Patient is Killed by Pulmonary Embolism After Surgery

ByJoseph O'Neill

Updated on

Patient is Killed by Pulmonary Embolism After Surgery

Case Overview

In this case, a female patient from Pennsylvania presented to the emergency room with a broken collar bone. She was taken to the operating room, where doctors used multiple plates and screws to stabilize the fracture. Following a brief period of recovery in the hospital, the patient was discharged home without any issues. A few days after returning home, the patient noted that she had trouble breathing after a prolonged period of standing, at which point she returned to the hospital for evaluation. Imaging taken of her chest revealed the presence of multiple pulmonary emboli, and she was admitted to the ICU for treatment and observation. Following a period in the ICU the patient’s condition improved, however the treating physician failed to note findings from multiple tests in the patient’s records. Furthermore, the patient and her family were not advised of these test findings.

Some time after her discharge from the hospital, the patient returned for a procedure to remove the hardware placed on her collarbone in order to stabilize her initial fracture. The patient and her records were evaluated by the surgeon, who determined that she would be able to undergo the surgery without performing any additional diagnostic testing. The patient was discharged home after undergoing this second procedure. Several days later the patient was discovered dead from new pulmonary emboli.

Questions to the Pulmonology expert and their responses

Q1

In this case should anti coagulation have been suggested pre and post surgery?

Given that this patient was known to be at increased risk for thromboembolic disease due to her test findings, and had a previous history of pulmonary embolus, there should have been vigilant management of her anticoagulation.

Q2

What steps and review need to be conducted after a patient suffered a pulmonary embolism- before clearing him for any other surgery's?

This patient should have undergone rigorous pre-op evaluation prior to the removal of the hardware.

About the expert

This board certified pulmonologist was trained at a top ten medical university. He pursued his interest in pulmonology, beginning his clinical career. Since then, his clinical practice has grown and he continues to see many patients on a regular basis while pursuing his research interests. He is a highly respected pulmonologist with many publications in peer-reviewed journals. Further, he is an expert with litigation experience who is qualified to review this case.

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About the author

Joseph O'Neill

Joseph O'Neill

Joe has extensive experience in online journalism and technical writing across a range of legal topics, including personal injury, meidcal malpractice, mass torts, consumer litigation, commercial litigation, and more. Joe spent close to six years working at Expert Institute, finishing up his role here as Director of Marketing. He has considerable knowledge across an array of legal topics pertaining to expert witnesses. Currently, Joe servces as Owner and Demand Generation Consultant at LightSail Consulting.

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