A. Comprehensive Clinical Record Review

• Pre-anesthesia evaluation

• Anesthesia record

• Pre-op H&P, consults, clearance notes

• Intraoperative records

• PACU / ICU / post-op records

• Nursing notes

• Medication administration records

• Vital sign trends, airway records, ventilator data

• Labs, ABGs, imaging reports

• Code records, rapid response records

• Subsequent hospitalizations or complications

 

B. Comprehensive Review of Ancillary Materials

• Depositions of parties and witnesses

• Interrogatories, pleadings, complaints, and allegations

• Policies, procedures, protocols

• Facility bylaws, supervision agreements

• Prior expert reports

• Timeline summaries prepared by counsel

 

C. Case Reconstruction & Timeline Development

• Building a minute-by-minute clinical timeline

• Correlating medications, vital signs, and events

• Identifying when deterioration began and actions taken

• Distinguishing cause vs correlation

 

D. Standard of Care Analysis

• Determining reasonably prudent provider actions

• Comparing actual care vs expected care

• Evaluating assessment, monitoring, and response