Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Rep...

مرکز و کتابخانه مطالعات اسلامی به زبان های اروپایی

منو

" 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

Document Type	:	AL
Record Number	:	928167
Doc. No	:	LA6z91r535
Language of Document	:	English
Main Entry	:	Gannon, Steven; Bell, David; Jackmiczyk, Kenneth; Moore, Gregory
Title & Author	:	Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure [Article]\ Gannon, Steven; Bell, David; Jackmiczyk, Kenneth; Moore, Gregory
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	4/1
Date	:	2020
Abstract	:	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.