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The failure to take appropriate steps to prevent a pulmonary embolism or the failure to diagnose a pulmonary embolism may constitute medical malpractice.

People with the following conditions are at risk for pulmonary embolus:

  • Patients who have undergone a surgery lasting more than 2 hours.
  • Patients who have experienced prolonged immobility ranging from bed rest to long journeys in cramped conditions.
  • Patients who are dehydrated
  • Patients with heart disease
  • Women who are pregnant
  • Cancer patients
  • Patients who smoke
  • Patients who are overweight
  • Patients who use supplemental estrogen

Most people are shocked to learn that people can catch on fire in an operating room.  However, several hundred operating room fires occur every year.  True, the odds of being involved in an operating room fire are quite small (there are 28 million surgeries per year) but the consequences of a fire in the operating room can be significant for the patient who happens to be involved.

Readers will find this article about operating room fire prevention to be very interesting.  Here is an abstract of the article: 

Operating room fires are a rare but preventable danger in modern healthcare operating rooms. Optimal outcomes depend on all operating room personnel being familiar with their roles in fire prevention and fire management. Despite the recommendations of major safety institutes, this familiarity is not the current practice in many healthcare facilities. Members of the anesthesiology and the surgery departments are commonly not actively involved in fire safety programs, fire drills, and fire simulations that could lead to potential delays in prevention and management of intraoperative fires.

Recent data suggests that 24% of Tennessee drivers do not have liability insurance on their vehicle.

Liability insurance exists to make monetary payments to those who are injured as a result of a negligent error by a person who has the insurance.  Tennessee state law requires every driver to have liability insurance, but it appears that almost 1 out of 4 drivers is violating this law.

What does this mean?  It means that if you are in an automobile accident that is not your fault you will have to bear financial responsibility for your medical bills and loss of income unless the at-fault party happens to have personal financial resources.  You will also receive no payment for any pain, suffering, disfigurement or loss of enjoyment of life you experience in the accident.

The National Highway Traffic Safety Adminstration has found that alcohol-impaired-driving fatalities declined by 2.5 percent in 2011 (Table 3), accounting for 31 percent of overall fatalities.  The number of Tennessee deaths caused by drunk drivers is not yet available.

An alcohol-impaired-driving fatality is defined as a fatality in a crash involving a driver or motorcycle rider (operator) with a blood alcohol concentration (BAC) of .08 grams per deciliter (g/dL) or greater. The number of alcohol-impaired drivers in fatal crashes declined for most vehicle types with the largest decline among drivers of large trucks (16%) and vans (9.8%). Fatal crashes involving alcohol-impaired motorcycle operators increased by 8.6 percent—the only category of drivers by vehicle type with an increase in alcohol impaired crash involvement.

The total death on our nation’s highways were 32,367, and 9878 of those deaths were found to be related to people impaired with alcohol. 

The federal government has determined that  3,092 people died last year in "distraction-affected" crashes, a newly refined measurement meant to tally the effect of texting, phoning or simply answering a call while driving.

The report did not break down the data by state, but Tennessee has about 2% of the country’s population and therefore it is reasonable to assume that about 60 people in Tennessee died in such accidents.

Click on the link to learn more about the perils of distracted driving in Tennessee.

The National Highway Traffic Safety Administration has finished a review of 2011 motor vehicle accidents and concluded that the death rate in Tennessee automobile accidents decreased by 8.3% for that year.

In 2010, 1032 people died on Tennessee roads.  In 2011, the number dropped to 946.  This means that 86  lives were spared in 2011.

However, 2012 is not looking good.  As of December 12, 2012, 957 people had already died on our state’s roads, more than in all of 2011.  It appears that our death rate will come close to what it was in 2010.

As lawyers who represent people in Tennessee car accidents and Tennessee truck accidents, we are frequently asked about subrogation.

What is subrogation?  In the context of auto and truck accident cases, subrogation most frequently arises because the injured person’s health insurance company has language in the health insurance contract which provides that the insurer has an interest in (is "subrogated’) a portion of any recovery that the injured person receives in a personal injury settlement or after a trial.  

An example will tell you how subrogation works.  Let’s assume that your health insurance policy has a subrogation provision.  Assume further that you are in a car wreck and your health insurance company pays $15,000 in medical bills,  If you recover $60,000 from the at-fault driver, you will have re-pay your insurance company  up to $15,000 because it is "subrogated" to your recovery.  The exact amount you will have to pay is depending on multiple circumstances.

Deaths of bicyclists increased 8.7 percent in 2011 according to data collected by the National Highway Traffic Safety Administration.  The death total was 677.  Another 48,000 bicyclists were injured.

The increase in bicycle deaths probably reflects more people riding bicycles to work and for pleasure, said Jonathan Adkins, deputy executive director of the Governors Highway Safety Association, which represents state highway safety agencies.

Motorcycle deaths also rose 2.1 percent, marking the 13th time in the last 14 years that motorcycle rider deaths have risen.  Total deaths were 4612.

In the year ending June 30, 2011 (the most recent year for which statistics are available) there were 499 trials in Tennessee personal injury and wrongful death cases.

Only 222 of these trials were jury trials.  The other 277 trials were non-jury trials.

Shelby County had 44 jury trials in personal injury and wrongful death cases, the most jury trials of any county in the state.  Davidson County was next with 31 jury trials.  Knox County had 28 jury trials and Hamilton County had 19 jury trials.

Physician assistants (PAs) are increasing in number in Tennessee.  Physician assistants are licensed by the state and are supposed to assist a physician in the practice of medicine.

The State of Tennessee has issued rules concerning the work done by physician assistants.  A physician assistant must have formal training in an approved program and must pass an examination to be licensed by Tennessee.

Physician assistants have the right to prescribe certain drugs under the supervision of a physician.  In fact, all of the activities of the physician’s assistant must be under the supervision of a physician.  The regulations concerning the supervision of a physician assistant by a physician are set forth in the link (look at section 18).

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