I opened the package of records, and knew it would be an easy assignment—only 39 pages. My task? Screen the records to confirm there was a case and if so, get a qualified RN testifying expert. I knew a little about the incident; it was a bad outcome – death – following a visit to a hospital emergency department for a headache. I figured this case would be about a doctor not following the standard of care (and probably not following facility protocols) in failing to rule out or diagnose a subarachnoid hemorrhage (SAH; aka a brain bleed).
I was wrong.