Recent content by Siggy

Let's ask Senior Airman Fortson about whether following the rules keeps you safe... ...oh, wait...

Pearl Harbor: Warning and Decision Published in 1962, it’s a critical look at the intelligence failures and silos that led to the US being caught of guard by the Pearl Harbor attack.

Remember that time a police officer entered the wrong apartment and murdered the lease holder... and it took 3 days before the police decided to actually arrest her? Her union paid for her defense. Do you think that if I went into the wrong apartment and murdered the people inside I'd enjoy an...

…talking about the police… and the police are easily triggered. If I just started blasting away because an acorn fell, I doubt I would be free to walk away from the person I tried to kill.

So you’re telling me that you can’t distinguish between being a victim and not a suspect? I guess it helps since police officers will do anything to not arrest a fellow officer, even if it means hiding drunk driving officers.

They are demanding that she draws the blood on the victim of a car accident where there's no suspicion that the patient was intoxicated. They are doing so without a warrant. ...and when the nurse refused to draw blood on a patient to allow for police seizure, absent consent or a warrant, she...

Let me know when physicians get qualified immunity, then I’d care to compare. Remind me… what could the Acorn Victim have done to avoid being shot at? What could Wubel have done not to have been frog marched out of her ED?

I was going to post the Alex Wubbels case. You know, the case where the police arrested a nurse for not violating a patient's constitutional rights over unreasonable search and seizure, only for him to be fired and almost immediately rehired at another sheriffs office? Did he pay a part of the...

Interestingly enough... the free Expert Witness substack case for this month is a transport case. Confidential settlement, 18 month old transported to big city children's hospital, but decompensated in route and arrived peri-arrest. The person who runs the newsletter doesn't have kind words...

This is my point exactly. 4 scenarios: If that patient goes home and does well, no issue. If the patient goes home, does poorly, but there's documented shared decision making, then at least there's a defense possible. If the patient goes home, does poorly, and there's no documented shared...

What’s the overall context? It’s like troponins. How high is too high depends on context.

As an aside... are the SEAK courses worth it to start expert witness work?

SEP 1 is the standard of care because of the golden rule. What's the "golden rule?" He (CMS) who has the gold makes the rules. Lactate is accepted as a potential measure of malperfusion, unless you can document another cause for the lactic acidosis. Sepsis 3 didn't really drop the "severe...

I honestly thing that the high level post operative care is one of the best uses for the PLPs. The vast majority of post-op patients, like CABG patients, follows the same script... and it should be easy enough to key the surgeon in if a patient moves off the well trodded path. That's different...