Coronial

56 results for food aspiration risk

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
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
SAhospital2015-08-13

Coroner's Finding: ABINETT Murray Lawrence

81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…

Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaem…

psychiatrygeriatric medicinediagnosticrisperidone
SAhospital2024-09-13

Coroner's Finding: Zarrella, Dominic

88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…

…n 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He wa…

oncologypsychiatry
TAShome2017-12-07

Coroner's Finding: Simpson, Peter Lawrence

61y · Male·mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspira…

…opathy and cirrhosis died from mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspiration pneumonia. He consumed significant alcohol on the day of death while taking prescribed sedating medicati…

general practicepain medicinesystemmethadone
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
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
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
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
TAS2020-12-17

Coroner's Finding: Kettle, Terrence Michael

69y · Male·asphyxia due to choking on food

…etes, amputation, prostate cancer, recent MI) and cognitive impairment, died from asphyxia after choking on food while a resident at Roy Fagan Centre, a psychiatric hospital for older persons. He was being assisted with …

geriatric medicineemergency medicine
TAScommunity2022-07-29

Coroner's Finding: Chamberlain, Pamela Jacqueline

55y · Female·asphyxia due to choking on food (steak)

…rbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommodation. She was on multiple central nervous system depressants…

emergency medicinepsychiatrysystemcommunicationdiazepam
SAaged care2008-06-06

Coroner's Finding: MANN Richard Lesley

45y · Male·choking on food

…sychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and monitoring preceded his death: he received wrong medications (Thyroxi…

psychiatrygeneral practicemedicationcommunicationhaloperidol
SAhospital2016-09-12

Coroner's Finding: RAU Edward Morgan

77y · Male·aspiration pneumonia due to dysphagia on a background of dementia

Edward Morgan Rau, aged 77, died from aspiration pneumonia secondary to dysphagia in the context of dementia. He was admitted to hospital on 29 October 2…

geriatric medicinespeech pathology
TAS2019-01-11

Coroner's Finding: Dunster, Kenneth Francis

52y · Male·asphyxia due to choking on food

…r, a 52-year-old man with chronic schizophrenia and cognitive decline, died from asphyxia due to choking on food at Millbrook Rise Rehabilitation Centre. He had a documented, well-known choking risk due to his lifelong h…

psychiatryemergency medicinesystemcommunicationclozapine
VIC2016-04-29

Finding into death of Jack Glen Irvine

15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis

…on of his allergy. Multiple system failures contributed: the VKA had no policies for managing children with food allergies; collated allergy information was not shared with food organisers; no labelling accompanied the f…

emergency medicineintensive caresystemcommunicationadrenaline
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention…

psychiatrygeriatric medicineantipsychotic medications
VIChome2019-03-07

Finding into death of Ryan Myers

28y · Male·Aspiration pneumonia in a man with cerebral palsy

…alsy, treatment-resistant epilepsy, cortical vision impairment and global developmental delay, died from aspiration pneumonia. He developed a cough on 24 August 2017 and was seen by his GP on 28 August with findings cons…

general practiceemergency medicinemidazolam
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 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
VIChospital2021-03-26

Finding into death of Resel Juerchott

59y · Female·Aspiration pneumonia in the setting of Down's syndrome

…d woman with Down's syndrome, advanced Alzheimer's dementia, dysphagia, epilepsy and blindness died from aspiration pneumonia. She was a resident of a group home requiring 24-hour care. She presented to hospital drowsy a…

geriatric medicineinfectious diseases

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