Can One Punch Kill? {Assault/Trauma}
A review of medications and medical history can play a critical role in any case with traumatic injuries.
Medical Records Review: Abbreviations
The last thing I want to cover is abbreviations. Reading a doctor’s handwriting alone is hard enough, and it is so much harder if it’s filled with unknown abbreviations. It is literally impossible to understand the medical records without knowing at least a few of the common abbreviations. For your benefit, I’ve created a list […]
Medical Records: Complications & Procedures
For more information on the hospital course, other documents to look for include: Operative reports: These are generated if the patient undergoes any surgeries, and a separate report will be generated for each operation. Look at the pre and post-procedure diagnosis. Radiological reports: Look at the “Impressions.” Again, there will be one report for each […]
Medical Records Review: Emergency Dept.
When performing a medical records review, 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. […]
Medical Records: Where to Start
If you’re looking for the “story” of how the patient entered the hospital and what happened while he/she was there, go to the Discharge Summary (Caution: This is different than the Discharge Instructions, which are essentially worthless unless you practice med-mal). The Discharge Summary is a synopsis of the major events in the time that […]
Last Chance to Register!
4 hours MCLE available for $125! Register now for our Medical Record Review workshop. May 9th Workshop (Orange County, CA) registration will close 4/15 at midnight. September 12th (Sacramento, CA) registration still open. Our intensive workshop on medical records is designed to teach attorneys and investigators how to find what they need in the medical records and […]
Medical Record Workshop Still Open
4 hours MCLE available for $125! Register now for our workshop. Our intensive workshop on medical records is designed to teach attorneys and investigators how to find what they need in the medical records and look at them from a different perspective. The cases will cover topics including concussion, strangulation, great bodily injury and other […]
