VICNew2026-06-30
Finding into death of FVH
43y · Male·Aspiration of food bolus
FVH, aged 43, died from aspiration of a food bolus while dining at a restaurant on 1 November 2025. FVH had Astrom Syndrome, a lifelong con…
general practice
24 results for “food bolus aspiration”
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
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…
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
VICaged care2020-04-22
Finding into death of Dorothy May Nelson
81y · Female·Complications of choking on a food bolus in a woman with dementia
Dorothy May Nelson, an 81-year-old woman with dementia, died from complications of choking on a food bolus at an aged care facility. She was served diced beef in casserole (approximately 4cm bolus found at au…
geriatric medicinepsychiatrydiagnosticproceduralmorphine
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
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
VIChome2012-08-16
Finding into death of LUCIA DI PIETRO
42y · Female·Global hypoxic-ischaemic brain injury due to upper airway obstruction by food bo…
…y potential. Treatment was withdrawn on 4 August 2010. The coroner found she died from complications of the food bolus obstruction.
emergency medicineintensive care
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
VICaged care2025-07-24
Finding into death of Silvie Marion Burton
89y · Female·Acute upper airway obstruction by food bolus
An 89-year-old woman with dementia died from acute upper airway obstruction by food bolus while being fed lunch at an aged care facility. CCTV footage revealed significant discrepancies betwe…
geriatric medicineemergency medicineproceduraldelaycitalopram
NSWaged care2026-02-27
Inquest into the deaths of Dimosthenis Gesios and Maureen McGreevy
Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…
…os was fed bread dipped in Milo by an inexperienced AIN without adequate supervision of swallowing; a large food bolus formed and obstructed his airway. Ms McGreevy received an incorrect meal tray containing buttered bre…
speech pathologygeneral practicesystemcommunication
SAaged care2019-05-29
Coroner's Finding: FIELD Glenda Rae
59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction
…nda Rae Field, aged 59, died from hypoxic-ischaemic encephalopathy due to acute upper airway obstruction by food bolus while eating dinner at her aged care facility. She was a resident at Clearview Manor, a locked care f…
emergency medicineintensive carefluoxenol
VIC2019-08-07
Finding into death of Bartosz Zgadzaj
39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
…lectual disability, died from hypoxic ischaemic encephalopathy secondary to acute airway obstruction from a food bolus. He choked while eating unsupervised at a group home on 24 November 2017. Multiple preventable failur…
emergency medicineintensive carediagnosticcommunicationmidazolam
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
QLDhome2019-04-17
Davis, John
50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus
…h acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriately called 000 and co…
emergency medicineparamedicinediagnosticcommunicationmidazolam
VICaged care2022-08-01
Finding into death of Phillip Charles Hodges
72y · Male·Choking on a food bolus
A 72-year-old man with vascular dementia, stroke history, and dysphagia died from choking on food while being fed by a nurse in aged care. The coroner found the death was preventable due to staff lack of t…
geriatric medicinespeech pathologydiagnosticcommunicationlamotrigine
VICcommunity2010-09-20
Finding into death of Jesse Lee McGann
19y · Male·Hypoxic brain injury due to aspiration of food bolus
…m, Asperger's syndrome, and documented swallowing difficulties, died from hypoxic brain injury caused by aspiration of a food bolus while in disability respite care. Critical failures included: reduction of one-to-one su…
emergency medicineintensive caresystemcommunication
VIChospital2018-07-26
Finding into death of Maurice Benedict Costello
89y · Male·Complications of choking on a food bolus in a man with multiple medical comorbid…
Maurice Benedict Costello, 89, died from aspiration of a food bolus while eating on a geriatric ward three days after a fall. He had documented oropharyngea…
geriatric medicinespeech pathologycommunicationsystem
QLDaged care2018-06-05
Milward, Paul Joseph
53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…
…dysphagia and texture-modified diets, regular care plan reviews, and respiratory health checks to detect aspiration pneumonia were necessary preventive measures.
geriatric medicinespeech pathologycommunicationsystemsodium valproate
VIC2025-09-10
Finding into death of Tracie Lyndal Markwick
54y · Female·choking on a food bolus in a woman with an intellectual disability and other med…
…racie Lyndal Markwick, a 54-year-old woman with intellectual disability and dysphagia, died from choking on food at her day placement centre. She had a documented mealtime management plan indicating mild-to-moderate chok…
speech pathologyemergency medicineamisulpride
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