December 9, 2022

Stroke: when rules don’t apply

Will published standards/guidelines protect you in a lawsuit? A male in his 70’s presents to the ER with aphasia and hemiparesis. He is within the 3 hour window for tPA. However, he is on warfarin for atrial fibrillation. His NIHSS score is 27 and INR
October 6, 2022

Don’t ignore severe back pain!

Always consider serious spinal pathology whenever a patient presents with severe back pain. The following is a real malpractice case with some dates/info changed to fit the format. The case settled for $2.75 million. That part has not been changed. Case: On Monday, a patient
July 2, 2022

Can’t Miss Diagnosis!

Be careful when sending patients home from the ER with pending blood cultures!
January 4, 2022

Keep Calm and Work it Up

When a patient gets injured while in the room or shortly after being discharged, be extra vigilant in ruling out new pathology.
August 31, 2021

It’s Okay to Be Wrong

A missed diagnosis does not mean you committed medical malpractice: documentation can save you.
February 19, 2021

Be aware of PJI!

A malpractice case involving a missed diagnosis. Be aware of PJI...
August 19, 2019

fluoroqui-NO-lones

All antibiotics come with side effects. Some are fairly innocuous, like an upset tummy. Others are a little more serious, like aortic dissection and death. The beauty of medicine is that we have more treatment choices now than ever before. And as our antibiotic options
March 12, 2019

Tips for Diagnosing the Most Common Surgical Emergency

Appendicitis is the most common surgical emergency in the United States. Nearly 9% of all men and 7% of all women will be afflicted at some point in their life. Despite this ubiquity, there are countless pitfalls one can encounter before reaching the diagnosis and
January 24, 2019

Never again, IV phenergan

Here’s the true story of a really unfortunate side effect from a very common medication. Remember that anyone can learn from their own mistakes, but a wise person learns from others’ mistakes. A man was working onboard a cruise ship as a waiter when he
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