Focus Areas
I review and testify on cases involving emergency medicine, critical illness, trauma, and substance use. The conditions and issues below reflect the cases I see most often, grouped by area so you can quickly find what’s relevant to yours. If your case isn’t listed, contact me. I’ll tell you honestly whether it’s a good fit for my expertise.
Cardiovascular
- Acute coronary syndrome / myocardial infarction (STEMI, missed MI, heart attack)
- Aortic dissection (thoracic aortic dissection)
- Abdominal aortic aneurysm
- Chest pain
- Congestive heart failure
- Cardiac arrest / CPR
- Syncope
- Pulmonary embolism / DVT
- Peripheral vascular disease / ischemia
Neurologic and spine
- Stroke / CVA (missed stroke, posterior circulation stroke, tPA / delayed tPA)
- Intracranial hemorrhage / subarachnoid hemorrhage
- Cerebral venous thrombosis
- Vertebral artery dissection
- Meningitis
- Cauda equina
- Central cord syndrome
- Spinal cord injury
- Spinal epidural abscess / hematoma
- Spine fracture
Abdominal and GI
- Abdominal pain
- Appendicitis
- Diverticulitis
- Pancreatitis
- Peritonitis
- Small bowel obstruction
- Ischemic bowel / mesenteric ischemia
- GI bleed
- Esophageal perforation
- Retroperitoneal hemorrhage
- Abdominal compartment syndrome
- Testicular torsion
- Pyelonephritis / urosepsis
Infection and sepsis
- Septic shock / severe sepsis
- Bacteremia
- Endocarditis
- Necrotizing fasciitis
- MRSA / staph infection
- Osteomyelitis
- Diabetic foot infection
- Pneumonia (healthcare-associated, ventilator-associated)
- COVID-19 / influenza
Respiratory and airway
- Respiratory failure
- Difficult intubation / endotracheal intubation
- Mechanical ventilation
- Obstructive sleep apnea
Trauma and orthopedic
- Trauma
- Motor vehicle collision injuries
- Fractures / missed fractures / open fracture
- Compartment syndrome
- Retained foreign body
- Chiropractic and osteopathic manipulation injuries
Environmental and other emergencies
- Heat exhaustion / heat stroke
- Shock
- Pressure injury / pressure ulcer / foot ulcer
- In-hospital falls
- Post-operative / surgical complications
- Frostbite / cold-exposure
Addiction medicine and toxicology
- Substance use disorder / addiction
- Overdose / drug toxicity
- Opioid overdose, toxicity, and prescribing
- Heroin / fentanyl
- Cocaine / crack cocaine
- Cannabis / marijuana
- Kratom
- Whippets / nitrous oxide
- Medication toxicity / side effects
Standards, systems, and legal issues
- Emergency department standard of care
- EMTALA
- Urgent care referral, delays, and missed diagnosis
- Supervision of physician assistants / nurse practitioners
- Delayed or missed diagnosis
- Medical negligence / wrongful death / personal injury