Legal medicine implications in fibrinolytic therapy of acute ischemic stroke

BMC Med Ethics. 2019 Oct 14;20(1):70. doi: 10.1186/s12910-019-0412-8.

Abstract

Background: Before the advent of fibrinolytic therapy as a gold standard method of care for cases of acute ischemic stroke in Romania, issues regarding legal medicine aspects involved in this area of medical expertise were already presented and, in the majority of cases, the doctors seem to be unprepared for these situations.

Main text: The present research illustrates some of the cases in which these aspects were involved, that adressed a clinical center having 6 years of professional experience in the application of fibrinolytic treatment for stroke. The following cases report either situations in which the afore mentioned therapy was not rightfully administrated or legal aspects regarding the obtainment of informed consent.

Conclusion: Obtaining informed consent is a mandatory procedure, which takes time, to the detriment of application of fibrinolytic treatment.

Keywords: Medical negligence; Medico-legal issues in stroke; Prevention; Stroke thrombolysis.

MeSH terms

  • Brain Ischemia / drug therapy*
  • Humans
  • Informed Consent / ethics
  • Informed Consent / legislation & jurisprudence*
  • Romania
  • Stroke / drug therapy*
  • Thrombolytic Therapy / ethics*
  • Thrombolytic Therapy / methods*
  • Time Factors