Coronial
SAaged care2024-05-22

Coroner's Finding: Hough, Robert John

72y · Male·asphyxia due to upper airway obstruction due to choking on food

…ns a risk in patients with neurological conditions affecting swallowing. Staff responded appropriately with back blows and CPR. The coroner made no recommendations.

neurologygeriatric medicine
TAS2020-12-17

Coroner's Finding: Kettle, Terrence Michael

69y · Male·asphyxia due to choking on food

…ersons. He was being assisted with eating when he aspirated a toasted cheese sandwich. Immediate first aid (back blows, CPR) was provided by ward staff within seconds, and paramedics arrived 8.5 minutes later with contin…

geriatric medicineemergency medicine
SAhospitalNew2026-06-02

Coroner's Finding: Leditschke, John Murray

79y · Male·acute aspiration of food on a background of Alzheimer's dementia

…pirated. Staff immediately raised an emergency alarm, and nursing staff suctioned his airways and performed back blows. Dr S. arrived within two minutes but found no pulse or breathing effort. He had an Advance Care Dire…

general medicinegeriatric medicineamoxicillin
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…

speech pathologygeneral practicecommunicationsystemmorphine
SAaged care2019-06-12

Coroner's Finding: SINCLAIR Colin George

68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia

Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting…

geriatric medicinespeech pathology
VICaged care2010-05-19

Finding into death of Beatrice Ivy Brown

80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus

Beatrice Ivy Brown, aged 80, died at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) documentation of prior choking epis…

geriatric medicineemergency medicinecommunicationsystem
VICaged care2025-07-24

Finding into death of Silvie Marion Burton

89y · Female·Acute upper airway obstruction by food bolus

…t John Ambulance Victoria guidelines, which recommend immediate emergency contact before or concurrent with back blows and chest thrusts. The coroner found care was suboptimal in her final moments. Key clinical lessons i…

geriatric medicineemergency medicineproceduraldelaycitalopram
SAcommunity2023-05-26

Coroner's Finding: Latouche Mazzei, Lucas

5y · Male·acute upper airway obstruction from nectarine stone

Lucas Mazzei, aged 5 years, died on 27 March 2017 from acute upper airway obstruction caused by an uncut nectarine stone. While attending school, he was separated from his class during a science lesson and left watching …

emergency medicinepaediatricscommunicationsystemlamotrigine
QLDhome2021-06-15

Bradford, Teresa and Bradford, David - Non-inquest findings

40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…

Teresa Bradford, aged 40, was killed by her husband David Bradford in a premeditated domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe.…

general practicepsychiatrycommunicationsystemwarfarin

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