Coronial

56 results for food aspiration risk

VICcommunity2026-04-01

Finding into death of Jimmy Delcus

56y · Male·Aspiration of food bolus

…y Delcus, a 56-year-old man with autism, intellectual disability and schizoaffective disorder, died from aspiration of a food bolus while eating lunch in a park. He was receiving supported living services through Aruma u…

VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been…

psychiatryspeech pathologyrisperidone
VICaged care2014

Finding into death of Marjorie Hall

75y · Female·Aspiration of food in a woman with dementia

A 75-year-old woman with advanced dementia died from aspiration of food in an aged care facility. Despite being on a thickened diet and requiring full supervision due t…

geriatric medicinespeech pathologysystemcommunicationrisperidone
VIC2022-03-28

Finding into death of Deva Rebecca Frijlink

42y · Female·Choking on a food bolus

…a Frijlink, aged 42 years with intellectual disability and schizoaffective disorder, died from choking on a food bolus during a supervised mealtime excursion. She was under the care of a support worker at a shared accomm…

speech pathologyemergency medicinecommunicationsystemdiazepam
VICcommunity2021-10-01

Finding into death of Stuart Anthony Wills

45y · Male·Aspiration of food bolus, with cerebral palsy as contributing factor

Stuart Wills, a 45-year-old man with cerebral palsy and severe dysphagia, died from aspiration of a food bolus while receiving meal assistance at a supported accommodation facility. Prior to his deat…

speech pathologyemergency medicineproceduraladrenaline
VICcommunity2022-03-16

Finding into death of John Anthony Kamps

62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

…autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite direct supervision and prior speech pathology assessment rec…

speech pathologyemergency medicinesystemcommunication
VICaged care2025-02-12

Finding into death of Donald Walter Thoms

90y · Male·Complications following aspiration of food

Donald Walter Thoms, 90 years old with intellectual disability and high aspiration risk, died from complications following aspiration of food while in specialist disability residential ca…

palliative careemergency medicine
NSWcommunity2014-04-07

Inquest into the death of Jordan Leigh SARGENT

21y · Female·hypoxic brain injury due to choking on food, with Bardet-Biedl Syndrome as a con…

…eing driven in a minibus by a disability support worker. Critical clinical lesson: documentation of choking risk was completed at intake but not retained in her active file, and subsequent assessments incorrectly recorde…

emergency medicinepathologycommunicationsystem
VICaged care2021-06-23

Finding into death of Kathryn O'Rourke

48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…

…oxic-ischaemic encephalopathy on 16 May 2018. She had documented swallowing difficulties requiring modified food consistency and supervision during meals. On the morning of the incident, a single staff member was supervi…

intensive careemergency medicinecommunicationsystemclonazepam
VIChospital2026-02-25

Finding into death of Louise Elizabeth Hayes

49y · Female·Aspiration pneumonia in the setting of cerebral palsy and epilepsy

Louise Hayes, a 49-year-old woman with cerebral palsy, epilepsy, and dysphagia, died from aspiration pneumonia at Kilmore & District Hospital. She had experienced deteriorating health in 2020 with increase…

respiratory medicinepalliative care
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

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

…m hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolus. During a community outing, despite having a detailed Mealtime Management Plan requiring close superv…

speech pathologygeneral practicecommunicationsystemmorphine
WAhospital2015-10-08

Inquest into the Death of Charles William MAPP

82y · Male·Pneumonia in an elderly man with advanced lung cancer (squamous cell carcinoma)

…und. In November 2013, he was diagnosed with terminal lung cancer and had a subsequent stroke increasing aspiration risk. He was deemed high-risk for aspiration and a nasogastric tube was not tolerated. Conservative pall…

psychiatrypalliative care
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 chokin…

geriatric medicineemergency medicinecommunicationsystem
SAhospital2005-11-15

Coroner's Finding: DAMIANOU Dimitra

79y · Female·cardio-respiratory arrest consequent upon the aspiration of food

A 79-year-old woman with post-stroke dysphagia died from aspiration of food while hospitalised. A speech pathologist prescribed a minced diet after an unsuccessful soft die…

speech pathologyneurologycommunicationsystem
SAaged care2024-05-22

Coroner's Finding: Hough, Robert John

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

…ar-old man with acquired brain injury, seizure disorder, and dysphasia died from asphyxia due to choking on food while eating eggs and ham on toast at a disability care facility. He had no documented swallowing difficult…

neurologygeriatric medicine
SAaged care2007-08-02

Coroner's Finding: LESLIE Mona Belle

95y · Female·asphyxia due to glottic obstruction by food

A 95-year-old female with advanced dementia died from asphyxia caused by food impaction in the glottis. She was prescribed a soft diet (soft vegetables, vitamised meat) but was served a…

geriatric medicinespeech pathologydiagnosticcommunicationcitalopram
SAaged care2000-11-07

Coroner's Finding: CZEKAJLO Helena

69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…

Helena Czekajlo, aged 69, died from respiratory obstruction by aspirated food (Brussels sprout) at a nursing home. She had dementia and schizophrenia with a documented obsession about f…

geriatric medicineemergency medicineproceduralcommunicationfluphenazine decanoate
VIChospital2015-04-23

Finding into death of Ian Kenneth Pye

56y · Male·Cerebral hypoxia in a man with respiratory insufficiency and Down's Syndrome

…n supported care presented to hospital with respiratory failure and altered consciousness. He had aspirated food or secretions leading to type II respiratory failure with a GCS of 7 on admission. Despite oxygen and IV fl…

respiratory medicineneurologyolanzapine
VIChospital2024-09-24

Finding into death of Jessica Nyla Louis

32y · Female·Perforation of the bowel in the context of constipation and intellectual disabil…

…yndrome, died from bowel perforation secondary to severe constipation and pica (compulsive ingestion of non-food items). She presented with abdominal obstruction, underwent successful rectal evacuation, but subsequently …

surgeryemergency medicine
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 …

geriatric medicinespeech pathology

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