Pulmonary thromboembolism in the setting of deep vein thrombosis
AI-generated summary
Kevin Harris, a 38-year-old man with obesity, sustained a left tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflammatory medication, then ordered an MRI after 6 days when pain persisted. The MRI confirmed the fracture, and physiotherapy was recommended. Kevin remained immobilised and non-weight-bearing. On 11 January, his family noted increased knee swelling and shortness of breath. He was found deceased on 12 January. Autopsy revealed pulmonary thromboembolism secondary to deep vein thrombosis, with contributing factors being the fracture, immobilisation, and obesity. The coroner found the GP's management reasonable given the absence of clear clinical guidelines for VTE prophylaxis in general practice settings and Kevin's lack of DVT symptoms during consultations. The coroner recommended RACGP develop clinical guidelines for VTE management in primary care.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
left tibial plateau fracture sustained in workplace fall
immobilisation and reduced mobility following fracture
obesity (WHO Class II)
non-weight-bearing status for 16 days
absence of VTE prophylaxis
Coroner's recommendations
The Royal Australian College of General Practitioners should consider the creation and publication of a clinical guideline for the diagnosis, prophylaxis and treatment of venous thromboembolism for patients in the general practice setting.
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.