Finding into death of Peter Allen Bain
Deceased
Peter Allen Bain
Demographics
31y, male
Date of death
2018-11-06
Finding date
2018-12-30
Cause of death
Aspiration Pneumonia
AI-generated summary
Peter Bain, a 31-year-old man with severe intellectual disability, autism, and multiple comorbidities, died from aspiration pneumonia. He was admitted to ICU following deterioration at a DHHS residential facility and died four days later. A pathologist noted a nasogastric tube appeared coiled in his mouth, but subsequent clinical review confirmed the tube was correctly positioned on chest X-ray and his deterioration reflected pneumonia progression rather than tube-related complications. The coroner found no evidence of inadequate care by DHHS staff or hospital clinicians. No clinical interventions were identified as potentially preventable contributors to death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- severe intellectual disability
- autism spectrum disorder
- motility disorder
- aspiration risk
Full text
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