Month: May 2017

Spastic Cerebral Palsy at Birth

Posted on by YostLaw

Spastic cerebral palsy is a permanent loss of muscle control caused by an injury to the brain resulting from a variety of causes, one of which is a lack of oxygen to the baby during labor and delivery.

Spastic CP is characterized by involuntary movement of the arms and legs, uncontrolled muscle spasms and can also affect the muscles controlling speech and swallowing.  Spastic CP can affect all four limbs, neck and torso (tetraplegia), both arms and both legs (quadriplegia), or only one arm or leg (monoplegia) but most commonly affects the arm and leg on one side of the body, only (hemiplegia).  Less commonly, spastic quadriplegia can affect three limbs (triplegia).

Poor coordination and balance, a complete inability to relax tightened muscles, difficulty walking, talking and eating are all common complications of spastic CP.  For those who suffer from this neurological disorder, affected joints become very stiff and hard to move.  Over time, the affected arms or legs may become extremely painful and interfere with the ability to function independently or even to sit in a comfortable position

Birth injuries, such as spastic cerebral palsy, can be the direct result of medical negligence.  It is important for medical providers to consistently monitor the baby’s heart rate and the mother’s contraction rate to identify if the baby is experiencing a lack of oxygen during the entire course of labor and delivery. If a complication, such as a very low (bradycardia) or very high (tachycardia) fetal heart rate is identified in a timely manner, medical providers can respond immediately to fetal distress.  A baby’s lack of oxygen during labor and delivery is an obstetrical emergency and can result in permanent brain injury such as spastic CP.

There are a number of treatments available for the management of spastic CP. However, the cost of care for a child with cerebral palsy, or any brain damage, is very high. If your child’s brain injury was caused by a medical mistake, the experienced Birth Injury lawyers at The Yost Legal Group are here to help.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation. When you call, you will speak with a Baltimore Birth Injury attorney with real experience absolutely free. At The Yost Legal Group, there is no fee or expense unless you recover.

Cardiac Arrest During Spinal Block

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While general anesthesia is used for many surgical procedures, and local anesthetics are usually given by injection into a very specific part of the body that needs to be numbed, an injection of numbing medication into a patient’s back allows a whole region of the lower body to be pain-free without putting the patient to sleep during some abdominal surgeries, leg and feet surgeries or other lower body procedures, such as urinary tract procedures. Spinal block is also the preferred method of controlling pain during labor and delivery.

Spinal anesthesia is performed by an anesthesiologist (a doctor who specializes in administering all types of anesthesia to patients) who injects the medication just outside or just inside the membrane surrounding the spinal cord.  If the numbing medication is injected just outside of the membrane that holds the spinal fluid, it is known as an epidural injection.  If the anesthetic is injected directly into the spinal fluid it is known as a spinal injection. Epidural injection is placed using a small, soft tube (catheter) and can be injected into the patient’s back at either the upper (cervical), middle (thoracic) or lower (lumbar) region.  Spinal injection uses a needle to enter the spinal fluid and can only be inserted in the lower (lumbar) spine to avoid puncturing the spinal cord with the sharp needle.

Epidural and spinal anesthesia work fast to numb the abdomen, legs and feet by blocking nerve signals. A patient will begin to feel the effects of an epidural or spinal injection within just a few minutes and will typically experience complete lower body numbness, and no pain, within twenty minutes.

Handled properly, epidural and spinal blocks offer anesthesia quickly and efficiently. However, if the injection is given in the wrong place (wrong site) or if too much medication is injected (an overdose) respiratory and cardiac arrest can occur. For example, if the anesthesia spreads above or below the intended spinal level, it can block nerves responsible for signaling the heart to beat and cause a dangerous slowing of the heartbeat (arrhythmia or bradycardia), a severe drop in blood pressure (hypotension) or a cardiac arrest.  Similarly, if the medication is incorrectly injected into a blood vessel it enters the bloodstream, travels throughout the body (systemic toxicity) and can interfere with the patient’s heart rate, breathing and blood pressure. This may cause heart damage, a brain injury or even death, by significantly affect the following:

  • Heart
  • Breathing
  • Brain function

Because of the risks of life-threatening complications during epidural and spinal anesthesia, equipment for emergency care (such as a defibrillator and injections of vasopressor medications) must be readily available and the attending healthcare providers must be prepared to immediately recognize and treat these complications. If you have been injured as a result of an epidural or spinal block the attorneys at Yost Legal Group are ready to investigate your claim with compassion and determination.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation.

At The Yost Legal Group, you will never pay an attorney’s fee unless we achieve a recovery for you. We don’t get paid until you do.

Uterine Rupture and Birth Injury

Posted on by YostLaw

Uterine rupture in pregnancy can be life-threatening for the mother and baby. Signs and symptoms associated with uterine rupture should be identified by a medical provider through careful monitoring of the mother and baby during labor and delivery, and include:

  • Significant uterine bleeding
  • Severe chest pain or abdominal pain
  • Falling blood pressure in the mother
  • Abnormal or absent pattern of uterine contractions (visible on the fetal monitoring strip)
  • Abnormal fetal heart rate (visible on the fetal monitoring strip)

If the uterus ruptures, the baby may not be getting the amount of oxygen needed to survive. This obstetrical emergency requires an immediate caesarian section (C-section) delivery. If the symptoms of uterine rupture are not recognized and immediately treated by medical providers, the complete (anoxia) or partial (hypoxia) interruption in the baby’s supply of oxygen can cause permanent brain damage.

Hypoxic and anoxic brain injuries can cause disabilities such as cerebral palsy, delays in development and seizure disorders. If you would like to discuss your child’s potential brain damage claim arising from a uterine rupture during labor and delivery, the attorneys at Yost Legal Group are experienced professionals ready to investigate your claim with compassion and determination.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation.

At The Yost Legal Group, you will never pay an attorney’s fee unless we achieve a recovery for you. We don’t get paid until you do.

Smith & Nephew Multi-District Litigation Comes to Maryland

Posted on by YostLaw

People from all over the United States suffering from injuries due to Smith & Nephew Birmingham Hip Resurfacing (BHR) and R3 Acetabular system hip devices are now closer than ever to receiving the compensation they deserve. On April 5, 2017, a federal Multi-District Litigation (MDL) was created to combine over 40 federal cases into one proceeding before one judge. The cases will be presided over by Judge Catherine C. Blake of the United States District Court of Maryland in Baltimore. This MDL allows for plaintiffs to maintain their right to a jury trial while benefitting from the efficiency and consistency of rulings by one judge.

Victims of the defective Smith & Nephew hip devices are in severe pain due to premature failure of the devices.  With normal use, components of the implant rub together causing metal particles to be released into the bloodstream. These metal particles cause elevated blood metal levels of Chromium and Cobalt called Metallosis. The side effects of Metallosis include severe hip and leg pain, tissue and bone death, loosening of the device, and pseudotumors.  These Smith & Nephew hip devices, which were supposed to improve the lives of hip replacement patients, have instead led to difficult complications and the need for revision surgeries.

The Maryland MDL gives victims new hope. They can now join together to fight for justice against Smith & Nephew. This is just the latest wave of lawsuits plaguing the medical device industry. Several other MDLs have already been formed to manage cases against hip device manufacturers like Stryker, DePuy, and Zimmer. Although it may take several years for the MDL proceedings to advance to the point where the first cases will be tried, there is no doubt that the consolidation of these Smith & Nephew claims is a step in the right direction.

Our experienced lawyers fight for individuals who have been harmed by defective products. If you or a loved one has been injured or required revision surgery following a Smith & Nephew or other defective hip device, the attorneys at the Yost Legal Group will investigate your potential claim and lawsuit. For a free consultation, please call us at 1-800-YOSTLAW.

Abdominal Injury During Laparoscopy

Posted on by YostLaw

Laparoscopy is one of the most common abdominal surgical procedures performed around the world. It is a minimally invasive surgery, which a surgeon performs by making several small incisions, each one about ½” in size, through which surgical instruments are inserted. Minimizing the size of the surgical incision greatly reduces the patient’s post-operative healing time, decreases the patient’s risk of developing a post-operative hernia, and minimizes surgical scars.

Unfortunately, the very small size of the laparoscopic incisions limits the surgeon’s view while entering the patient’s abdomen.  This limited view during insertion of sharp surgical instruments can cause serious injury to the patient.  If the surgeon is negligent in placing surgical tools too deep into the patient’s abdominal cavity, blood vessels or bowel are damaged and the patient can suffer life-threatening injuries such as internal bleeding (hemorrhage from a lacerated artery or vein) or sepsis (infection spread from a perforated or lacerated small intestine or bowel).

Vascular injury (injury to blood vessels) and bowel injury are the most common injuries suffered by patients having laparoscopic surgery and very often occur just as the abdomen is being entered and before the intended surgical procedure begins.  Major injury can occur when the Veress needle (a special needle used inflate the abdomen) or a trocar (a sharply pointed metal tube through which surgical tools are passed in and out of the abdomen) is negligently inserted into an artery, vein, colon, small intestine, ureter or other internal organ.

Additionally, a medical mistake can occur when the weight of a patient is not taken into consideration before surgery. In thinner patients, the distance between the anterior abdominal wall (where there are layers of abdominal muscle and tendons) and the retroperitoneal vascular structures (the major blood vessels located just behind the abdominal wall) is incredibly small. The distance between the abdominal wall and the thin patient’s aorta, iliac artery, and other great vessels may be as little as two centimeters. The distal aorta and right common iliac artery are particularly prone to injury and can be cut or damaged by negligent trocar placement at the beginning of the laparoscopic procedure.

Before laparoscopy is performed on a patient, the patient must be properly evaluated, including a full clinical history and thorough clinical examination. If you would like to discuss your potential claim arising from an injury during laparoscopy, the attorneys at Yost Legal Group are experienced professionals ready to investigate your claim with compassion and determination.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation.

At The Yost Legal Group, you will never pay an attorney’s fee unless we achieve a recovery for you. We don’t get paid until you do

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