Cristofaro Priolo
11 May 2022 · Coroner Mary Hassell · Inner North London
The coroner's concerns
1. large quantity of undercooked cauliflower cheese
“He was fed a large quantity of cauliflower cheese, it seems relatively quickly, that was undercooked to the point of being almost raw, making it much too hard for him to swallow safely. 2”
2. failure to recognise cardiac arrest and provide CPR
“nursing staff failed to recognise that Mr [name redacted] had suffered a cardiac arrest. They then failed to attempt CPR”
3. inadequate first aid knowledge for choking
“staff were unable to describe the correct treatment for choking”