01 — Core
Case Viability Screening
Rapid review of available records to assess whether the clinical narrative supports your theory of negligence. Identifies strengths, risks, alternative explanations, and missing records.
DeliverableStrengths/risks/gaps memo + prioritized record-request list
02 — Core
Medical Record Abstraction & Indexing
Systematic extraction and organization of clinically relevant facts into a searchable indexed format cross-referenced to Bates numbers for rapid exhibit retrieval.
DeliverableIndexed abstraction table + quick-reference exhibit list (Excel + PDF)
03 — Core
Medical Chronology & Timeline Reconstruction
One continuous timeline integrating care across all settings and providers. Minute-by-minute or hour-by-hour sequencing with timing discrepancies flagged and citations for every entry.
DeliverableComprehensive timeline with Bates citations and discrepancies flagged
04 — Core
Pre-Expert Clinical Issue Spotting
Early identification of high-yield clinical issues — missed deterioration, delayed escalation, monitoring failures — with targeted questions ready for your expert, before engagement.
DeliverablePrioritized issue list + "what to ask the expert" questions + record anchors
05 — Core
Damages & Injury Progression Timeline
Medically grounded chronology tracking symptom onset, objective findings, interventions, complications, rehabilitation, and functional impact — everything your damages narrative needs.
DeliverableDamages narrative + dated progression table with citations
06 — Core
Nursing Documentation Quality Review
Assessment of nursing charting for completeness, internal consistency, and required elements. Gaps are identified and explained with risk implications — not just catalogued.
DeliverableDocumentation critique with examples, missing elements, and risk implications
01 — Forensic
Injury Mechanism Consistency Review
Record-based review of whether documented injuries are consistent with the stated mechanism. Findings are categorized clearly as supported or not supported by the medical evidence.
DeliverableConsistency memo categorizing findings as supported / not supported
02 — Forensic
Trauma Pattern Analysis
Screening-level review of injury distributions compared against typical accidental versus non-accidental patterns. Includes pediatric developmental plausibility for applicable cases.
DeliverablePattern summary with record citations and recommended expert questions
03 — Forensic
Delayed or Missed Injury Identification
Review of serial vitals, imaging timing, and reassessment adequacy to identify clinical signals where earlier evaluation may have been indicated.
DeliverableSignal timeline identifying potential missed escalation points
04 — Forensic
Forensic Exam Documentation Review
Quality review of SANE and forensic examination documentation for completeness, body-map accuracy, consent elements, and adherence to documentation standards.
DeliverableChecklist-based findings report identifying gaps and evidentiary impact
05 — Forensic
Assault/Abuse Timeline Consistency
Comparison of reported event timing with objective clinical markers — lab windows, exam findings, treatment sequences — to identify corroboration or conflict.
Deliverable"Reported vs documented" timeline with inconsistencies flagged
06 — Forensic
Chain-of-Custody Documentation Review
Record-based review of whether evidence handling was documented in a way that supports evidentiary integrity. Labeling, sealing, storage, transfer, timestamps, signatures.
DeliverableChain-of-custody documentation gap analysis
01 — Critical Care
ICU Deterioration & Escalation Analysis
Trend analysis of vitals, vasopressors, ventilator settings, neuro status, and labs to identify clinical inflection points and assess whether escalation was timely and documented.
DeliverableTrend narrative with inflection points and missed-opportunity flags
02 — Critical Care
ED Triage & Stabilization Review
Review of acuity assignment, initial workup, stabilization steps, and escalation decisions tied to timestamps, orders, and reassessment frequency.
DeliverableTriage and stabilization critique with timeline anchors
03 — Critical Care
Monitoring, Response & Rescue Failure Review
Event-by-event breakdown of abnormal finding → expected response → documented response. Identifies gaps in monitoring frequency and delays in rescue pathway initiation.
DeliverableResponse sequence breakdown: finding → expected → documented
04 — Critical Care
RRT & Code Event Reconstruction
Timeline reconstruction of recognition, activation, interventions, medications, rhythm documentation, roles, and post-event care — with cross-source discrepancies flagged.
DeliverableCode/RRT timeline with documentation sufficiency assessment
05 — Critical Care
Handoff Gap Analysis
Review of handoff documentation completeness — critical issues, pending tests, contingency plans, code status, medications — and mapping of where the communication chain broke down.
DeliverableHandoff gap map identifying communication failure points
06 — Critical Care
Vent, Sedation & Restraint Review
Documentation-based review of ventilator management, sedation titration, delirium management, and restraint compliance using flowsheets, MAR, orders, and policy anchors.
DeliverableCompliance and safety review with policy and record anchors
01 — Writing
Attorney-Facing Clinical Primers
Plain-language explanations of complex clinical topics tailored to your case theory — ICU physiology, sepsis, airway management, anticoagulation, neurological deterioration, and more.
DeliverableCitation-supported primer ready for discovery, depositions, and expert outreach
02 — Writing
Medical Explanations for Pleadings & Briefs
Medically accurate fact narratives that translate chart evidence into precise language for legal filings, with record citations for every factual assertion.
DeliverableNarrative sections with record citations and defined terminology
03 — Writing
Visual Timelines & Litigation Exhibits
Litigation-ready visual exhibits built directly from record evidence — timelines, trend graphs, escalation flowcharts, medication/lab overlays — with Bates citations for every data point.
DeliverablePDF exhibits + source map documenting the record basis for each element
04 — Writing
Internal Law Firm Training Materials
Training packages that teach paralegals and associates how to navigate medical records — chart components, ICU/ED workflows, "what to look for" patterns, sample annotated records.
DeliverableSOPs, checklists, quick-reference guides, and annotated record samples
