Deceased
Eoghan Jerome Arnold
Demographics
42y, male
Coroner
Deputy State Coroner Caitlin English
Date of death
2018-11-16
Finding date
2020-11-25
Cause of death
Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pulmonary embolism, arising from deep venous thrombosis post tibial fracture in motor vehicle accident
AI-generated summary
A 42-year-old man died from hypoxic ischaemic brain injury following cardiac arrest due to a massive pulmonary embolism. He sustained a tibial fracture in a motor vehicle accident and underwent external fixation. He developed a deep venous thrombosis despite receiving standard prophylaxis with enoxaparin 40mg daily and TED stockings. The PE occurred intraoperatively during planned definitive fixation surgery 11 days post-injury. The coroner found the medical care provided at both Royal Melbourne Hospital and Brunswick Private Hospital was appropriate and timely. Standard DVT prophylaxis was given, though enoxaparin was withheld the night before surgery (later identified as not required by unit protocol for non-major pelvic/spinal surgery). The coroner emphasised the significant burden of venous thromboembolism in hospitalised patients and the lack of a consensus Australian guideline, recommending development of a Victorian evidence-based guideline.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…
44y · Female·Pulmonary thromboembolism complicating a fractured left ankle (not operated), su…
A 44-year-old woman died from pulmonary thromboembolism 27 days after sustaining a Weber B ankle fracture from a fall. She was managed conservatively with a CAM boot then below-knee cast, with progressive immobilisation …
53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures
Damien Mark Stone, a 53-year-old man with Down syndrome and early-onset Alzheimer's disease, died from aspiration pneumonia following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (…
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