If a hospital or doctor failed to act quickly when symptoms of DIC appeared, the consequences can be devastating. Disseminated intravascular coagulation often starts with minor bleeding or abnormal tests, but quickly leads to brain damage, liver failure, kidney failure, or damage to other vital organs if not diagnosed and treated quickly. At Ley de Janicek, our San Antonio DIC lawyers investigate cases where medical providers missed early warning signs, delayed treatment, or failed to follow critical care guidelines. Whether the malpractice occurred during surgery, postpartum care, or a hospital stay, we’re prepared to hold negligent providers accountable.
Janicek Law has represented hundreds of patients harmed by medical malpractice in San Antonio, including failures to diagnose and treat disseminated intravascular coagulation (DIC) during hospital care, surgery, labor, and postpartum recovery. Since 2020, our team has secured over $70 million on behalf of clients. With over 30 years of experience and board certification in Texas personal injury law, our legal team is uniquely qualified to handle complex DIC malpractice cases.
Llamar 210-366-4949 for a free consultation. We handle disseminated intravascular coagulation cases on a contingency fee basis, so victims pay nothing unless we win.
DIC Causes, Risk Factors, and Triggers
DIC (disseminated intravascular coagulation) is an acquired syndrome characterized by widespread disruption of normal blood clotting factors due to uncontrolled activation of coagulation factors in response to an underlying disorder. Common risk factors include specific cancers such as acute promyelocytic leukemia, amniotic fluid embolism, major trauma, and severe infection. In these conditions, inflammatory mediators like tumor necrosis factor trigger the release of blood clotting factors, causing the formation of small blood clots that block circulation and cause tissue damage. This can lead to tissue necrosis or progress to multiple organ dysfunction syndrome if not promptly treated. In critical care medicine, recognizing disseminated intravascular coagulation (DIC) early is vital because affected patients often present during severe sepsis or other acute crises, where the balance between clotting and bleeding collapses, resulting in serious bleeding and fatal complications.
Severe Sepsis, Infection, Systemic Inflammatory Response Syndrome, and Delayed Treatments of Septic Disseminated Intravascular Coagulation (DIC)
Septic disseminated intravascular coagulation (DIC) develops as a complication of severe sepsis and systemic inflammatory response syndrome (SIRS), where the immune system triggers widespread cytokine and coagulation cascades. These responses damage the blood vessels and initiate uncontrolled coagulation activation, which can quickly overwhelm the body’s regulatory systems. In neutropenic patients, this condition is life-threatening, especially when delayed diagnoses and treatment for DIC allow clotting to progress unchecked. Clinical symptoms of DIC often include low blood pressure and elevated liver enzymes, while laboratory findings may show reduced platelet count, prolonged clotting times, and imbalances in plasminogen activator and plasminogen activator inhibitor. Without timely diagnosis and management, disseminated intravascular coagulation (DIC) in critically ill patients can lead to multiorgan failure and fatalities.
Tissue Factor and Blood Coagulation in Severe Trauma, Cancer, and Blood Transfusion DIC Complications
In cases of severe trauma, exposure of tissue factor activates the coagulation pathway, leading to rapid coagulation activation, impaired blood flow, and widespread formation of small blood clots. This can result in induced disseminated intravascular coagulation (DIC), a life-threatening condition marked by the simultaneous consumption of coagulation factors and risk of serious bleeding. In cancer patients, this same mechanism contributes to a slower-developing but equally dangerous form of disseminated intravascular coagulation based on malignancy. Blood, plasma, and platelet transfusion management is crucial for critically ill patients. Failure to promptly deliver plasma transfusions, specifically fresh frozen plasma, and adequate platelet transfusions deprives the patient of critical blood clotting factors needed to control bleeding.
Failure to recognize or treat induced disseminated intravascular coagulation (DIC) in severe trauma patients directly increases the risk factors for death, reinforcing why trauma predicts mortality in these cases.
Blood Thinner Errors and Disrupted Blood Coagulation Cascades
Improper use of a blood thinner or failure to monitor anticoagulant effects can destabilize the body’s ability to regulate hemostasis, especially in critically ill patients at risk for consumption coagulopathy or consumptive coagulopathy. Blood thinners interfere with natural anticoagulant mechanisms, including the activated protein C system, antithrombin III activity, and the tissue factor pathway inhibitor, all of which help maintain balance within the clotting cascades. Errors in anticoagulant doses or timing of administering blood thinners can result in excessive depletion of coagulation factors, elevated fibrin degradation products, and a decreased fibrinogen level, increasing the risk factors for serious bleeding or widespread thrombosis. Damage to endothelial proteins, including endothelial cell protein and certain heterozygous protein variants, further contributes to impaired coagulation and fibrinolysis. In these disseminated intravascular coagulation (DIC) cases, supportive treatments for DIC, such as plasma transfusions, tranexamic acid, or antithrombin supplementation, may be required. Additional therapies, including low molecular weight heparin, factor Xa inhibitors, or recombinant factor VIIa, must be used with caution, as they can influence the fibrinolytic system and prolong prothrombin time. Disruption of blood clotting balance may also involve excess plasminogen activator inhibitor, impairing fibrin breakdown, or blocking tissue factor activity, altering the coagulant response. Guidelines supported by antithrombin gamma study groups emphasize that misuse of anticoagulants in this setting can delay efforts to control bleeding and worsen clinical outcomes.
When hospitals misuse blood thinners or fail to monitor their effects, patients can suffer dangerous bleeding or widespread blood clots that lead to damage to vital organs. San Antonio medication error claims assistance may be needed from our DIC malpractice lawyers when these mistakes cause or worsen disseminated intravascular coagulation (DIC).
Types of Disseminated Intravascular Coagulation (DIC)
Acute Disseminated Intravascular Coagulation (DIC): Acute DIC is a dangerous condition that develops rapidly in response to an underlying disorder such as severe sepsis, severe trauma, or amniotic fluid embolism. It causes widespread activation of blood coagulation, leading to serious bleeding. This form often presents with abnormal blood-clotting factors and demands immediate intervention.
Chronic Disseminated Intravascular Coagulation (DIC): Chronic DIC progresses more slowly and is often associated with acute promyelocytic leukemia, solid tumors, or liver failure. This condition produces small blood clots that may lead to vascular occlusive events without obvious bleeding. The following tests may show mild abnormalities, making clinical aspects harder to detect early.
Overt Disseminated Intravascular Coagulation (DIC): Overt DIC occurs when disseminated intravascular coagulation is clinically apparent and meets newly established diagnostic criteria, often confirmed by a standardized scoring system. Patients typically present with severe bleeding and low platelets. Laboratory findings usually show abnormal coagulation, elevated D-dimer, and prolonged clotting times.
Non-Overt Disseminated Intravascular Coagulation (DIC): Non-overt DIC may appear in critically ill patients without immediate symptoms. It involves low-level activation of coagulation, possible elevation of tissue factor, and minor changes in blood vessels. Although physical symptoms of DIC may be absent, monitoring is essential to prevent progression to multiple organ dysfunction syndrome.
What Causes DIC in Pregnancy, Labor, and Postpartum Care?
DIC (disseminated intravascular coagulation) in obstetric settings is often triggered by underlying disorders such as amniotic fluid embolism or placental abruption, two of the most severe obstetric complications. These events expose tissue factors to maternal circulation, initiating widespread activation of blood clotting factors and leading to consumptive coagulopathy. As clotting factors and platelets are rapidly used up, patients may develop a low platelet count, serious bleeding, and ultimately organ failure, particularly when elevated liver enzymes are present. This life-threatening condition requires urgent recognition based on symptoms of DIC, validated laboratory findings, and application of a scoring system for disseminated intravascular coagulation DIC. Effective diagnosis and management depend on the timely administration of platelet transfusions, plasma transfusions, prothrombin complex concentrate, and supportive therapies such as antithrombin III or activated protein C. Additional supportive treatments focus on stabilizing the patient and working to control bleeding while addressing the underlying cause.
Disseminated Intravascular Coagulation Diagnostic Criteria
There are three guidelines for the diagnosis of disseminated intravascular coagulation (DIC). These diagnostic algorithms rely on definitions, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation (DIC). These three guidelines help identify blood clot formation and excessive bleeding risk factors based on distinct clinical characteristics and test results.
- International Society on Thrombosis and Haemostasis (ISTH) DIC Scoring System: This is one of the most widely used tools globally. It uses platelet count, D-dimer or fibrin degradation products, prothrombin complex concentrate, and fibrinogen level to determine whether a patient has DIC. When the International Society on Thrombosis and Haemostasis DIC Scoring System is appropriately applied, it helps confirm DIC diagnosed cases, especially in patients with thrombocytopenia and signs of organ stress.
- Japanese Association for Acute Medicine (JAAM) DIC Criteria: This method emphasizes early diagnosis, especially in patients with severe sepsis or SIRS. It evaluates blood platelets, prothrombin complex concentrate, and decreased fibrinogen levels alongside fibrin clot presence. It also considers the fibrinolytic phenotype and links between disseminated intravascular coagulation and fibrosis in unresolved cases affecting vital organs. The Japanese Association for Acute Medicine is frequently used in acute care and emergency settings.
- Japanese Ministry of Health and Welfare (JMHW) DIC Criteria: This includes clinical symptoms such as bleeding and failure of vital organs, as well as tests including fibrinogen, fibrin degradation, increased prothrombin time, and blood platelets. Clinical evaluation is important for detecting thrombotic thrombocytopenic purpura and other disorders that mimic DIC. This guideline provides a broader clinical context and remains relevant for comprehensive diagnosis and management in complex cases with elevated liver enzymes or multiorgan involvement.
As discussed in resources like Nature Reviews Disease Primers, identifying symptoms of DIC early allows for appropriate diagnosis and management before the condition progresses.
DIC Symptoms and Complications
The symptoms of disseminated intravascular coagulation (DIC) often begin with subtle signs such as thrombocytopenia, low platelet count, and abnormal tests, but can quickly escalate to life-threatening complications. Patients may present with both blood clotting and excessive bleeding, which makes early diagnosis and management especially difficult. Recognizing the clinical characteristics and initiating appropriate treatment for DIC is critical to preventing irreversible damage.
Blood Clots, Serious Bleeding, Low Blood Pressure, and Trouble Breathing
DIC causes widespread coagulation activation, leading to small blood clots that impair blood flow in critical tissues. At the same time, the consumption of clotting factors and blood clotting factors results in serious bleeding, often at multiple sites. Patients may develop low blood pressure and difficulty breathing due to compromised oxygen delivery, especially in critically ill patients or those with underlying severe infection.
Hemorrhage, Organ Failure, Brain Damage, Systemic Inflammatory Response Syndrome (SIRS), and Death
Uncontrolled hemorrhage in DIC can lead to organ dysfunction and progress to organ failure, including liver failure and acute renal failure. When SIRS is present, it accelerates the breakdown of coagulation factors and worsens tissue injury. In severe cases, DIC results in brain damage, multiorgan failure, and death, especially when diagnosis and treatments for DIC are delayed or ineffective.
When is Disseminated Intravascular Coagulation Medical Malpractice in Texas
DIC Pregnancy: Failure to Diagnose or Mismanaged Treatment of DIC in Pregnancy
When doctors fail to recognize or treat disseminated intravascular coagulation (DIC) in pregnancy, labor, or postpartum care, victims may have grounds to file a medical malpractice lawsuit. DIC malpractice cases often involve OBGYNS ignoring symptoms of DIC, such as excessive bleeding that won’t stop, low platelet counts, or abnormal coagulation tests after childbirth. A mother in active DIC may experience widespread bleeding from many sites, including surgical incisions, vagina, IV sites, or catheter. She may feel dizzy, short of breath, extremely weak, or lose consciousness as her blood pressure drops and organ failure begins from her body’s failure to stop bleeding. Nurses might note that no matter how many medications like Pitocin, Cytotec, or Hemabate are given to help the uterus contract, or how many stitches or packing materials are used, they can’t help the patient stop bleeding.
If doctors fail to act quickly with plasma transfusions, platelet transfusions, or coagulation factor replacement, the mother may experience acute renal failure, liver failure, or die from hemorrhagic shock. Our San Antonio obstetric malpractice lawyers can investigate whether there were delays in the treatment of DIC, ignored test results, or failure to follow hemorrhage protocols that led to these injuries.
Baby DIC Malpractice Claims
When disseminated intravascular coagulation (DIC) affects the baby, it can quickly escalate into a life-threatening emergency. Reduced oxygen from poor placental blood flow may cause a baby’s DIC, leading to fetal distress and, in severe cases, fetal demise. If OBGYNs fail to provide a timely diagnosis and management of disseminated intravascular coagulation in the mother, it can progress to dead fetus syndrome and DIC, where oxygen deprivation causes the baby to be stillborn. Surviving infants may suffer from HIE (hypoxic-ischemic encephalopathy), a type of brain injury caused by oxygen deprivation before or during delivery. Babies affected by HIE may present with low Apgar scores, neonatal seizures, or neonatal stroke, and may be diagnosed with intrauterine growth restriction (IUGR) if oxygen deprivation occurred earlier in pregnancy. These injuries often result in lifelong complications such as brain damage, cerebral palsy, or severe developmental delays. When hospitals fail to respond quickly or ignore obvious signs of fetal distress, it may qualify as HIE malpractice, Cerebral Palsy malpractice, or other birth-related malpractice claims. Our DIC malpractice lawyers offer skilled chilbirth injury claims assistance in San Antonio for families facing these devastating outcomes.
VA Disseminated Intravascular Coagulation Malpractice For Failure to Diagnose or Stabilize Critically Ill Patients
VA disseminated intravascular coagulation malpractice occurs when medical staff at a Department of Veterans Affairs facility fail to properly recognize, diagnose, or treat early signs of DIC. Because disseminated intravascular coagulation is often triggered by infection, trauma, or organ dysfunction, VA malpractice may involve delays in identifying abnormal blood clotting, ignoring abnormal tests, or mismanaging blood or plasma transfusion protocols. In many cases, patients are left without appropriate supportive treatments, including platelet or plasma transfusions, or anticoagulant medications to control bleeding and restore coagulation balance.
If VA doctors overlook signs like low blood platelets, elevated liver enzymes, or dysfunction in vital organs, DIC can quickly progress into a life-threatening condition. VA hospitals may also be liable for malpractice if they administer blood thinners improperly in high-risk patients or fail to respond to symptoms of DIC, like systemic inflammatory response or sepsis. These failures can cause irreversible harm such as brain damage, kidney failure, liver failure, limb ischemia, or death.
Nuestro San Antonio VA medical malpractice attorneys can help affected patients and their families seek compensation under the Federal Tort Claims Act (FTCA) for DIC-related injuries caused by VA negligence.
Hospital Negligence, Delayed Care, and Surgical Errors Resulting in Disseminated Intravascular Coagulation Malpractice Lawsuits
When hospitals fail to monitor bleeding, respond to early symptoms of DIC, or manage infections, like severe sepsis or trauma, patients may develop disseminated intravascular coagulation (DIC) due to negligent medical care. Post-surgical patients who experience excessive bleeding or infection are at risk of developing dangerous blood clots and internal bleeding that can quickly lead to organ destruction or death without fast and supportive treatments. Doctors and nurses may ignore clear signs that a patient is getting worse, like excessive bleeding, dangerously low blood levels, or delayed responses to infection. If they wait too long to give blood products or don’t monitor the patient closely, it can lead to internal bleeding, organ damage, or complete failure of vital organs.
When surgery or infection causes a chain reaction in the body, hospitals must act fast. If they miss warning signs or delay treatment, patients can suffer brain damage, kidney failure, or die. DIC malpractice claims often focus on how long the hospital waited to act, whether blood was given in time, and whether the hospital staff followed proper steps to keep the patient stable. Contact our San Antonio DIC malpractice attorneys for skilled surgical error claims assistance in San Antonio.
Disseminated Intravascular Coagulation Wrongful Death
When a patient suffers a tragic death from negligence in San Antonio, the surviving family may have grounds for a wrongful death lawsuit. This includes fatal cases of disseminated intravascular coagulation (DIC) caused by delayed diagnosis, improper treatment, or failure to respond to serious symptoms of DIC, like internal bleeding or infection. If nurses or physicians fail to prevent known DIC complications, such as brain damage, renal failure, or don’t provide effective treatment strategies to end organ damage, their medical negligence can result in patient fatalities. Our San Antonio disseminated intravascular coagulation lawyers can help families seek compensation for funeral costs, lost income, emotional suffering, and the loss of companionship caused by preventable death.
How Disseminated Intravascular Coagulation (DIC) Harms Patients and Families
The long-term effects of disseminated intravascular coagulation (DIC) depend on how quickly the condition is diagnosed and treated. Survivors may experience permanent damage to vital organs such as the kidneys, liver, or brain due to reduced blood flow and oxygen during the acute phase. This can lead to chronic health problems that require ongoing medical care, dialysis, or rehabilitation. Some patients develop lasting mobility issues, cognitive impairment, or neurological deficits following multiple organ dysfunction syndrome or stroke caused by blood clotting. In severe cases, DIC leads to limb ischemia and tissue death, resulting in amputations. These complications often result in loss of independence, reduced quality of life, and significant financial burdens from long-term treatment and therapy.
How a San Antonio Disseminated Intravascular Coagulation Lawyer Can Help
A San Antonio disseminated intravascular coagulation lawyer can investigate whether medical professionals failed to prevent or properly treat DIC during labor, surgery, or hospitalization. When doctors miss signs like uncontrolled bleeding, delayed clotting, or abnormal lab results, patients can suffer permanent organ damage or death. Our attorneys work with medical experts to review the care provided, determine whether treatment errors or diagnostic delays violated the standard of care, and build a strong DIC malpractice claim to recover damages. We help families secure fair settlements and jury awards for medical expenses, lost income, long-term care, or wrongful death caused by negligent DIC management.
Time Limits for Filing a DIC Lawsuit in Texas
Texas Medical Malpractice Statute of Limitations: Two years from the date of the injury or the completion of treatment that caused the injury.
FTCA DIC Claim Deadlines for Veterans and Military Families: Claims must be filed within two years of the date the injury was discovered or reasonably should have been discovered.
DIC Claim Exceptions for Birth Injury or Delayed Diagnosis: For birth injuries, the statute may be extended until the child’s 14th birthday. For delayed diagnosis, the two-year limit may begin when the injury is discovered, subject to the 10-year statute of repose.
Contact Our San Antonio DIC Malpractice Lawyers
If you or your loved one suffered life-threatening harm due to delayed diagnosis or negligent treatment of disseminated intravascular coagulation (DIC), you may have grounds for a medical malpractice lawsuit. The San Antonio DIC attorneys from Janicek Law understand how to investigate complex hospital errors, systemic delays, and failure to follow critical treatment protocols.
Our legal team can pursue full compensation for wrongful death, permanent injury, lifelong medical care, and lost quality of life. We work on a contingency fee basis, meaning you pay nothing unless we win.
Llamar 210-366-4949 para una consulta gratuita.
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