EMERGENCY MEDICINE - DFW

Specialties & Experience of this Expert Witness

Additional Information

I trained at John Peter Smith Hospital, which is a Level 1 Trauma Center and Tertiary Care Referral Center for North Texas with over 110,000 patient visits annually. I now work clinically at Baylor Scott & White - Irving ER. I have extensive experience in peer review, providing informed expert opinion about the appropriateness of care, medical necessity, bill review - including reviewing charges against Usual, Customary, and Reasonable fees. I have extensive experience in utilizing the PMIC handbook. I primarily review care and charges associated with ER encounters involving a patient who presents following a Motor Vehicle Collision. I have served as an EDQA committee member at Baylor Scott & White - Irving for the last 3 years and am one of the primary reviewers. I function to review cases brought before the committee and present them to the EDQA committee, assessing whether care was appropriate from an ER physician and going into detail into how care could have been better delivered and how severe from the standard of care the physician had deviated. I specifically have extensive experience in Trauma, strokes, STEMI, sepsis, ultrasound, pediatrics, fracture, chest pain, ACS, hemorrhagic shock, dehydration, hypothermia, hyperthermia, thyroid disease, epidural hematoma, subdural hematoma, subarachnoid hemorrhage, retrobulbar hematoma, acute angle closure glaucoma, resuscitation, appendicitis, cholecystitis, biliary colic, kidney stones, septic stone, septic arthritis, gout, osteoarthritis, bacteremia, compartment syndrome, pneumothorax, hemothorax, Congestive heart failure (CHF), abdominal pain, cauda equina syndrome, spinal shock, retinal detachment, vitreous detachment, cancer, blast crisis, sickle cell disease, anemia, pain management, open fracture, abdominal aortic aneurysm, concussion, pulmonary embolism, aortic dissection, mesenteric ischemia, pleural effusions, hypoxic respiratory failure, respiratory failure, angioedema, anaphylaxis, allergic reaction, overdose, suicide, psychosis, alcohol poisoning, Wernicke encephalopathy, encephalopathy, meningitis, COVID flu, rsv, croup, epiglottitis, bronchiolitis, asthma, seizure, status epilepticus, pilonidal cyst, hidradenitis suppurative, tendon disruption, ligamentous injury, respiratory arrest, cardiac arrest, ventricular fibrillation, ventricular tachycardia, atrial fibrillation, atrial flutter, hyponatremia, hypoglycemia, DKA, HHS, hyperkalemia, End stage renal disease, hemodialysis, volume overload, cirrhosis, GI bleed, variceal bleed, hemorrhoids, thrombocytopenia, pancytopenia, aplastic crisis, pancreatitis, diverticulitis, pneumonia, viral illness, encephalitis, hepatic encephalopathy, radiographic interpretation, diagnosis, laboratory interpretation, treatment, disposition, referral, migraine, headache, malaria, foreign body, urinary retention, acute kidney injury, acute renal failure, hepatitis, HIV, AIDS, post operative bleeding, post operative infection, anticoagulation, bradycardia, tachycardia, dysrhythmia, hypotension, fever, infection, urinary tract infection, pyelonephritis, altered mental status. Procedural experience includes: intubation, thoracostomy, central line, arterial line, ultrasound guided IV placement, incision and drainage, laceration repair, amputation revision, dislocation reduction, Point of care ultrasound (POCUS), FAST, eFAST, RUSH, paracentesis, thoracentesis, lateral canthotomy, cricothyrotomy, splint, fracture management, epistaxis management, EKG interpretation, critical care, ventilation management, bipap, CPAP, airvo, blood gas interpretation, tpa, cardioversion, thoracotomy, CPR