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        • TBI
          TBI and Drug Abuse
          The Frontal Cortex Connection: TBI and Drug Abuse The long-term effects of traumatic brain injury are at long last being acknowledged and researched in our society, partly due to the media’s attention to the severity and consequences of this injury to football players in the NFL. We are realizing the extent in which these injuries [...]
        • Child
          Considerations in Child Abuse Cases
          Is It Abuse? Allegations of child abuse have very serious implications for all parties involved. The importance of a thorough history of the injury, medical history of the child, and a complete medical work-up are crucial to determine the most likely cause of the injury or injuries to the child. The following information was gleaned [...]
        • Bruise Collage
          The Characteristics of Bruises
          What Affects the Appearance of a Bruise? Bruising is one of the most common types of physical injury observed in victims of violence, assault, and abuse. There are several factors that affect a bruise’s appearance, such as: Tissue type Loose connective tissue type sites, such as the eye, face, and genitalia show more bruising. Fat [...]
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Tara’s presentation on Strangulation was the best one I saw last year.

Lana Luhring, Laird & Luhring, Waverly, IA
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Is the Defendant Drunk or Concussed? {DUI/Gen Med}

  • Tara Godoy
  • November 22, 2016 at 10:30 am
  • Categories: Criminal Law, DUI, Emergency Department, EMS, General Medical, Toxicology
If a person who is charged with a DUI and has a concussion, a review of the medical records by an expert can determine if the defendant has either: Concussion overview Concussion is a form of Mild Traumatic Brain Injury (MTBI) in which the brain is impacted sufficiently to result in neurological symptoms but not [&hellip Read More...

Medical Records: Emergency Dept.

  • Tara Godoy
  • May 12, 2016 at 10:57 am
  • Categories: Assault, Blunt Force Trauma, Civil Law, Criminal Law, Emergency Department, EMS, Malpractice
  • Tags: civil law, criminal law, discharge summary, medical case, Medical Record Review, Medical Records
If you’re looking for a list of injuries, as you commonly are in criminal law, you will look at the emergency department (ED or ER) reports and/or the ambulance reports. Ambulance/Fire: The vast majority of the time, I have to request that the ambulance and/or fire records be subpoenaed. This is a great source of [&hellip Read More...

Burns: Initial Treatment

  • GMFI
  • March 11, 2016 at 11:30 am
  • Categories: Assault, Domestic Violence, Emergency Department, EMS, Homicide
  • Tags: assault, burn expert, burn injuries, burns, scald, thermal burns, trauma
It is important to obtain and review medical records from the ambulance crew and emergency department in burn cases. The first responders will obtain information about the details of the fire, injuries and medical history. This information is needed for management of the injuries. Demographic data such as height, weight and age are important. The [&hellip Read More...

What to ask if you have a brain bleed case

  • GMFI
  • February 27, 2015 at 6:30 am
  • Categories: Assault, Blunt Force Trauma, Child Abuse, Civil Law, Domestic Violence, Elder/Dependent Abuse & Neglect (Civil), Elder/Dependent Abuse & Neglect (Criminal), Emergency Department, EMS, Homicide, Malpractice, Missed Diagnoses
  • Tags: brain bleed, CVA, epidural hematoma, Intracranial Hemorrhage, stroke, subarachnoid hemorrhage, subdural hematoma, trauma expert
Legal implications – civil: Non-traumatic intracranial hemorrhage (stroke): For cases involving warfarin or Coumadin- was the patient’s lab work such as PT/INR adequately monitored? If the patient was suffering from Coumadin toxicity, what was the treatment? Was the blood pressure controlled according to guidelines? Did the patient develop hemorrhage after receiving treatment for ischemic stroke? [&hellip Read More...

What are three main kinds of brain bleeding?

  • GMFI
  • February 20, 2015 at 6:30 am
  • Categories: Assault, Blunt Force Trauma, Child Abuse, Civil Law, Criminal Law, Domestic Violence, Elder/Dependent Abuse & Neglect (Civil), Elder/Dependent Abuse & Neglect (Criminal), Emergency Department, EMS, Homicide, Malpractice, Missed Diagnoses
  • Tags: brain bleed, CVA, epidural hematoma, Intracranial Hemorrhage, stroke, subarachnoid hemorrhage, subdural hematoma, trauma expert
Types of hemorrhage Epidural hemorrhage is bleeding between the skull and outer covering of the brain, the dura matter.  Epidural hemorrhages are frequently caused from a blunt trauma from an assault, fall or other accident.  Approximately 17% of patients with epidural hemorrhage will deteriorate to coma following trauma. A subdural hematoma is a collection of [&hellip Read More...
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