Areas of Specialty
Our consulting work focuses on medical issues that arise in complex, remote, or non-traditional care environments, as well as in conventional personal injury and medical-care disputes.
Specialties reflect areas of repeated experience and clinical familiarity. Scope is not limited to the categories below.
Maritime Medicine
Maritime medicine represents a core area of focus.
This includes medical care delivered onboard cruise ships and other vessels, where clinical decisions are often made in resource-limited, remote, or time-constrained settings.
Areas commonly reviewed include:
- Shipboard medical assessment and treatment
- Triage and escalation decisions
- Telemedicine-supported care
- Timing and necessity of evacuation or diversion
- Medication administration and monitoring
- Documentation in maritime medical records
Analysis considers the operational realities of shipboard practice, including staffing, equipment, weather, distance from shore, and available shoreside support.
Remote and Resource-Limited Care
- Medical decision-making outside hospital environments
- Care delivered with limited diagnostics or specialist access
- Reasonableness of decisions under constrained conditions
- Evaluation without hindsight bias
Personal Injury Involving Medical Care
- Injuries where subsequent medical evaluation or treatment is in dispute
- Alleged delay in diagnosis or treatment
- Assessment of medical contribution to claimed injury or outcome
- Clarification of medical versus non-medical causation issues
Failure to Diagnose / Delay in Care
- Review of symptom presentation and clinical progression
- Assessment of diagnostic reasoning and thresholds
- Timing of investigations, referrals, or escalation
- Contextual analysis of alleged delays
Medication-Related Issues
- Review of prescribing decisions and monitoring
- Assessment of adverse events or alleged medication injury
- Contextual evaluation of risk, benefit, and clinical judgment
- Documentation and communication related to medication use
Telemedicine-Supported Care
- Review of remote physician input
- Assessment of advice provided and followed
- Analysis of decision pathways involving shore-based or third-party providers
- Clarification of responsibility and clinical judgment in hybrid care models
Scope Note
Specialties listed reflect experience, not exclusivity.
Matters outside these categories may still be appropriate for independent medical review.