Medical legal experts in emergency medicine and neurology

EMERGENCY MEDICINE

Neurology is the branch of medicine concerned with the treatment of disorders of the nervous system. The nervous system is a complex, sophisticated system that regulates and coordinates body activities. It has two major divisions:

  • Central nervous system: the brain and spinal cord
  • Peripheral nervous system: all other neural elements, such as eyes, ears, skin, and other "sensory receptors."

Neurologists treat disorders that affect the brain, spinal cord, and nerves, which include, but are not limited to the following:

  • Cerebrovascular Disease
    •  Hemorrhagic and ischemic stroke and management, temporary ischemic event, vascular dementia, epidural and subdural hematoma, and cerebral aneurysm.
  • Cerebellar Disorders
    • Chiari malformation, and syringomyelia.
  • Cognitive Disorders
    • Coma, altered mental status, delirium, various types of dementia and management of subsequent behavioral, sleep, and wandering problems associated with them, and transient global amnesia.
  • Cerebrospinal Fluid Disorders
    • Hydorcephalus, and normal pressure hydrocephalus.
  • Demyelinating Diseases of the Central Nervous System
    • Multiple sclerosis, Guillain-Barre syndrome, and peripheral neuropathy.
  • Muscular Disorders
    • Muscular Dystrophy, endocrine myopathies, metabolic myopathies, mitochondrial cytopathies, skeletal muscle channelopathies, and drug-induced neuromuscular disorders.
  • Neurocutaneous Disorders
    • Neurocutneous syndrome, and neurofibromatosis.
  • Headache Disorders
    • Pseudotumor cerebri, migraine headache, spinal headache, cluster headache, hemicranias continua, paroxsymsal hemicrania, and exertional headache.
  • Infections of the Brain and Peripheral Nervous System
    • Epidural spinal abscess, viral, bacterial, and aseptic meningitis, NMDA encephalitis, brain abscess, viral encephalitis, progressive multifocal leukoencephalopthy, and West Nile and HSV encephalitis.
  • Cranial Nerve Disorders
    • Bell's Palsy, facial nerve paralysis, progressive bulbar paralysis, Ramsay Hunt syndrome, herpes opthalmicus, and trigeminal neuralgia.
  • Peripheral Nerve Disorders
    • Diabetic neuropathy, peripheral nerve hyperexcitability, polyneuropathy, plexopathy, mononeuropathy, Charcot-Marie-Tooth disease, sensory and autonomic neuropaties, familial amyloid polyneuropathy, and metabolic neuropathies.
  • Movement Disorders
    • Parkinson's disease, atypical Parkinsonism, Tic disorders, restless leg syndrome, Tourette's syndrome, chorea, Huntington's chorea, Sydenham's chorea, dystonia, amyotrophic lateral sclerosis.
    • Tremors
      • postural, alcoholic, essential, peripheral neuropathy, orthostatic, psychogenic, physicologic, resting, and cerebellar.
  • Neurodegenerative Disorders
    • Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis (Lou Gehrig's disease).
  • Seizure Disorders
    • Epilepsy, status epilepticus, febrile seizure, pseudoseizure (non-epileptic), absence, simple partial, and complex partial seizures.
  • Pain and Sensory Disorders
    • Chronic pain syndrome, complex regional pain syndrome, paresthesias, brachioradial pruritus, and nostalgia paresthetica.
  • Spinal Cord Disorders
    • Spinal cord injury, tranverse myelitis, demyelinating disease, and Brown-Séquard's hemiplegia.
  • Speech and Language Disorders
    • Brain injury or stroke causing aphasia and dysarthria
  • Procedures
    • Lumbar puncture, Botox injections, regional nerve blocks, electroencephalogram, electromyogram, sleep studies, and nerve conduction velocity.

NEUROLOGY

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Comprehensive Medical Legal Consultants, LLC 

The practice of emergency medicine begins wherever that emergency takes place, as emergency physicians oversee first responders.  It is a broad practice, oftentimes with scant information about the patient, and little time to make a decision.  The conditions treated include, but are not limited to, the following:

  • Cardiovascular Emergencies
    • Cardiac arrest, heart attack, cardiogenic shock, syncope, congestive heart failure, valvular emergencies, cardiomyopathy, myocarditis, pericardial disease, hypertensive emergency, aortic dissection, and aortic aneurysm.
  • Pulmonary Emergencies
    • Respiratory failure, ARDS, asthma, hemoptysis, infection, empyema and lung abscess, tuberculosis, pneumothorax, hemothorax, and COPD.
  • Gastrointestinal Emergencies
    • Upper and lower GI bleeding, esophageal ruptures and obstructions, pancreatitis, cholecystitis, liver failure, appendicitis, diverticulitis, bowel obstruction, perforated bowel, hernias, and complications from weight loss surgeries.
  • Renal and Genitourinary Disorders
    • Acute renal failure, complications of hemodialysis, rhabdomyolysis, pyelonephritis, uro-sepsis, kidney stones, and testicular torsion.
  • Obstetrics and Gynecology
    • Emergency delivery, dysfunctional uterine bleeding, miscarriage, ectopic pregnancy, co-morbid diseases in pregnancy, pelvic infections, and ovarian torsion.
  • Pediatrics
    • Neonatal cardiac and respiratory emergencies, abuse, fever and serious bacterial illness, congenital heart defects, intussusception, and trauma.
  • Infectious Diseases
    • Sepsis, STDs, toxic shock syndrome, soft tissue infections, infective endocarditis, rabies, Zika and West Nile virus, food and waterborne illness, zoonotic infections, and occupational exposures.
  • Neurology
    • Ischemic and hemorrhagic stroke, TIA, altered mental status, meningitis, spinal epidural abscess, spinal cord injury, Guillain-Barre syndrome, vertigo, seizures and status epileptics, peripheral nerve injury/lesions, and chronic neurologic conditions.
  • Toxicology
    • Recognizing drugs of abuse and their effects, environmental and household toxins, and intentional and unintentional overdoses of prescription, over the counter medications, vitamins, and herbals.
  • Environmental Injuries
    • Frostbite, hypothermia, heat stroke, complications of SCUBA diving, drowning, thermal and chemical burns, electrical and lightning injuries, high altitude illnesses.
  • Endocrine Emergencies
    • Diabetic and alcoholic ketoacidosis, hyperosmolar hyperglycemic state, thyroid storm and myxedema crisis, adrenal insufficiency, and adrenal crisis.
  • Hematologic and Oncologic Emergencies
    • Reversal of anticoagulation in life-threatening bleeding, complications of malignancy and chemotherapeutic agents, sickle cell disease, blood product transfusions, and transfusion reactions. 
  • Eyes, Ears, Nose, Throat Disorders
    • orbital cellulitis and eye infections, retinal detachment, foreign bodies, globe rupture and eye trauma, acute vision and hearing loss, auricular hematoma, tympanic membrane perforation, septal hematoma, epistaxis, dental trauma, paratonsillar and retropharyngeal abscesses, Ludwig's angina, post tonsillectomy bleeding, angioedema of the upper airway, tracheostomy complications.
  • Skin Disorders
    • Life-threatening skin disorders such as toxic epidermal necrosis, drug rashes, disseminated viral  and gonococcal infections, meningococcemia, skin infections, and sexually transmitted diseases.
  • Trauma
    • Trauma arrest, blast injuries, gunshot wounds and ballistics, burns, blunt and penetrating trauma of chest, abdomen, head, neck, and spine, airway management in cervical spine trauma, hemorrhage control and proper blood product transfusion, pneumothorax/hemothorax, cardiac tamponade and aortic ruptures, genital injuries, trauma in pregnancy, and non-accidental trauma in children.
  • Injuries of Bones, Joints, and Musculoskeletal System
    • Open/closed fractures, dislocations, neurovascular injury, fractures requiring reduction/splinting, circularotry compromise and fractures at high risk for avascular necrosis, tendon ruptures/lacerations, removal of foreign bodies, septic joint, ligamentous injuries, and compartment syndrome.
  • Psychosocial Disorders
    • Behavioral emergencies, suicide attempts, eating disorders, conversion disorder, and managing effects of alcohol and drugs.
  • Abuse and Assault
    • Child abuse and neglect, non-accidental trauma, abuse of the elderly and impaired, managing violent patients, domestic abuse, and sexual assault.