Citations 1
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 C. , Jackmiczyk, Kenneth, Moore, Gregory , Bell, David, Moore, Gregory
Clinical Practice and Cases in Emergency Medicine | February 7, 2020 | Volume: 4 | Issue: 1 | Pages: 12-15
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.