Clinical Consulting for Plaintiff Counsel

Medical record analysis
attorneys can act on.

ICU and emergency nursing expertise applied to personal injury cases, with record-based, professional deliverables in plain language your team can use.

Request a Scoping Call View Sample Work →
2
Principal Consultants
ICU + ED
Clinical Specialties
Flat-Fee
Predictable Pricing
Principal Consultants
Christian Hennessey R.N., MSN, CCRN
Kira Sakata R.N., MSN, TNCC, ENPC
01 — Record-Anchored
Every finding cites the record
Every deliverable maps directly to Bates-stamped documentation so your team can verify anything we flag.
02 — Scope-Controlled
Clinical analysis
We deliver nursing-level clinical analysis, timeline reconstruction, and documentation review. Standard-of-care testimony may be arranged separately for specific cases.
03 — Attorney-Proof
Work product your whole team can use
Excel tables, PDF summaries, indexed exhibit lists, all ready to use.
What We Do

Services for every stage
of case development

From initial viability screening through expert preparation and trial exhibit development. Flat-fee packages priced by record volume so you know your cost upfront.

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 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
03 — Core
Pre-Expert Clinical Issue Spotting
Early identification of high-yield clinical issues, including missed deterioration, delayed escalation, and monitoring failures with targeted questions ready for your expert witness, before engagement.
DeliverablePrioritized issue list + "what to ask the expert" questions + record anchors
04 — Core
Damages & Injury Progression Timeline
Medically grounded chronology tracking symptom onset, objective findings, interventions, complications, rehabilitation, and functional impact.
DeliverableDamages narrative + dated progression table with citations
05 — Core
Nursing Documentation Quality Review
Assessment of nursing charting for completeness, internal consistency, and required elements. Gaps are identified and explained with risk implications.
DeliverableDocumentation critique with examples, missing elements, and risk implications
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, including critical issues, pending tests, contingency plans, code status, and medications to identify 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
Internal Law Firm Training Materials
Training packages that teach paralegals and associates how to navigate medical records, including chart components, ICU/ED workflows, "what to look for" patterns, and sample annotated records.
DeliverableSOPs, checklists, quick-reference guides, and annotated record samples

Not sure which service fits your case? Most engagements combine elements from multiple categories. We're happy to recommend a scope based on your records and litigation stage.

Talk to Us
How We Work

From records to ready-to-use work product

01
Scoping Call
We discuss your case, the available records, your litigation stage, and what you need from clinical review. We recommend the right service or combination.
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02
Engagement & Scope
Clear written scope, flat-fee pricing by record volume, and turnaround timeline defined upfront. No surprise invoices.
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03
Peer-Reviewed Analysis
One principal produces, the other reviews for clinical accuracy and scope compliance before anything leaves our office. Every deliverable is checked twice.
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04
Litigation-Ready Delivery
Excel working files plus a PDF synthesis. Every finding Bates-cited and anchored to the record. One revision round included. Work product is yours to use immediately.
The Team

Two principals. Complementary expertise.

Every engagement is handled by a credentialed principal consultant.

Christian Hennessey
Christian Hennessey
R.N., MSN, CCRN

Adult ICU nurse with experience in ventilator management, hemodynamic monitoring, sedation protocols, and recognition of patient deterioration. Brings analytical and engineering training alongside bedside critical care expertise to complex record review.

ICU / Critical Care Ventilator Management Hemodynamic Monitoring Deterioration Recognition Sedation Protocols CRRT/CVVH
Kira Sakata
Kira Sakata
R.N., MSN, TNCC, ENPC

Emergency and trauma nurse with certifications in trauma nursing and emergency pediatric care. Specializes in triage decision-making, trauma assessment, and pediatric emergency presentations.

Emergency Medicine Trauma Assessment Pediatric Emergency
Sample Work

See the actual deliverables
before you engage

Download anonymized sample work product. No email required. These represent the format, depth, and clinical rigor you should expect from every engagement.

Medical Chronology
Motor Vehicle Collision — Multi-System Trauma
Integrated timeline across ED, floor, and rehab care with Bates citations and discrepancies flagged. Demonstrates our standard chronology format.
Download Sample (XLSX) Download Sample (PDF)
Damages Timeline
Motor Vahicle Collision - Multi-System Trauma
Dated table tracking injury progression, interventions, functional, and psychological impact across 18 months of care. PDF narrative included.
Download Sample (XLSX) Download Sample (PDF)
Case Viability Screening
ICU Deterioration — Strengths, Risks & Gaps Assessment
Concise memo assessing whether the clinical narrative supports the alleged theory of nursing escalation failure, with strengths, risks, and record-request list.
Download Sample (PDF)
Scope Note

What we do & what we don't

All services are non-testimonial by default. We provide record-based clinical analysis, timeline reconstruction, documentation review, and nursing-level clinical translation. We do not offer medical causation opinions, physician standard-of-care testimony, or legal advice. For nursing standard-of-care cases (medication errors, monitoring failures, documentation inadequacy), Christian and Kira may be available to testify upon request.

Frequently Asked

Common questions from new clients

How is this different from hiring a nurse paralegal in-house?
We bring two credentialed MSN-level clinicians with specialized ICU and emergency nursing backgrounds, plus a peer review process on every deliverable. You're not paying for general medical knowledge; you're paying for specific critical care and emergency expertise applied to a specific case, with predictable flat-fee pricing and no overhead.
How is this different from engaging an expert witness?
Expert witnesses render opinions and testify. We do the clinical translation work that makes expert engagement more efficient: organizing records, identifying high-yield issues, and framing the right questions. This typically reduces expert time and cost significantly.
What types of cases do you typically work on?
We work on everything from simple to complex personal injury cases involving emergency department care, hospitalization, ICU stays, trauma, surgical complications, and injury progression. We're strongest where the medical record is complex, voluminous, or crosses multiple care settings.
How is pricing structured?
Most services are flat-fee by record volume tier, so you know the cost before you commit. Tiers are based on Bates page count: under 1,000 pages (Tier A), 1,001–3,000 (Tier B), 3,001–7,500 (Tier C). Hourly billing applies for advisory calls and undefined scope. Contact us for a full pricing sheet.
What's the typical turnaround time?
Standard turnaround runs 7–25 business days depending on record volume and service type. Rush delivery (5 days, 3 days, or 48 hours) is available at a premium. Turnaround is always confirmed in writing at engagement.
Can you testify if needed?
Standard engagements are non-testimonial. However, in nursing standard-of-care cases involving medication errors, monitoring failures, or documentation inadequacy, we are available to testify in a nursing capacity. This must be scoped and agreed separately. Contact us to discuss the specifics of your case.
Get in Touch

Let's talk about
your case.

We offer a no-cost scoping call to understand your case, review what records you have, and recommend the right level of engagement. No obligation, no sales pitch.

Email contact@shccgroup.com
Phone +1 (202) 240-7675
Response Within 1 business day

Work product is non-testimonial unless separately arranged. All engagements begin with a written scope and flat-fee quote.

Submitting this form does not create an attorney-client or consulting relationship. We'll respond within 1 business day to schedule a call.