Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure

In this article we present a case of a patient who received reversal of anticoagulation therapy with factor IX in violation of hospital guidelines. As a direct result, myocardial infarction and ischemic stroke occurred, leaving the patient neurologically debilitated. Factor IX is indicated in the se...

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Autores principales: Gannon, Steven, Bell, David, Jackmiczyk, Kenneth, Moore, Gregory
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Medical Legal Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012542/
https://www.ncbi.nlm.nih.gov/pubmed/32064415
http://dx.doi.org/10.5811/cpcem.2019.12.43675
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author Gannon, Steven
Bell, David
Jackmiczyk, Kenneth
Moore, Gregory
author_facet Gannon, Steven
Bell, David
Jackmiczyk, Kenneth
Moore, Gregory
author_sort Gannon, Steven
collection PubMed
description In this article we present a case of a patient who received reversal of anticoagulation therapy with factor IX in violation of hospital guidelines. As a direct result, myocardial infarction and ischemic stroke occurred, leaving the patient neurologically debilitated. Factor IX is indicated in the setting of warfarin-induced, life-threatening bleeding. The patient’s care was provided by an intern with attending physician supervision. Delayed charting and questionable shared decision-making were present in the care. We discuss usage of factor IX, liability for supervision of physicians in training, and factors that can lead to plaintiff awards.
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spelling pubmed-70125422020-02-14 Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure Gannon, Steven Bell, David Jackmiczyk, Kenneth Moore, Gregory Clin Pract Cases Emerg Med Medical Legal Case Report In this article we present a case of a patient who received reversal of anticoagulation therapy with factor IX in violation of hospital guidelines. As a direct result, myocardial infarction and ischemic stroke occurred, leaving the patient neurologically debilitated. Factor IX is indicated in the setting of warfarin-induced, life-threatening bleeding. The patient’s care was provided by an intern with attending physician supervision. Delayed charting and questionable shared decision-making were present in the care. We discuss usage of factor IX, liability for supervision of physicians in training, and factors that can lead to plaintiff awards. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-01-24 /pmc/articles/PMC7012542/ /pubmed/32064415 http://dx.doi.org/10.5811/cpcem.2019.12.43675 Text en Copyright: © 2020 Gannon et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Medical Legal Case Report
Gannon, Steven
Bell, David
Jackmiczyk, Kenneth
Moore, Gregory
Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title_full Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title_fullStr Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title_full_unstemmed Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title_short Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure
title_sort beware of reversal of an anticoagulated patient with factor ix in the emergency department: case report of a medical-legal misadventure
topic Medical Legal Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012542/
https://www.ncbi.nlm.nih.gov/pubmed/32064415
http://dx.doi.org/10.5811/cpcem.2019.12.43675
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