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| Having worked in emergency medical services since age thirteen and currently having an active Emergency Medical Technician license (30+ years), I have progressed thru nursing from being a nursing assistant to a Registered nurse (OR,ER,ICU,Med-Surg,Psych) and then onto a Family Nurse Practitioner (licenses current). I am now actively working as a board eligible physician hospitalist in internal medicine and have privileges at multiple hospitals to include level one trauma centers. I have also served in all the above roles in the military and retired with 25 years of service. I have over 22 years of law enforcement experience and have served fulltime in corrections, patrol, reserves and SWAT. |
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| Law Enforcement |
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Use of force in jails and patrol |
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Policy and procedures |
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Jail medical procedures |
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Restraint injuries, corrections/patrol officer responsibilities, jail food service, Inmate movement, inmate safety, inmate possession of contraband/narcotics/weapons |
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Chart/case file reviews as well as evidence evaluation and analysis |
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| Nursing/Nurse Practitioner |
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Policy and procedures |
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Standard of care |
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Failure to diagnose or give appropriate treatment |
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Supervising physician and protocols |
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| Services |
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Chart/Case file reviews and consultation |
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Determine if the officer/nurse’s actions were in line with standards of conduct or care and policies and procedures were followed |
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Determine if the Agency’s policies and procedures were within the standards of accepted
practices |
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Review and help with writing court briefs to include Daubert motions |
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| I recently was involved in a death case that was labeled excited delirium and I found that the AMA or the APA do not recognize it as a valid diagnosis. Thinking back to my days when I was first on active duty as a combat medic, I helped restrain and treat a soldier in 1983 when he exhibited the same symptoms from LSD and thought the Viet Cong were coming for him. It took four MPs and three of us from EMS to restrain him long enough to get him sedated. Working as a hospitalist in internal medicine, we see these type patients after ingesting illegal substances to include but not limited to meth, bath salts, etc. The following is my view on this subject... |
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