massive pulmonary embolism due to immobilised left leg from torn Achilles tendon
AI-generated summary
A 63-year-old man with an Achilles tendon rupture died from massive pulmonary embolism 15 days after injury. He presented to ED with calf pain, was diagnosed with ruptured Achilles tendon via ultrasound, and discharged with aspirin and a back slab. At orthopaedic review, he refused both surgical repair and above-knee cast, accepting only a moon boot. Two days after clinic review, he developed chest pain, back pain, and arm pain. He collapsed at home and died despite resuscitation attempts. The coronial medical consultant reviewed whether prophylactic anticoagulation should have been prescribed for this immobilised lower leg injury. Literature review found no cogent evidence supporting anticoagulation for lower leg injuries. The consultant concluded the medical care provided was reasonable and of good quality. No preventability issues were identified.
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