The story
Our client fell, injuring her ankle and was given an orthotic walking boot. Her risk of blood clotting was not assessed, and she later suffered chest pains was diagnosed with a life-threatening pulmonary embolism. She was unable to work for two years.
The details
Our client fell down the stairs at home and experienced pain and swelling in her right ankle. She went to A&E where she had an x-ray and was diagnosed with an Achilles tendon injury. She was fitted with an orthotic walking boot to help her mobilise and sent home.
Once at home, she attempted to use her walking boot but found it difficult to bear weight on her right side. She went to a fracture clinic appointment soon afterwards and was advised to wear the boot for a further three weeks and was given a Zimmer frame for additional support.
A few days later, she started having chest pains and difficulty breathing. She telephoned the NHS 111 service and was asked whether was on any blood thinning medication (anticoagulants). When she said no, she was told to go to the hospital immediately for further assessment. At the hospital, her walking boot was removed, and her foot was examined. A detailed drug history was taken, then a venous thromboembolism assessment was completed, which indicated that she was at high risk of blood clots.
Following investigations, our client was diagnosed with pulmonary embolism and was given anticoagulants, which she responded well to. She was discharged the following day.
The impact
Following the emergency admission, our client was evaluated in cardiology and respiratory clinics.
She continued to struggle with symptoms of breathlessness and fatigue, which led to long-term leave from her job as a nurse. She was unable to return to full time work for almost two years. Additionally she faced psychological challenges, with her breathing difficulties causing severe anxiety and a fear of sudden death.
How we helped
Shoosmiths investigated the claim and alleged negligent failures at A&E. We successfully obtained admissions of liability for our client. When she presented to A&E, she was at high risk of blood clotting, but this was not investigated by clinical staff. There were failures to assess her risk of blood clotting and prescribe anticoagulants after she was treated with an orthotic walking boot, a form of lower limb immobilisation.
Additionally, the Managing Director of the Trust sent a formal written apology to our client. Since the incident, the Trust has updated its guidelines and policy to ensure that all patients using a walking boot are assessed for the risk of blood clotting.
We arranged for in-person examinations by independent medical experts to assess our client’s condition and prognosis, focusing on the effects of pulmonary embolism, which she has had to live with.
Pulmonary embolism can be life-threatening. Legal advisors at Shoosmiths are experienced in investigating claims related to this condition. They strive to obtain answers and compensation for those who have suffered pulmonary embolism due to substandard treatment.
The significance of this case
This case highlights the silent but dangerous consequences of blood clots developing into pulmonary embolism. Our client was right to call NHS 111 to report her symptoms, and she was fortunate to receive effective treatment with anticoagulants. If treatment had been delayed, the damage could have been severe. As a result of her experience, the hospital Trust has updated its policy, which should lead to safer outcomes for future patients at risk of blood clotting.
Disclaimer
This information is for educational purposes only and does not constitute legal advice. It is recommended that specific professional advice is sought before acting on any of the information given. © Shoosmiths LLP 2024
