Category Archives: falls

Falls Cause Rising Number of Brain Injuries in Older Adults

According to the latest report from the CDC, from 2007 to 2013, the rate for traumatic brain injuries that resulted in emergency department visits, hospitalizations, or deaths increased 39 percent. Traumatic brain injuries contribute to about 30 percent of all injury deaths. It was initially believed that the increase in brain injuries was caused by rising awareness of sports-related head injuries in children and young adults. However, after researchers reviewed the data, they found that the biggest driver in the increase of brain injuries was due to older adults.

The rate for reported brain injuries for elderly Americans increased 76 percent from 2007 to 2013, much greater than any other age group. This increase is believed to be due to falls. Many times they are not reported, and according to Dr. Lauren Southerland, an Ohio State University emergency physician “what may seem like a mild initial fall may cause concussions or other problems that increase the chances of future falls – and more severe injuries.

To address fall-related brain injuries, the CDC has developed the STEADI (Stopping Elderly Accidents and Injuries) initiative to help primary care providers address their patients’ fall risk. The CDC has also launched a HEADS UP awareness campaign to help individuals recognize, respond to, and minimize the risk of concussion or other serious brain injury.

Construction Site Falls – Leading Cause of Fatalities in the Construction Industry

On January 23, 2014, a young man, only 30 years old, fell to his death while working on a Raleigh construction site. According to news reports, the deceased was working on scaffolding on an apartment complex and fell approximately five stories. The North Carolina Department of Labor is investigating the accident. It’s unclear exactly what went wrong.

Unfortunately, this was the second construction accident within one week in Raleigh. On January 22, 2014, a platform collapsed at North Carolina State University and three workers were injured. Fortunately, none of the injuries appear to be life-threatening. However, one of the injuries involved a trauma to the head which is always cause for serious concern.

Falls are the leading cause of fatalities in the construction industry. According to OSHA, the four main causes for workplace falls are (1) unprotected sides, wall openings, and floor holes, (2) improper scaffold construction, (3) unguarded protruding steel rebars, and (4) the misuse of portable ladders.

In North Carolina, we follow the “unexplained-fall rule” which holds that “if an employee sustains a fall and there is no evidence that it arose from a cause independent of the employment, compensation [i.e. disability and medical benefits] should be allowed.” North Carolina Workers’ Compensation: Law and Practice, with Forms, 4th Edition, Leonard T. Jernigan, Jr.

While workers’ compensation benefits should be provided in these type of cases, in some situations the injured worker may also have a personal injury claim against one of the building contractors.