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{
    "pk": 785,
    "title": "Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure",
    "subtitle": null,
    "abstract": "In this article we present a case of a patient who received reversal of anticoagulation therapy with factor IX in violation of hospital guidelines. As a direct result, myocardial infarction and ischemic stroke occurred, leaving the patient neurologically debilitated. Factor IX is indicated in the setting of warfarin-induced, life-threatening bleeding. The patient’s care was provided by an intern with attending physician supervision. Delayed charting and questionable shared decision-making were present in the care. We discuss usage of factor IX, liability for supervision of physicians in training, and factors that can lead to plaintiff awards.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Medical Legal Case Report",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6z91r535",
    "frozenauthors": [
        {
            "first_name": "Steven",
            "middle_name": "",
            "last_name": "Gannon",
            "name_suffix": "",
            "institution": "Baylor University Medical Center, Pulmonary and Critical Care Medicine, Dallas, Texas",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Bell",
            "name_suffix": "",
            "institution": "Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Kenneth",
            "middle_name": "",
            "last_name": "Jackmiczyk",
            "name_suffix": "",
            "institution": "Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Gregory",
            "middle_name": "",
            "last_name": "Moore",
            "name_suffix": "",
            "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
            "department": "None"
        }
    ],
    "date_submitted": "2020-01-24T22:28:23-05:00",
    "date_accepted": "2020-01-24T22:28:23-05:00",
    "date_published": "2020-01-24T22:30:09-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/785/galley/539/download/"
        }
    ]
}