[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-151015-en":3,"doc-seo-151015-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},151015,1374391974564,"Clementine","https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002",7,"Healthcare","State of Michigan Court of Appeals - Medical Malpractice Case Appeal","A Michigan Court of Appeals decision addresses a medical malpractice claim arising from the death of Rollin Tobin after hip replacement surgery. The plaintiff alleged contaminated blood transfused contrary to an autologous-blood request, leading to sepsis and disseminated intravascular coagulation. The opinion recounts the trial verdict amount, medical evidence and post-operative deterioration, and procedural motions for summary disposition. The appellate court reverses and remands for a new trial.","S T A T E O F M I C H I G A N  \nC O U R T O F A P P E A L S  \nJANET TOBIN, as personal representative of the Estate of ROLLIN TOBIN, deceased,  \nPlaintiff-Appellee,  \nv  \nPROVIDENCE HOSPITAL, a Michigan hospital corporation,  \nDefendant-Appellant.  \nBefore: Owens, P.J., and Kelly and Hoekstra, JJ.  \nOWENS, P.J.  \nFOR PUBLICATION February 16, 2001  \n9:10 a.m.  \nNo. 210536  \nOakland Circuit Court LC No. 94-473478 NH  \nIn this medical malpractice case, involving the death of Rollin Tobin on November 13, 1993, following hip replacement surgery, defendant appeals of right from the jury verdict totaling $6,485,681 .06, including taxable costs, attorney fees, and statutory interest. We reverse andremand for a new trial.  \nI  \nPlaintiff, the wife and personal representative of the decedent, alleged that her husband died as a result of the transfusion, during hip replacement surgery, of blood contaminated by Yersinia bacteria, contrary to his express request that any transfusions only contain autologous blood. Because he was concerned about receiving someone else’s (allogeneic) blood, prior to the surgery the decedent donated three units of his own (autologous) blood. During the course of the surgery that began at 7:30 a.m. on November 12, 1993, he received a transfusion of those three units of blood and additionally received a transfusion of one unit of allogeneic blood. Both the medical technologist who released the fourth unit of blood from the hospital’s blood bank and the nurse anesthetist who administered the transfusion testified that, although they could not specifically recall that particular unit of blood, they routinely observed blood before releasing or administering it, and they stated that if this particular unit had appeared unusual they would not have used it.  \nWhile the decedent was in the recovery room after the operation, he was observed to be hypotensive – that is, his blood pressure dropped below normal levels – with his blood pressure dropping from 100/60 to 70/40 . He was also tachycardic – his heart was racing – with a pulse  \nrate of up to 160. He was bleeding excessively, his coagulation factors were elevated, and his fibrinogen level was low; this indicated a depletion in the level of clotting factors in his blood. According to one of plaintiff’s expert witnesses, this suggested one of two alternatives: either the decedent was “bleeding out” – that is, he was losing blood rapidly and the blood was being replaced by liquids that did not contain clotting factors – or the clotting factors were being consumed in disseminated intravascular coagulation [DIC] .1 The decedent was therefore returned to the operating room at 3:07 p.m. in an attempt to determine why the continued bleeding was occurring.  \nA blood chemistry test (CBC) obtained at 3:45 p.m. disclosed an extremely low white cell count with indications of increased levels of immature white blood cells (band cells) . This was an indication that the decedent’s body was fighting an infection and, in an attempt to obtain sufficient white blood cells to combat the infection, was releasing immature cells. At 4:00 p.m., the decedent’s temperature was twice recorded at 109.4 degrees. He received numerous units of additional blood during the second surgery.  \nIn the recovery room after the second operation, at approximately 6:44 p.m., tests indicated the presence of DIC and his white cell count continued to drop. At 8:00 p.m. the decedent was moved to the critical care unit and sometime between then and 10:00 p.m. it was first recognized that he might be fighting sepsis. The decedent received his first dose of major antibiotics between midnight and 1:00 a.m. He died at approximately 7:00 a.m. on November 13, 1993. The subsequent autopsy concluded that the decedent died “as a consequence of sepsis and disseminated intravascular coagulation caused by transfusion of a unit of red blood cells contaminated with yersinia enterocolitica.” Investigation by the hospital, th","cbCaibmtAmnolG9Y","https://ap.wps.com/l/cbCaibmtAmnolG9Y","pdf",93214,1,26,"English","en",105,"# Case Background\n## Allegations and Trial Outcome\n## Medical Evidence and Progression\n# Appellate Issues\n## Summary Disposition Motions\n## Expert Testimony and Causation\n## Contract/Statute of Frauds Arguments","[{\"question\":\"What caused Rollin Tobin’s death according to the subsequent autopsy?\",\"answer\":\"The autopsy concluded that he died from sepsis and disseminated intravascular coagulation caused by transfusion of red blood cells contaminated with Yersinia enterocolitica.\"},{\"question\":\"What evidence supported the claim that the transfused blood was contaminated?\",\"answer\":\"Investigation by the hospital, the American Red Cross, and the Centers for Disease Control determined that the allogeneic unit of blood received during the initial surgery was contaminated with Yersinia bacteria.\"},{\"question\":\"What was the appellate court’s outcome of the defendant’s appeal?\",\"answer\":\"The court reversed and remanded the case for a new trial.\"}]","State of Michigan Court of Appeals - Medical Malpractice Case Appeal | PDF",1787831191,66,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"state-of-michigan-court-of-appeals-medical-malpractice-case-appeal","",{"@graph":36,"@context":85},[37,54,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":43,"position":53},"https://docshare.wps.com/document/state-of-michigan-court-of-appeals-medical-malpractice-case-appeal/151015/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":23,"description":14,"dateModified":62,"datePublished":62,"encodingFormat":61,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-08-27",true,{"@type":65,"interactionType":66,"userInteractionCount":4},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What caused Rollin Tobin’s death according to the subsequent autopsy?","Question",{"text":75,"@type":76},"The autopsy concluded that he died from sepsis and disseminated intravascular coagulation caused by transfusion of red blood cells contaminated with Yersinia enterocolitica.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What evidence supported the claim that the transfused blood was contaminated?",{"text":80,"@type":76},"Investigation by the hospital, the American Red Cross, and the Centers for Disease Control determined that the allogeneic unit of blood received during the initial surgery was contaminated with Yersinia bacteria.",{"name":82,"@type":73,"acceptedAnswer":83},"What was the appellate court’s outcome of the defendant’s appeal?",{"text":84,"@type":76},"The court reversed and remanded the case for a new trial.","https://schema.org",{"og:url":52,"og:type":87,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":89,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,123,128,131,135],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":46,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":46,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":119,"doc_module":4,"doc_module_name":46,"category_name":120,"show_sort_weight":121,"slug":122},8,"Research & Report",30,"research-report",{"id":124,"doc_module":4,"doc_module_name":46,"category_name":125,"show_sort_weight":126,"slug":127},9,"Religion & Spirituality",20,"religion-spirituality",{"id":126,"doc_module":4,"doc_module_name":46,"category_name":129,"show_sort_weight":126,"slug":130},"World Cup","world-cup",{"id":132,"doc_module":4,"doc_module_name":46,"category_name":133,"show_sort_weight":132,"slug":134},10,"Lifestyle","lifestyle",{"id":136,"doc_module":4,"doc_module_name":46,"category_name":137,"show_sort_weight":106,"slug":138},19,"General","general"]