Case Expertise

Independent standard-of-care review across the full range of emergency department litigation, including delayed and missed diagnosis. Each engagement begins with the medical record and ends with a plainly written opinion the record supports.

• Sepsis & Serious Infection

  Whether screening, recognition, and time-to-antibiotics met the standard of care, and whether deterioration was foreseeable from the documented vitals and labs.

• Chest Pain & Acute Coronary Syndrome

  ECG interpretation, serial troponins, risk stratification, and the adequacy of workup and disposition in chest pain and atypical presentations.

• Stroke & Thrombolysis Decisions

  Recognition of stroke symptoms, imaging timelines, thrombolysis eligibility decisions, and time-window documentation.

• Aortic Dissection

  Whether the presentation warranted consideration of dissection, and the adequacy of imaging and blood pressure management decisions.

• Pulmonary Embolism

  Risk stratification (Wells, PERC), appropriate use of D-dimer and CT angiography, and anticoagulation decisions.

• EMTALA & Interfacility Transfer

  Medical screening examination adequacy, stabilization requirements, and transfer appropriateness and documentation.

• Airway Management

  Intubation decisions, technique, preparation for the difficult airway, and management of complications.

• Trauma Resuscitation

  Primary and secondary survey adequacy, imaging decisions, and timeliness of intervention and surgical consultation.

• Appendicitis & Abdominal Emergencies

  Evaluation of abdominal pain, imaging thresholds, and discharge decisions in evolving presentations.

• Ectopic Pregnancy

  Evaluation of first-trimester bleeding and pain, beta-hCG interpretation, and ultrasound utilization.

• Meningitis

  Recognition of red-flag presentations, lumbar puncture decisions, and timeliness of empiric antibiotics.

• Discharge & Follow-Up

  Whether discharge was appropriate given the documented findings, and the adequacy of return precautions and follow-up arrangements.