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I find it very unusual that the victim refused to go to the hospital after hitting her head so hard that she began vomiting. Did she not have medical insurance? Unlikely, considering she probably had insurance through her real estate job. A very high deductible? High copays? Financial troubles that made her feel she couldn't afford to go? Possible. Or was she so out of it that she didn't know what she was saying? Also possible. Or is the boyfriend remembering that part wrong?
An urgent care clinic (Medi-clinic Sarasota Inc) was only a 3-minute drive away (1.8 miles). Would have been so easy to stop there, and could have saved her life.
I think/HOPE the autopsy will shed some light on unanswered questions.
I wonder how often she had been on the boat (or any boat for that matter) and if her reason for not seeking medical attention is that she mistook the post-injury vomiting for seasickness that would pass once she spent some time on dry land?