Scalpel Weekly News

Week of: July 23, 2018

IN THE NEWS


First Drug for Treatment of Smallpox

On July 13, 2018, the FDA granted SIGA Technologies Inc. approval to market TPOXX (tecovirimat), the first drug with an indication for treatment of smallpox. TPOXX was developed in conjunction with the U.S. Department of Health and Human Services’ Biomedical Advanced Research and Development Authority. Although the World Health Organization designated smallpox, a contagious and sometimes fatal infectious disease, eradicated in 1980, there have been longstanding concerns that smallpox could be used as a bioweapon. Click title to continue reading...


 
MEDICAL ALERTS


Carcinogen in Valsartan Drugs; National Recall

On July 13, 2018, the FDA notified health care professionals of a voluntary recall of several drug products containing the active ingredient valsartan, which is used to treat high blood pressure and heart failure. This recall was due to an impurity, N-nitrosodimethylamine (NDMA), which was found in the recalled products. NDMA is classified as a probable human carcinogen (a substance that could cause cancer) based on results from laboratory tests. Click title to continue reading...



Antibiotics Label; Low Blood Sugar, Mental Health Side Effects

On July 10, 2018, the FDA strengthened the current warnings in the prescribing information that fluoroquinolone antibiotics may cause significant decreases in blood sugar and certain mental health side effects. The low blood sugar levels can result in serious problems, including coma, particularly in older people and patients with diabetes who are taking medicines to reduce blood sugar. Click title to continue reading...



Multistate Outbreak of Cyclosporiasis Linked to McDonald’s Salads

On July 16, 2018, the CDC announced that the CDC, the FDA, and state and local public health partners were investigating a multistate outbreak of Cyclospora infections associated with consumption of McDonald’s salads. The CDC advised consumers not to eat McDonald’s salads. The CDC advised retailers not to serve or sell McDonald’s salads. Click title to continue reading...


  CASE ALERTS


Failure to Monitor Post-Operative Heparin; Cardiac Ablation

A woman underwent cardiac ablation, a procedure that involves the scarring or destruction of heart tissue that allowed incorrect electrical signals to cause an abnormal heart rhythm. The procedure was uneventful. About six hours after the procedure, the woman was administered heparin, an anticoagulant, to reduce the risk of a stroke. Twelve hours after the heparin was administered, hospital staff tested the woman’s heparin levels. The test revealed that the woman’s heparin levels were well in excess of the therapeutic range. Click title to continue reading...



Ophthalmologist Not Expert in Craniofacial Plastic Surgery

A craniofacial plastic surgeon and certified surgical assistant (CSA) performed surgery on a woman’s fractured facial bone, specifically, a bone in the woman’s eye socket. During the surgery, the woman sustained a lower eyelid tear. The woman filed a medical malpractice action against the craniofacial plastic surgeon and CSA. In support of the complaint, the woman filed the expert report and related curriculum vitae (CV) of an ophthalmologist. Click title to continue reading...



Health Provider May Bill Medicaid Recipient Directly

A Medicaid recipient was injured in an automobile accident. An air ambulance transported the Medicaid recipient to the nearest trauma center for immediate treatment. As a general condition of admission, the trauma center required its patients to assign to the trauma center all of the patients’ health, hospitalization, and other insurance benefits. The trauma center had an agreement with Arkansas Medicaid to provide services to Medicaid beneficiaries from Arkansas. Click title to continue reading...


FEATURE


Jury Selection: Recovery Room Injury

As a special feature for our Premium subscribers, we have included these illustrative voir dire topics to be used by defense counsel to formulate questions for jury selection in connection with a case alleging negligent post-surgical recovery room care. Click title to continue reading...