Month: November 2021

Popular Blood Thinners May Lead to Brain Bleeding after Head Injury

A three-year study of more than 1,000 patients found that the risk of delayed intracranial hemorrhage and death following head trauma was significantly higher for adults taking older blood thinning medications including clopidogrel (Plavix) and warfarin (Coumadin), according to research being presented today at the annual meeting of the Radiological Society of North America (RSNA).

The effects of newer blood thinners such as Pradaxa and Xarelto were not included in the report.

Taking aspirin concurrently with any blood thinner may increase the risk of delayed hemorrhage.

Intracranial hemorrhage occurs when blood vessels within the brain rupture, releasing blood into the brain tissue. In a delayed traumatic intracranial hemorrhage, bleeding in the brain occurs after the initial trauma, usually within 48 hours, after an initial negative head CT.

High blood pressure, head injury and the use of blood thinners are known causes of intracranial hemorrhage. As the population ages, the prevalence of patients taking blood thinners is increasing.

“The incidence of delayed posttraumatic intracranial hemorrhage in patients on different types of blood thinners with and without the addition of aspirin is not well established,” said Warren Chang, M.D., neuroradiologist and director of research at the Imaging Institute of the Allegheny Health Network in Pennsylvania. “This is an active area of investigation, especially as novel blood thinners become more widely adopted.”

COVID-19 and malpractice lawsuits: What the future may hold

COVID-19 is prompting significant changes to malpractice laws and regulations at the state and federal levels.

Since COVID-19 arrived in the United States, health care providers have been working tirelessly to address every aspect of the pandemic. The public saw how frontline workers were making sacrifices day in and day out to keep as many people healthy as possible. But even as the media focused on this heroic work, behind the scenes COVID-19 was prompting significant changes to malpractice laws and regulations at the state and federal levels.

Providers should be aware of what has happened and of the changes that may occur in coming months and years.

Early pandemic

At medical malpractice insurer EmPRO, we have been keeping a close eye on the pandemic because global health events have the potential to expose both insured clients and insurers alike to staggering liabilities. Thankfully in New York state, where EmPRO is headquartered, the governor and the legislature moved swiftly to enact emergency measures that shielded health care professionals from the worst liabilities. Had they not done so, the pandemic had the potential to lead to the proposal of new, more stringent regulations and policies, which in turn could have resulted in increased premiums.

New York was hit incredibly hard with COVID-19 cases right from the start, with the first confirmed case on March 1, 2020. The legislature and the governor produced the Emergency Disaster Treatment Protection Act (EDTPA), which extended broad immunity to health care providers and facilities.

Around the state, hospitals filled with patients with COVID-19 had to bring in nurses from out of state, bring health care providers out of retirement, build temporary facilities to provide COVID-19 care and enlist doctors, nurses, physician assistants and others to provide services out of title — meaning outside their usual purview of care.

The EDTPA granted them immunity from liability

Philly agrees to pay $2M in settlement over LGBTQ foster care lawsuit

The decision was unanimous. On June 17, in a 9-0 ruling, the U.S. Supreme Court found the City of Philadelphia violated the First Amendment rights to religious freedom of Catholic Social Services (CSS) in the case of Fulton v. City of Philadelphia.

The Court determined that Philadelphia’s refusal to contract with CSS for the provision of foster care services unless CSS agreed to certify same-sex couples as foster parents violated the free exercise of religion clause of the First Amendment.

Now the city of Philadelphia has agreed to pay $2 million in legal fees to CSS and to renew the Catholic foster care agency’s contract without requiring their adherence to the city’s nondiscrimination policy.

Jury Awards $26M in Unite the Right Lawsuit

A jury ordered 17 white nationalist leaders and organizations to pay more than $26 million in damages Tuesday over the violence that erupted during the deadly 2017 Unite the Right rally in Charlottesville in 2017.

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