Scalpel Weekly News

Week of: April 04, 2016

IN THE NEWS


Safety Warnings Added to Opioid Medications; Serotonin Syndrome

On March 22, 2016, the FDA issued a warning about several safety issues with the entire class of opioid pain medicines. These safety risks are potentially harmful interactions with numerous other medications, problems with the adrenal glands, and decreased sex hormone levels. The FDA is requiring changes to the labels of all opioid drugs to warn about these risks. Click title to continue reading...


 
MEDICAL ALERTS


FDA Approves Cinqair for Severe Asthma; 22 Million Sufferers

On March 23, 2016, the FDA approved Cinqair (reslizumab) for use with other asthma medicines for the maintenance treatment of severe asthma in patients aged 18 years and older. Cinqair is approved for patients who have a history of severe asthma attacks (exacerbations) despite receiving their current asthma medicines. Click title to continue reading...



FDA Recommends Against Use of OxySure Portable Emergency Oxygen

The FDA has received multiple complaints and reports of adverse events associated with use of the OxySure Portable Emergency Oxygen System including insufficient oxygen flow, re-breathing of exhaled gases, burns, bruising (contusions) and exposure to chemicals. Click title to continue reading...



Antimicrobial Drugs Increase C. difficile Hospital Occurrences; Transmission Questions

Infection with the nosocomial pathogen Clostridium difficile is a major risk in healthcare settings and long-term care facilities (LTCFs) and has an increasing prevalence in the broader community. More than 250,000 hospitalized persons are diagnosed with C. difficile infection annually in the United States. Colonization of the gut microbiota with C. difficile can be innocuous and asymptomatic. Click title to continue reading...


  CASE ALERTS


If Patient Is Sufficiently Responsive to Refuse Transport-Discretionary Decision

A woman was found unconscious in her bathroom. An ambulance was dispatched to her home. Upon arrival of the paramedic and ambulance driver, the woman was conscious and sitting on a couch. The woman initially insisted that she did not wish to go by ambulance to the hospital. While at the scene, the paramedic and ambulance driver recorded her vitals. Her blood pressure was 160/100, her pupils were dilated but responsive, and she received a Glasgow Coma Scale Score of 14 out of a possible 15. Click title to continue reading...



Cardiac Monitoring Data Saved in Monitor Is Discoverable Record

A man was admitted to the hospital for surgery. After being transferred out of intensive care to a step-down unit, he developed intermittent atrial fibrillation and was placed on continuous cardiac monitoring. Click title to continue reading...



Failure to Treat Pregnant Woman’s Clotting Disorder Resulted in Brain Damage

A 37-week-pregnant woman presented at the hospital with severe abdominal pain and lack of fetal movement. Her fetus had died due to placental abruption, and the mother was suffering from disseminated intravascular coagulation (DIC)—a blood clotting disorder. While under the care of the doctor at the hospital, the woman received blood products, including fresh frozen plasma (FFP). Once her OB/GYN arrived, she delivered the stillborn baby, received additional blood products, not including FFP, and was transferred to the ICU. The woman continued to lose blood. Click title to continue reading...


FEATURE


Complaint-Autism

As a special feature to our Premium subscribers we have included this feature containing an illustrative Complaint regarding the refusal to allow an autistic person using a service dog on public transportation, a bus. The action was brought against the county transport services, transit security, the county and city, the county transit board, the police chief, the responding police officers, and the insurance company. The action contains claims for violation of the Americans with Disabilities Act, violation of the Rehabilitation Act, assault and battery, false imprisonment, and negligence. Click title to continue reading...