Kevin R. Brown MD, MPH, FACEP, FAAEM
Areas of Expertise: Addiction Medicine & Substance Abuse; Drug Abuse; Alcohol Abuse
Evaluating the standard of care is the same process for defense and plaintiff cases. Determining what actions a similarly trained and experienced practitioner would do in a certain situation is based on my education, training, and experience.
Practicing emergency medicine clinician with current EMT-P (paramedic) certification; worked as paramedic and paramedic instructor for 12 years in busy 9-1-1 system; regularly conducts EMS call audits; co-authored three ECG texts, conducts EMS call review, telemetry/on-line medical direction, and CME sessions to paramedics and EMT's. Teaches in and directs EMT & paramedic courses.
Collaboratively work with Advanced Practice RN's (APRNs/ NPs) and physician assistants (PA's). Teaches in PA programs. 14 years of ED leadership/ administrative responsibilities. Has 25 years of medical school faculty experience.
Works with plaintiff and defense attorneys in civil, criminal, and administrative cases in the EMS, PA, APRN, NP, and emergency medicine field. Has successfully provided defense support in Medicare & Medicaid Recovery Audit Contractors (R.A.C.) audit for EMS-related payments on behalf of a large city.
Areas of interest: acute myocardial infarction (MI), angina, refusal of medical care, acute coronary syndromes, abdominal pain, anaphylaxis, asthma, wound care, drowning, trauma resuscitation, triage process, acute wound care, deaths in restraints/ custody, excited delirium, ectopic pregnancy, intoxication, resuscitation, airway care including ventilation and endotracheal intubation, non-invasive ventilation, and advanced airway management (video laryngoscopy, Laryngeal mask airway (LMA), Laryngeal Tube (King (R)) airways.
Pre-hospital care including EMT/Paramedic Emergency Medical Services (EMS) protocols, teaching, medical control issues, emergency preparedness, emergency care of children, acute abdominal pain, aortic dissection, asthma, and anaphylaxis. Cases of prolonged QTc or pre-excitation resulting in W-P-W syndrome, cardiopulmonary resuscitation. Refusal of care/ leaving against medical advice (AMA). Stroke and acute neurologic events including thrombolytic administration. Heatstroke & heat emergencies. Trauma care, wound care, retained "missed" foreign bodies, trauma center destination, and missed injuries.