, he experienced declining mobility and appetite. A palliative approach to care was appropriately adopted on 18 October 2019. The coroner fou…
72y · Female·drowning
…the Lachlan Hotel in the evening. She had a history of stroke (2013) with resulting cognitive decline and mobility limitations, and dementia. The coroner found she most likely inadvertently left the walking path before t…
66y · Male·Aspiration pneumonia
…piration pneumonia. He had experienced recurrent respiratory infections from 2012 onwards, with declining mobility and health in his final years. The coroner found he was well-supported by his sister, facility staff, and…
56y · Female·multi-organ failure complicating severe burns on a background of alcoholic liver…
A 56-year-old woman with alcoholic liver disease, cerebellar atrophy, and marked mobility impairment suffered fatal full-thickness burns (75% TBSA) from scalding shower water at Flinders Medical …
86y · Male·Traumatic closed head injury suffered in a fall
Alan Noel Sheedy, 86 years old, died from traumatic closed head injury sustained in a fall at a residential aged care facility. He had been admitted for respite care following previous falls and was assessed as moderate …
75y · Male·bilateral subdural haematoma due to fall
Walter Robert Hanslow, a 75-year-old man with Parkinson's disease, Alzheimer's disease, and significant mobility limitations, sustained a fall at a nursing home on 9 June 2018. He was found on the ground but initially …
54y · Female·Severe burns sustained in a house fire (palliated)
Carol Fay Slade, a 54-year-old woman with acquired brain injury from a 2003 motorcycle accident and mobility limitations, died from severe burns sustained in a house fire at her public housing property in Shepparto…
82y · Male·end stage dementia
…tion order. He had resided at Helping Hand Mawson Lakes for two years with progressive cognitive decline, mobility issues, and recurrent falls including one causing intracranial bleeding managed conservatively. In Februa…
55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette
…could not have prevented her death. This case illustrates risks of smoking in vulnerable populations with mobility and cognitive impairment, and the importance of supervised medication management and safe smoking practic…
77y · Male·Injuries sustained when struck by a train
A 77-year-old man was struck and killed by a train at a pedestrian crossing while standing beside his mobility scooter on the railway tracks. The scooter was positioned on the tracks, and the man was wearing dark clo…
72y · Female·environmental heat and cold exposure with severe dehydration
…ng only minor injuries, she attempted to climb back to the road but, limited by severe osteoarthritis and mobility issues requiring a walking stick, fell or lay down approximately 3 metres from the roadway. Unable to rea…
39y · Female·Respiratory failure in the setting of aspiration pneumonia in a woman with arthr…
Nicole Kateiva, a 39-year-old woman with arthrogryposis multiplex congenita, intellectual impairment, and epilepsy, died from respiratory failure due to aspiration pneumonia. She presented to hospital with…
51y · Male·Aspiration pneumonia secondary to traumatic brain injury arising from a scooter …
…peed riding without protective equipment. Clinical lessons include recognition that high-powered personal mobility devices pose serious injury risks, particularly without safety precautions, and management of aspiration …
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