TBI SLIP AND FALL ACCIDENT

Mrs. Hall, a 72 year old grandmother of two, was shopping at her local grocery store. Unbeknownst to her, someone had knocked over a case of peach halves in syrup that were in glass bottles. Someone in the store mopped up the sticky mess almost completely. All the employees were very busy and the store manager called the young man doing the cleaning over to another area. As Mrs. Hall walked down the preserved vegetable and fruit isle with a basket in her hand, she slipped and fell backwards, hitting her head on the vinyl linoleum floor. She was completely knocked out. Another shopper came to her aid. The manager called emergency personnel. As they were waiting, Mrs. Hall briefly awakened, but no one could understand her. By the time she was in the ambulance, she was unconscious again. She did not regain consciousness in the emergency department, where she had a Glasgow Coma Scale rating of 8.

While she was getting a CAT scan, her daughter arrived. She gave medical personnel the information that Mrs. Hall was on blood thinners because of a problem with blood clots in her legs. This made the finding of a large subdural hematoma even less surprising. She also had other medical problems including high blood pressure and cholesterol.

Mrs. Hall was taken in for emergency surgery and the hematoma was removed. She was in the intensive care unit for a number of days. She was treated with multiple medications to prevent further brain swelling and seizures. It was particularly hard to handle her systemic blood pressure, and she continued to need medication for that. Her doctors were concerned that with the trauma, the blood thinners, and the high blood pressure, she might sustain a stroke, if she had any localized bleeding into the brain after the surgery. She did not. She regained consciousness sometime after surgery, but was confused and unable to comprehend what had happened. After being certain that that the hematoma had not returned and there was no new brain injury, the doctors moved her to a regular room and eventually sent her to a rehabilitation facility to help her recover further.

Before the accident, Mrs. Hall had experienced some minor trouble with memory loss. The head injury aggravated this problem. Despite her medical care, she continued to have trouble understanding her situation and remembering simple instructions. Even after her stay in the rehabilitation center, it was felt that she would not be able to return home, because she lived alone. She moved in with her adult daughter, who also needed to hire a part-time aide to help while the daughter went to work. Mrs. Hall’s prognosis is not good, and if her daughter cannot continue to care for her, she will need to be placed in a nursing home facility.

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