What is the proximate cause of Julie's death after her horse fall?

In assessing the proximate cause of Julie's death, it is essential to understand that proximate cause refers to the primary action or event that set off a chain of events leading directly to the outcome—in this case, her death. Clinical negligence implies wrongdoing or failure to provide adequate medical care that directly contributes to a negative health outcome.

Choosing the option that states clinical negligence as the sole proximate cause indicates an understanding that while the fall from the horse may have been an event leading to her injuries, it was the subsequent failure of medical treatment that resulted directly in her death. If the horse fall caused an injury that wasn't dealt with appropriately due to clinical negligence, then that negligence is considered the critical factor that directly resulted in her death.

The context of the scenario is crucial for this understanding; if the medical response was inadequate and directly correlated to the worsening of her condition or death, then that clinical negligence would indeed be the proximate cause. Other factors, such as the nature of the fall or conditions surrounding it, may be important, but they do not diminish the direct role that clinical negligence played in leading to the outcome.