Legal Case

Accession Number
2001055928.
Authors
Kussman RS, Esq.
Title
Medical malpractice: housewife, 39: wrongful death: failure to diagnose pregnancy and eclampsia: pulmonary edema: verdict $1,384,685.
Kussman RS, Esq.
Source
Shah v Corona Regional Medical Center ** 2000 (8 ref)
Legal Cases
Legal Cases Case No: 300079, Riverside Superior Court, California.
CINAHL Subject Headings
Adult
*Eclampsia/Diagnosis
*Failure to Diagnose/Legislation and Jurisprudence--United States
Female
*Heart Arrest
*Intubation, Intratracheal/Adverse Effects
*Malpractice/Legislation and Jurisprudence--United States
Pregnancy
*Pulmonary Edema/Therapy
Seizures/Etiology
United States
*Wrongful Death/Legislation and Jurisprudence--United States
Abstract
SYNOPSIS OF FACTS: Decedent, housewife, 39, presented at defendant hospital with new-onset seizures. She could not give her history and therefore did not reveal that she was pregnant. She had elevated blood pressure and protein in her urine. She developed pulmonary edema. During an intubation attempt she suffered cardiopulmonary arrest. She was resuscitated but she suffered brain death and died 1 week later.
Full Text
ATTORNEYS
 
FOR PLAINTIFF/S: Russell S. Kussman, Esq., Kussman & Whitehill, 10866 Wilshire Boulevard, Suite 1470, Los Angeles, CA 90024, phone (310) 474-4411, fax (310) 474-6530
 
FOR DEFENDANT/S: For Drs Ranch and Bear: Dennis Sinclitico, Esq., La Follette, Johnson, De Haas, Fesler, Silberberg & Ames, 865 South Figueroa Street, Suite 3100, Los Angeles, CA 90017, phone(213) 426-3600, fax (213) 426-1500; For Corona Regional Medical Center: Robert Shephard, Esq., Rinos, Shephard & Martin, 825 North Parkcenter Drive, Suite 110, Santa Ana, CA 92705, phone (213) 426-3600, fax (714) 834-1500
 
DATE OF TRIAL: ? to February 1, 2000
 
JUDGE: Charles Field
 
EXPERTS
 
FOR PLAINTIFF/S: William O'Riordan, MD, emergency medicine, San Diego, CA; William Frumovitz, MD, ob/gyn, Santa Monica, CA; Raymond Schultz, PhD, economics, Pasadena, CA
 
FOR DEFENDANT/S: Baha Sibai, MD, ob/gyn, Memphis, TN; Michael Smolens, MD, emergency room, Los Angeles, CA; Daniel Abbott, MD, emergency room, Newport Beach, CA; James Leo, MD, intensive care, Long Beach, CA; Ted Vavoulis, MD, economist, Los Angeles, CA
 
PLAINTIFF CONTENTIONS: Elevated blood pressure and protein in her urine indicated eclampsia which should have been diagnosed. Instead defendants diagnosed meningitis or encephalitis. They gave her too much fluid causing pulmonary edema. They misplaced her x-ray at a critical time. They paralyzed her in an attempt to intubate and ventilate but could not intubate leading to a lack of oxygen and cardiopulmonary arrest.
 
DEFENDANT CONTENTIONS: Diagnosis of pregnancy and eclampsia is far from clear in a patient who could not give her history and whose husband was not aware of her pregnancy. Pulmonary edema was unavoidable and was treated properly. Failure to intubate can occur in difficult circumstances without negligence.
 
DAMAGES CLAIMED: Wrongful death of wife and mother
 
SPECIAL DAMAGES: past medical expenses: none; future medical expenses: none; past loss of earnings: none; future loss of earnings: none
 
SETTLEMENT DISCUSSIONS: Plaintiff: $300,000; Defendant: $75,000
 
JURY POLL: 12-0 for plaintiff
 
TRIAL TIME: 11 days; Jury Out: 2 days
 
NOTES: None
 
Copyright CO 2001, Cinahl Information Systems
Cited References
 
Bhagwanjee S, Paruk F, Moodley J, and Muckart DJJ. Intensive care unit morbidity and mortality from eclampsia: an evaluation of the Acute Physiology and Chronic Health Evaluation II score and the Glasgow Coma Scale score. CRIT CARE MED 2000 Jan; 28(1): 120-4
 
Burnett D. Medical. Severe pre-eclampsia and eclampsia: a broad overview with discussion of the nursing care required for the eclamptic patient. ACCID EMERG NURS 1997 Oct; 5(4): 200-4
 
Jiva TM. Critical care of pregnant women, part 1: pulmonary edema, ARDS, thromboembolism: how to manage life-threatening cardiopulmonary complications of pregnancy. J CRIT ILLN 2000 Jun; 15(6): 316-24
 
Kesler R and Mendizabal J. Case & comment: a challenge for your clinical skills. Two seizures and high BP. PATIENT CARE NURSE PRACT 1999 Jan; 2(1): 47-8
 
Mattera CJ. Heart failure and pulmonary edema: understanding & correcting problems with the body's amazing pump. JEMS 2000 May; 25(5): 36-9, 41-2, 44-7
 
Munro PT. Management of eclampsia in the accident and emergency department. J ACCID EMERG MED 2000 Jan; 17(1): 7-11
 
Parsons CL, Sole ML, and Byers JF. Noninvasive positive-pressure ventilation: averting intubation of the heart failure patient. DCCN 2000 Nov-Dec; 19(6): 18-24
 
Werfel P. Case of the month. Fools rush through. JEMS 1999 Jun; 24(6): 28
Document Type
Legal Cases.
Language
English
Entry Month
20010622
 
 This page last revised November 17, 2005

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