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Review of Case Materials
Reviews records, documents, testimony, data, and other relevant materials and consults with counsel regarding technical issues related to the matter.
Provide Expert Analysis
Applies specialized knowledge and experience to evaluate the technical or professional issues involved.
Form Expert Opinions
Develops independent, supportable opinions based on the available evidence and relevant standards.
Prepare Expert Reports
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No. Fever, tachycardia, and hypotension can occur with infection, sepsis, or other conditions and do not establish sepsis on their own. Sepsis involves life-threatening organ dysfunction associated with the body's dysregulated response to infection. The record should therefore be considered for evidence of acute organ dysfunction, the suspected or confirmed infection, competing explanations, and how the patient's condition changed over time.
The record may show changes in respiratory, cardiovascular, kidney, neurological, liver, or coagulation function. Relevant findings can include oxygenation and respiratory support, blood pressure and vasopressor requirements, creatinine and urine output, mental status, bilirubin, and platelet count. Reviewing these findings chronologically can help identify when organ dysfunction appeared, how severe it became, and whether it developed in association with the suspected infection.
The sequence can show when cultures and other diagnostic evidence were obtained and when antimicrobial treatment began after sepsis or septic shock was suspected. Blood cultures should generally be collected as soon as possible and, ideally, before antimicrobial therapy when doing so does not meaningfully delay treatment. Current sepsis guidance calls for immediate antimicrobial therapy, ideally within one hour, for septic shock and probable or definite sepsis, while possible sepsis without shock may allow a brief period of rapid investigation before treatment if concern for infection persists.
Source control addresses an anatomical source of infection that requires an intervention in addition to antimicrobial therapy. Depending on the source, this may involve draining an abscess, removing an infected device, relieving an obstructed urinary or biliary source, debriding infected or necrotic tissue, or performing another procedure to control the infection. The record can show when the source was identified, whether an intervention was required, when it occurred, and how the patient's clinical course changed afterward.
Prepares clear, well-supported expert reports outlining methodology, analysis, findings, and opinions.
Provide Deposition Testimony
Explains findings and opinions under oath and responds to questioning during deposition testimony.
Testify in Court
Presents specialized findings and opinions clearly to judges, juries, arbitrators, or other decision-makers.
No. ICU transfer shows that the patient required a higher level of monitoring or organ support at that point, but it does not establish when sepsis first became clinically apparent. Earlier vital signs, laboratory results, organ-function changes, suspected sources of infection, treatment response, and competing diagnoses should be reviewed in sequence. The timing of ICU transfer can also reflect changes in illness severity and care needs rather than the precise time when sepsis first developed or became recognizable.
