Coronial

20 results for choking on food bolus

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

geriatric medicinepsychiatrydiagnosticproceduralmorphine
VIC2022-03-28

Finding into death of Deva Rebecca Frijlink

42y · Female·Choking on a food bolus

Deva 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 s…

speech pathologyemergency medicinecommunicationsystemdiazepam
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…

geriatric medicinespeech pathologydiagnosticcommunicationlamotrigine
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…

Two aged care residents died from choking on bread despite being prescribed minced and moist diets that prohibited regular bread. Mr Gesios was fed…

speech pathologygeneral practicesystemcommunication
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
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
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
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
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…

…r-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 admitted with worsening …

psychiatryspeech pathologyrisperidone
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…

Tracie 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-mod…

speech pathologyemergency medicineamisulpride
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
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 condition causin…

general practice
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

…ain 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 commenced CPR, …

emergency medicineparamedicinediagnosticcommunicationmidazolam
TAS2019-01-11

Coroner's Finding: Dunster, Kenneth Francis

52y · Male·asphyxia due to choking on food

…th Dunster, 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 …

psychiatryemergency medicinesystemcommunicationclozapine
VICaged care2022-09-20

Finding into death of Tom Owen Row

59y · Male·Choking asphyxia

…ith intellectual disability, dementia, Fragile X Syndrome, and Chromosome 18 Deletion Syndrome, died from choking asphyxia at a residential care facility. He had a prior choking incident in 2019 with recommendations for…

geriatric medicinepsychiatrysystemrisperidone
QLDaged care2018-06-05

Milward, Paul Joseph

53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…

…rd, aged 53 with Huntington's disease causing cognitive impairment and swallowing difficulties, died from choking on a bread sandwich while unsupervised in his aged care room. His care plan specified minced moist diet w…

geriatric medicinespeech pathologycommunicationsystemsodium valproate
VIC2021-02-24

Finding into death of Mark Capovilla

39y · Male·Choking on a food bolus

Mark Capovilla, a 39-year-old man with severe intellectual disability, epilepsy, and dysphagia, died from choking on food at his day program. He had a documented choking risk but lacked a current mealtime support plan a…

general practiceforensic medicinecommunicationsystem
VIC2022-03-10

Finding into death of Joanne Callahan

43y · Female·choking on a food bolus

Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her …

speech pathologyparamedicinecommunicationsystem
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 oropharyngeal dysphagia r…

geriatric medicinespeech pathologycommunicationsystem
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 death, a speech p…

speech pathologyemergency medicineproceduraladrenaline

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