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Coroner's Finding: Frith, Aaron Douglas

Deceased

Aaron Douglas Frith

Demographics

36y, male

Date of death

2018-09-20

Finding date

2019-09-30

Cause of death

pulmonary embolism due to right deep vein thrombosis following repair of ruptured right Achilles tendon

AI-generated summary

Aaron Frith, a 36-year-old man with obesity and hypertension, sustained a ruptured right Achilles tendon on 28 August 2018. He underwent surgical repair on 15 September 2018 and was discharged on aspirin prophylaxis. He developed a right deep vein thrombosis leading to a saddle pulmonary embolism, collapsing on 18 September and dying on 20 September 2018 in ICU. The coroner found that given Frith's obesity (a recognised VTE risk factor), individualised prophylactic anticoagulation should have been prescribed rather than aspirin alone. The case highlights the need for risk-stratified thromboprophylaxis in immobilised Achilles tendon patients, particularly those with obesity.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

orthopaedic surgeryemergency medicineintensive carevascular surgery

Error types

diagnosticsystem

Drugs involved

aspirin

Clinical conditions

Achilles tendon rupturedeep vein thrombosispulmonary embolismobesityhypertension

Procedures

Achilles tendon repair surgeryCT pulmonary angiography

Contributing factors

  • obesity (borderline morbidly obese)
  • hypertension
  • immobilisation following Achilles tendon repair
  • inadequate thromboprophylaxis (aspirin instead of anticoagulation)
  • failure to individualise VTE prophylaxis based on risk factors

Coroner's recommendations

  1. The situation in relation to prophylactic anticoagulation with ruptured Achilles tendon treatment calls for an individualised approach
Full text

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