Articles

Is admission to intensive care always the right answer?

A key part of life as a doctor in any discipline involves assessing a situation and deciding on the right course of action – in many specialties this involves considering whether a treatment can make…
Categories : Articles, Intensive care
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Case study: Phantom limb pain and how engaging the right pain expert had a significant impact on the claimant's quality of life

This article explores a case of phantom limb pain and clearly demonstrates how engaging the right pain expert had a significant and positive impact on quality of life for the claimant. Dr Chris Jenner MB…
Categories : Articles, Case Studies, Pain
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What is an ICU Specialist?

In this article, we explore what an Intensive Care specialist (or Intensivist) does, the skills they need to have to be successful in their role and how their experience can be useful in supporting medico…
Categories : Articles, Intensive care
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The medicolegal challenges associated with pelvic mesh complications

Research published in October 2018 showed that 3.3% of mesh implants used for urinary incontinence cause complications requiring reversal operations. In this article, Dr Ivan Ramos-Galvez LMS, FRCA, FFPMRCA, Consultant in Pain Medicine and expert…
Categories : Articles, Pain
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Post Mastectomy Pain Syndrome (PMPS) and its medico legal challenges

Dr Chris Jenner MB BS, FRCA FFPMRCA, Consultant in Pain Medicine, explores post-mastectomy pain syndrome in this article.  He describes the symptoms of this painful condition and also explores the medico legal challenges of establishing…
Categories : Articles, Pain
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Spinal Surgery Case Study: Wrong Patient Selection

In the first of a series of three case reviews, Dr Ivan Ramos-Galvez LMS, FRCA, FFPMRCA, Expert Witness and Consultant in Pain Medicine with a sub-specialty in spinal surgery, discusses how complications can develop into chronic…
Categories : Articles, Case Studies, Pain, Spinal surgery
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Sepsis: Challenges of diagnosis and building a medicolegal case

What is sepsis? One of the major conditions facing an Intensive Care Physician (Intensivist) is sepsis. Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to an infection. Sepsis (also known as…
Categories : Articles, Intensive care
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Complex Regional Pain Syndrome (CRPS): Challenges of diagnosis and building a medico legal case

Dr Ivan Ramos-Galvez, Consultant in Pain Medicine, explores the condition of CRPS in more detail and explains the challenges of diagnosis and proving causation, as well as discussing the subjectivity of assessment. Find out more…
Categories : Articles, Pain
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Preparing for a hot tub

Hot-tubbing, the process of expert witnesses from the same discipline providing concurrent expert evidence (as set out in paragraph 11 of the CPR practice Direction 35), is becoming more widely used. Dr Chris Danbury, Consultant…
Categories : Articles, Medicolegal reports
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The challenges of CRPS in a medicolegal context

Dr Chris Jenner has recently produced a series of short videos about CRPS and some of the challenges that come with a CRPS diagnosis in a medicolegal context.  Part I - Introduction to Dr Chris JennerPart…
Categories : Articles, Pain
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