Mismatched Blood Transfusion And Transfusion Reaction

A blood transfusion is a common medical procedure in which donated blood is provided to a patient through a narrow tube (IV catheter) placed within a vein in the arm. Blood transfusions become medically necessary for many reasons, including a need to replace blood in patients who suffer significant bleeding as the result of a major surgery or accidental injury. Blood transfusions are also needed by patients with blood disorders which interfere with their body’s ability to manufacture blood and/or blood components, such as blood platelets.

The four major blood groups (A, B, AB, and O) are determined by the presence or absence of specific antigens (on the surface of red blood cells) and specific antibodies (in the blood plasma). Every person has an ABO blood type, and is either blood type A, B, AB or O. In addition, all blood is designated by its Rh factor, depending on whether or not it contains another blood cell surface antigen, called the Rh factor. Blood is either Rh-positive (if the Rh factor antigen is part of the surface of its red blood cells) or Rh-negative (if its red blood cells do not include Rh factor antigens). There are very precise ways in which blood types must be matched for a safe transfusion. The blood donor and the recipient must have their blood types checked and cross-matched to ensure that the recipient’s immune system will not attack the donor blood.

If incompatible blood is given during a transfusion (donor and recipient blood types do not match), the donor cells are treated as if they were foreign invaders, and the patient’s immune system attacks them accordingly. This creates life threatening complications for the patient. If a transfusion reaction occurs, it renders the blood transfusion useless and can cause a potentially overwhelming activation of the transfused patient’s immune system and blood clotting system. This may result in the patient going into shock, kidney failure, circulatory collapse, and death.

The safe and effective administration of blood transfusion procedures involves the coordinated care of a variety of professional groups including nurses, doctors, laboratory scientists and blood banks. With that being said, there is absolutely no excuse for a patient receiving an incompatible blood transfusion. This preventable, careless medical mistake is often referred to as a “never event” – a patient treatment error that should under no circumstances occur.

If you or a loved one feel you are the victim of a medical mistake, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

Foreign Objects Left In Surgical Patients

Leaving foreign objects (including sponges, needles and instruments) in patients during surgical procedures is a widely recognized medical error classified as a “Never Event”. The term “Never Event” refers to a hospital-acquired condition that should not, under any circumstances, occur. A surgical tool, such a sponge or forceps, placed inside a patient during surgery but not removed at the end of the surgical procedure, can result in serious complications including infection, vascular injury, organ damage, uncontrolled bleeding or other, life-threatening, injuries.

With more than 4,000 surgical “never events” occurring annually in the United States (as reported by a 2013 study of surgical errors), it is important to be aware of the circumstances and consequences surrounding retained surgical instruments (RSI) following a surgical procedure.

A surgical sponge is the most commonly reported RSI following surgery. However, instruments such as scalpels, needles, scissors, tweezers, forceps, clamps and tubing have also been documented. Once inside the patient’s body, an RSI can cause various complications depending on the type and location of the object left behind. Complications include: bacteria collection around the foreign object, producing infection; intestinal perforation; and, internal bleeding. The most common symptom is excruciating, unexplained pain in the patient – days, weeks or even months after a surgery. Additional surgery (frequently more extensive than the patient’s original, scheduled, procedure) is usually required to remove the item, once diagnosed.

Proper patient care and safety should always be the top priority in any medical setting.  In the operating room, standard procedure includes performing needle, sponge and instrument counts at the end of each surgical procedure but these counts are not always accurate. Medical negligence has occurred whenever a surgical instrument is left in a patient.

If you or a loved one feel you are the victim of a medical mistake contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

We handle all cases on a contingency fee basis. This means you will never pay an attorney’s fee up front, and you owe us nothing unless we win your case.

We Are Excited to Announce the Winner of the 2017 Yost Legal Group College Scholarship Essay Program!

At the Yost Legal Group, Attorneys at Law, we are thrilled to be able to help students and members of the community succeed by offering programs like the Yost Legal Group College Scholarship Essay Program.

The program awards a $1,000 scholarship each year for the recipient to put towards tuition to pursue any field of study from an accredited college.

This year’s essay topic was on how adversity has affected your life. The essay program was open to all prospective or current undergraduate students attending an accredited college or university.

The 2017 winner of the $1,000 The Yost Legal Group College Scholarship Essay Program is Edward, a freshman at Virginia Tech.

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Edward chose to write his essay on the experiences he went through as a young boy. He described the obstacles he had to go through, most of the time alone, and how these obstacles shaped him into the young man he is today.

He also touched on how he now has a great appreciation for his struggles and for his mother, who worked hard to provide for him. He reflected on how the key to overcoming adversity throughout his childhood was finding his inner happiness.

Edward is a determined and bright young man who has grown to understand that his difficult experiences led him to where he is today. His reflections have also harvested a new love for his mother and for all she did for him.  Most importantly, he has learned that self-acceptance can help you figure out exactly where you belong in this world.

Thank you to all students who submitted an essay this year! Each and every one was eye-opening and all of you have such bright futures. We look forward to seeing what next year will bring!

Congratulations, Edward, from everyone at The Yost Legal Group

Injury During Cardiac Catheterization

Cardiovascular disease (CVD) is the number one cause of death globally. Because more people die annually from heart disease than from any other cause, it is important to take preventative measures to examine how well your heart is working. Diagnostic procedures and medical tests are commonly performed by medical professionals to monitor the heart and keep people from suffering fatal heart attacks.

Cardiac catheterization, a procedure used to diagnose and treat cardiovascular conditions, involves inserting a flexible wire into an artery or vein in your neck or groin, threading this wire through your blood vessels to your heart and, finally, guiding a long, thin tube, called a catheter, over the wire and into coronary arteries, veins or even a chamber of the heart.

Complications of this procedure can include:

  • Creation of a blood clot inside a blood vessel (thrombus), triggering a stroke, heart attack, or other serious problems.
  • Dislodgment of atherosclerotic plaque (plaque rupture) from the interior wall of a blood vessel, triggering a stroke, heart attack, or other serious problems in patients with atherosclerosis (a condition commonly known as “hardening of the arteries”)
  • Damage to blood vessels (the wire or catheter may cut, scrape or puncture a blood vessel as they are threaded to the heart), causing severe bleeding (hemorrhage or hematoma).
  • Accidental placement of the catheter into the wrong artery, vessel, heart chamber or, rarely, into a lobe of the lung.

The use of ultrasound imaging to guide catheter placement and the degree of technical experience greatly influence the incidence of vascular complications. If ultrasound imaging is not used to provide visual guidance during the procedure, or if the doctor performing the catheterization is careless or inexperienced, risks of complication skyrocket. These complications may all fall into the category of medical malpractice. An injury during cardiac catheterization can cause permanent damage or even result in death.

If you or a loved one feel you are the victim of a medical mistake contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

We handle all cases on a contingency fee basis. This means you will never pay an attorney’s fee up front, and you owe us nothing unless we win your case.

 

Ataxic Cerebral Palsy

Cerebral palsy (CP) occurs in nearly 1 in every 500 births, making it is the most prevalent cause of motor function impairment. A disorder of movement, muscle tone or posture, CP is a neurological condition caused by brain damage which is usually suffered before, during or soon after a baby is born. CP may also cause seizure disorder (epilepsy), swallowing, speech and eye movement problems, and can cause intellectual disabilities.  Premature birth significantly increases an infant’s risk of CP.  There are several different types of CP, with each type classified according to the type of body movement and posture problem present. Ataxic cerebral palsy is the rarest type of cerebral palsy and involves the entire body.

Ataxic CP causes problems with:

  • Balance
  • Precise Movements (may reach too far or too close to touch objects)
  • Coordination (may walk with feet unusually far apart)
  • Hand control (may have trouble buttoning clothing, writing or using scissors)

If there is birth trauma during labor and delivery, it is possible for the baby to suffer from a brain injury due to hypoxia, or lack of oxygen. Medical staff is expected to monitor the baby’s heart rate and the mother’s contraction rate to ensure the safety of the baby and avoid birth injury. Medical negligence in this area could be the reason why you child suffers from cerebral palsy.

Motor functioning impairment greatly affects quality of life. Additionally, the cost of care for a child with brain damage is high. If your child’s brain injury was caused by a medical mistake at birth, or caused by an extremely premature birth which healthcare providers negligently failed to prevent (such as a failure to diagnose and treat preeclampsia), 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.

 

Hypoxic Brain Injury- Intubation

Tracheal intubation (TI), usually simply referred to as intubation, is a procedure performed by medical professionals in the setting of respiratory failure and shock. This procedure involves inserting a flexible plastic tube into the patient’s trachea (windpipe) to maintain an open airway, assist with breathing and can also serve as a channel through which to administer certain drugs.

Although intubation is a life-saving intervention, life-threatening complications may arise if this complex procedure is not done correctly. Negligent placement of the endotracheal tube into the esophagus, instead of the trachea, is a major cause of cardiac arrest and brain damage associated with intubation.  If this mistake is not immediately recognized and the tubing withdrawn from the patient’s esophagus, the patient’s airway remains blocked and hypoxic brain injury or anoxic brain injury can result from the asphyxiation caused by negligent intubation.

Patients must have a continuous supply of oxygen to the brain in order to survive. If the oxygen supply is interrupted, even for a short amount of time, the functioning of the brain is disturbed immediately and irreversible damage can quickly follow. Despite intubation guidelines and years of training in airway management, medical mistakes continue to be made, causing catastrophic complications to arise.

If you or a loved one feel you are the victim of a medical mistake, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

 

Sepsis Following Weight Loss Surgery

The Centers for Disease Control reports that more than one-third (36.5%) of U.S. adults suffer from obesity. High blood pressure (hypertension), heart disease, type 2 diabetes, cancer, and stroke are all life threatening conditions linked to obesity and are some of the leading causes of preventable death.

There are various surgical procedures that doctors perform in order for patients to achieve desired weight loss and avoid obesity-related complications. These procedures are referred to as bariatric surgery and include a variety of surgical approaches, including gastric banding, Roux-en-Y gastric bypass and gastric sleeve surgery. All bariatric surgeries shrink the size of the patient’s stomach in order to limit the amount of food that can be consumed. During banding procedures, (laparoscopic adjustable gastric banding, or LAGB), a flexible band is placed around the upper portion of the patient’s stomach wall and tightened, to restrict the size of the stomach. During gastric bypass surgery, part of the stomach may be removed (gastrectomy) and the surgeon will also re-route, or bypass, part of the digestive system so that a much smaller amount of nutrients from food are absorbed by the intestinal tract.

Unfortunately, sometimes bariatric surgery brings with it consequences in the form of medical mistakes. There have been many instances where patients have suffered from an anastomotic leak (AL) during gastric bypass surgery, when fluid from within the gastrointestinal tract leaks into the sterile abdominal cavity. As a result, these patients suffer from severe peritonitis (a deadly infection in the abdomen) and sepsis. Early diagnosis of an AL is crucial for the prevention of life-threatening complications. In countless instances, medical providers have failed to diagnose this complication at the time of surgery.

Symptoms of sepsis include:
• Fever
• Hypothermia (lower than normal body temperature)
• Heart rate >90 beats per minute (bpm)
• Fast respiratory rate
• Altered mental status (confusion/coma)
• Edema (swelling)
• High blood glucose without diabetes

If you or a loved one feel you are the victim of a medical mistake, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

Fetal Acidosis

Before a baby is born, the fetus is completely dependent on the mother’s blood supply to receive oxygen and nutrients. These necessities are delivered from mother to child through the umbilical cord and placenta. If proper care is not taken by a medical professional during the labor and delivery process, the baby’s oxygen supply can become compromised. When a baby is suffering from oxygen deprivation, brain cells begin to die off and brain damage can be irreversible.

Fetal acidosis is a symptom of serious brain injuries caused by a severe lack of oxygen to a baby during labor and delivery (such as, Cerebral Palsy (CP), Hypoxic Ischemic Encephalopathy (HIE), and seizure disorders). Fetal acidosis is diagnosed by a lab test, (blood cord gas test) performed in the first few minutes of a newborn’s life, analyzing the pH level of the blood drawn from the umbilical cord artery and veins.  If the pH level of the cord blood sample is 7.0 or less, the baby has a low (acidic) cord pH and is diagnosed with fetal acidosis.  A low cord pH at birth is one of the most common indicators of a baby’s lack of oxygen during labor and delivery.

Birth injuries due to low oxygen supply (hypoxia) or no oxygen supply (anoxia, or asphyxiation) can be avoided by good medical care during labor and delivery, including routine monitoring of the baby (fetal movement and heart rate), the mother’s vital signs (maternal heart rate and maternal blood pressure), and uterine contractions during labor (how long the contractions last, how strong the contractions are and how close together the contractions occur).

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.

Perforation of Small Intestine During Laparoscopic Cholecystectomy

Laparoscopic cholecystectomy, commonly referred to as a “lap choly,” is a procedure that involves removing the gallbladder. A patient may need removal if the gallbladder is full of gallstones (cholelithiasis), inflamed, or infected (cholecystitis). When a lap choly is needed, laparoscopic techniques are used to perform this minimally invasive surgery with the assistance of a video camera and several thin instruments.

The laparoscopic incisions, each one about ½” in size, limit the surgeon’s view of the patient’s abdomen. This limited view during surgical dissection and electrocautery can be associated with serious complications. Several factors may play a role in causing these injuries, such as the complexity of the case and the experience of the surgeon.

Although injury to the common bile duct (the tube that carries bile from the gallbladder to the small intestine) is one of the most serious complications of gall bladder surgery, injury to the small bowel (small intestine) can occur as a result of a medical provider’s incorrect use of surgical tools during laparoscopic cholecystectomy.  Perforation or laceration of the small intestine during lap choly can occur when the nearby wall of the small intestine is cut by a surgical tool or burned during electrocautery.  If left undetected and not quickly repaired, a hole in the small intestine can cause bile to leak into the abdomen and can lead to life-threatening infection (abscess, peritonitis and sepsis). The duodenum (upper section of the small intestine) or jejunum (the middle portion of the small intestine) are the two most likely sections of the small intestine to be negligently damaged during laparoscopic gall bladder surgery.

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 intestinal 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, there is no fee or expense unless you recover.

Placenta Previa and Hypoxic Brain Injury

Placenta previa occurs when the placenta lies low in the uterus and partially or completely covers the cervix.  When this happens, the placenta is lying between the fetus and the birth canal, effectively blocking the baby’s delivery. Although placenta previa is quite common in the early weeks and months of pregnancy, it typically resolves as the pregnancy progresses and the placenta moves up and away from the cervix as the uterus expands.

However, placenta previa does not always resolve itself. It affects about 1 in 200 births, at which time it can create the risk of severe bleeding (hemorrhage) in the mother and lack of oxygen to the baby (hypoxia). When placenta previa is present near the end of pregnancy it almost always requires cesarean (c-section) delivery of the baby.

Placenta previa should always be suspected when bright red vaginal bleeding occurs during pregnancy, at which time an ultrasound should be ordered and the condition can be diagnosed by the ultrasound images.  If ultrasound confirms placenta previa is the cause of vaginal bleeding during pregnancy, the proper course of treatment is to admit the patient to the hospital for monitoring and bedrest. If the bleeding does not stop, or if the fetal heartrate monitor indicates the baby is in distress, the pregnant mother will remain hospitalized and may receive blood transfusions and other treatments until the baby is delivered.

Lack of oxygen to the baby’s brain due to a ruptured placenta previa can cause serious brain damage. Birth asphyxia, hypoxic ischemic encephalopathy (HIE) and cerebral palsy are brain injuries that are caused by oxygen deprivation. The treatment for these complications is limited due to the fact that most brain damage is permanent.

Our experienced attorneys fight for individuals who have been negatively impacted by the negligence of others.  If you would like to discuss your family’s potential claim arising from a placenta previa birth injury, the attorneys at Yost Legal Group are experienced professionals ready to investigate your claim with compassion and determination. For a free consultation, please call us at 1-800-YOSTLAW.