Deceased
Jessica Rose-Aida Borton
Demographics
43y, female
Date of death
2021-10-18
Finding date
2022-09-27
Cause of death
hypoxic brain injury due to pulmonary thromboembolism (right calf deep vein thrombosis) secondary to right Achilles tendon rupture
AI-generated summary
A 43-year-old woman died of pulmonary embolism following Achilles tendon rupture. She fell in a car park on 4 October 2021, sustaining a right ankle injury initially treated conservatively with immobilisation. An Achilles tendon rupture was identified on 12 October, and surgical repair was performed on 16 October. On 17 October, she suffered a massive pulmonary embolism and died despite treatment. The coroner identified that no VTE prophylaxis was prescribed or even considered, despite her having two major risk factors: morbid obesity (BMI 48.3) and immobility from the tendon injury. The coroner noted that Achilles tendon rupture warrants individual patient assessment for chemical VTE prophylaxis. The death was likely preventable with appropriate thromboprophylaxis.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
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A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner ident…
86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …
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