Pediatric Critical Care – Deterioration & ICU Care

Specialties & Experience of this Expert Witness

Additional Information

Pediatric Critical Care Expert – Failure to Recognize Deterioration, Escalation, and ICU Management I am a double board-certified pediatric and pediatric critical care physician with over 22 years of clinical experience, including 16 years at Children’s Hospital of Philadelphia (CHOP) and 8 years at Stanford University. My medicolegal work focuses on cases involving clinical deterioration, delayed recognition, and failures in escalation of care in hospitalized children. I help attorneys evaluate: - Whether deterioration should have been recognized earlier - Whether escalation to ICU, subspecialty care, or higher-level monitoring was appropriate and timely - Whether management in the PICU met the standard of care - Whether adverse outcomes were preventable I have extensive experience managing critically ill children with: - Respiratory failure and progressive decompensation - Sepsis and septic shock - Post-operative deterioration - Cardiac arrest and resuscitation - Neurologic injury and altered mental status My clinical background includes advanced therapies such as ECMO, CRRT, and mechanical ventilation, but my primary expertise is in clinical decision-making, monitoring, and escalation pathways across the continuum of care. In addition to direct patient care, I have held leadership roles in PICU operations and quality improvement, with a focus on: - Early warning systems and detection of deterioration - ICU triage and transfer decisions - Care pathway optimization - Reducing preventable harm in hospitalized children Common Case Types: Failure to recognize or respond to clinical deterioration Delayed ICU transfer or escalation of care Inadequate monitoring or failure to act on abnormal vital signs Respiratory deterioration and airway management issues Sepsis and delayed treatment Post-operative complications and failure to rescue Pediatric trauma and critical care management Expert Witness Services: - Case screening and merit review (rapid turnaround available) - Standard of care analysis - Causation assessment - Medical record review and timeline reconstruction - Deposition and trial testimony Licensed in California Fellow, American Academy of Pediatrics (FAAP)