IV Case in Point
Illustrated Verdict shares case examples from our archives to show how a visual strategy can support the defense effort. We hope that it is of value in your practice as you develop your defense strategies on behalf of health care providers. Please feel free to forward it to colleagues or clients.

About Us
IV is a leading provider of demonstrative evidence for the defense of medical malpractice claims. Our team of medical illustrators consults with defense teams to educate the lay jury audience about the complexities of medical care. We do this by developing a visual strategy with expert witnesses including high-quality case-specific medical illustrations, x-ray enhancements, and multimedia presentations. IV receives judgment for the defense in over 94% of the cases we participate in, as compared to the national average of 73%. Additionally, insurers who supply us with their trial list enjoy a win rate of up to 97%.
To learn more, e-mail us or call 617-530-1001.
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Case In Point Library
Click to view other editions:

Case In Point Library Page

Pregnancy and Delivery:
Fetal Assessment 2009v1
Shoulder Dystocia 2009v3
MVA Leads to Fetal Demise 2010v4
Fetal Descent Stalled 2010v5
Shoulder Dystocia / Erb's 2011v4
Fetal Tracings / Hypoxic Injury? 2013v1

Heart:
Coronary Artery Disease 2009v5
CAD / Recurrent MI 2010v1
Aortic Valve Replacement 2011v1

Lungs:
Stroke After Lung Surgery 2009v2
PE / Infection 2010v3
PE Following Roux En Y 2012v1
Intubation / Macklin Effect 2012v4
Lung Cancer vs. Infection 2015v3

Female Pelvis:
Hysterectomy / Fistula 2011v9
Hysterectomy / Ureter Injury 2010v2
Hysterectomy / Kinked Ureter 2010v8
Diag Lap / Bowel Injury 2012v3
Cervical Cancer 2013v3
Endometrial Cancer 2014v1

Male Pelvis:
Bladder Cancer 2013v2

Digestive System:
Gastric Bypass 2009v6
Recurrent Hiatal Hernia 2009v8
Right Colectomy / Leak 2010v7
Gastric Bypass / Volvulus 2011v2
Nissen Fundoplication 2011v3
Large Hiatal Hernia 2013v5
Necrotizing Enterocolitis 2013v7
Arrest during ERCP 2015v4
Diverticulitis Complications 2015v5

Abdomen:
Spleen Injury and Bleed 2009v4
Bleed Following Lithotripsy 2012v2
Lap Cholecystectomy 2012v5
Bowel Injury Lap Ovarian Cyst Removal 2013v6
LapChole - Hepatic Duct Injury2015v1

Orthopedic:
Partial Hip Replacement 2010v6

Vasculature:
tPA Infusion 2009v7
Vertebral A. Coil Embolization 2015v7

Head and Neck:
Bell's Palsy 2013v4
Tongue Cancer 2014v2
Chiari I - Vision Loss 2015v2

Judgment for the Defense
Coronary Artery Disease vs.
Medication Administration

A patient presented to the hospital with an increased white blood cell count along with presumed cellulitis of his leg. He was treated with antibiotics for this infection. During medication administration, the patient suffered a cardiovascular collapse and, despite the resuscitative efforts of the care team, could not be revived.

http://www.illustratedverdict.com/projectreview/IV/IV_0509web/2202m3.jpg

PLAINTIFF'S CLAIM:
The plaintiff claimed that the care team was negligent in administering the antibiotic medication and further that resuscitation efforts after the patient coded were ineffective due to further negligence. The plaintiff suggested that these incidents of negligence were the proximate cause of the patient?s death.

DEFENSE'S ARGUMENT:
Examination of the patient revealed severe cellulitis with a lymphatic streak up the leg. He had no palpable pulse below the groin on either side and was not receiving an adequate blood supply to his foot. To treat this condition, it was recommended he be admitted and treated with IV antibiotics. The medical history taken during the evaluation showed that the patient had a 20+ year history of diabetes, peripheral artery disease, hypertension, and coronary artery disease. He also had a history of two prior heart attacks. In fact, he had been treated for one at the same hospital and was discharged against medical advice after he refused to undergo recommended coronary bypass surgery.

An autopsy found that the decedent?s heart was twice the size of a normal heart for a man of his age, indicating that it was working extremely hard as a result of cardiac disease. There was significant blockage in every single one of the decedent?s major coronary arteries. The autopsy further stated that myocardial infarction in the setting of coronary artery disease, aortic atherosclerosis, and peripheral vascular disease was the cause of death.

VISUAL STRATEGY:
We worked with the attorneys, their clients, and the experts to develop a visual strategy that would help explain the severity of the patient’s vascular disease to the jury. It demonstrated the relationship between the patient's vascular disease to the autopsy, which identified the cause of death as myocardial infarction in the setting of coronary artery disease, aortic atherosclerosis, and peripheral vascular disease.

RESULT:
Judgment for the defense.