Rade B. Vukmir MD, JD      FCCP, FACEP, FACHE

Pittsburgh, Pennsylvania
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info@erexpert.com

Dr. Vukmir MD,JD
FCCP, FACEP, FACHE

Critical Care Medicine Associates

EMERGENCY MEDICINE EXPERT WITNESS

CRITICAL CARE MEDICINE EXPERT WITNESS

MEDICAL-LEGAL CONSULTANT

RISK MANAGEMENT CONSULTANT

MEDIA CONSULTANT

AUTHOR, SPEAKER

 For over three decades, Dr. Vukmir MD, JD through Critical Care Medicine Associates has provided a diverse variety of medical consultative services. He has served as an emergency and critical care medicine expert,
involving analysis of potential medical malpractice, external peer review(EPR), credentialing and the provision of effective and efficient emergency medicine and critical care services for providers, facilities, systems and insurers.

Specific areas of expertise include serving as an Acute Care Medicine Risk Manager and Consultant, Emergency Medicine(EM) and Critical Care Medicine(CCM) consultant and expert witness.
His consultation expertise involves emergency department(ED) and intensive care unit(ICU) operations, focused on program development, improvement, expansion and service integration.

His medical expertise in the acute care arena allows for a robust consultative practice in Quality Improvement, External Peer Review and Credentialing consultant.
As well, he is a nationally known author, speaker, lecturer and investigator. He serves as a media consultant and subject matter expert on numerous acute care topics in print, audio and visual formats.

Dr Vukmir is a nationally known Author, Speaker, Lecturer and Investigator

Emergency Medicine

 

The practice of Emergency Medicine requires the proper balance of the expeditious evaluation and treatment of common complaints, while remaining ready to intervene at a moments notice in the acute life threatening event.

This healthcare expertise is broad, bridging care in all age groups pediatric, adolescent, adults and older patients.

Likewise, expertise must involve a wide range of both medical and surgical conditions. The emergency physician commonly encounters medical emergencies in patients, such as heart attack, stroke, respiratory failure, hemorrhage, congestive heart failure, sepsis and pneumonia. Surgical conditions encountered include acute traumatic injury, vascular occlusion, gastrointestinal hemorrhage, fractures, appendicitis and other intrabdominal infections.

Importantly, the emergency physician provides care through life’s entire course from beginning to end, and at all steps on the journey.

Likewise, compassionate care is often provided to both patients and their families in difficult, uncertain circumstances.


 

Critical Care Medicine

 

The practice of intensive care or Critical Care Medicine requires the proper balance between the innate capability to intervene at a moments notice in the acute life threatening event with the meticulous attention to detail required for a successful critical care practice. This healthcare expertise required is broad, bridging knowledge of numerous medical and surgical specialties.

 

Likewise, expertise must involve a wide range of both medical and surgical conditions. The intensivist or critical care physician commonly encounters medical emergencies in patients, such as heart attack, stroke, respiratory failure, hemorrhage, congestive heart failure, sepsis and pneumonia.

Surgical conditions encountered include postoperative care management, acute traumatic injury, vascular occlusion, gastrointestinal hemorrhage, fractures, appendicitis and other intrabdominal infections.

 

Importantly, the critical care physician provides care from young adulthood to end of life.

 

Likewise, compassionate care is often provided to both patients and their families in difficult, uncertain circumstances, especially at end of life transition

 

MEDICAL MALPRACTICE: MANAGING THE RISK
R. B. Vukmir

 

There was a steady increase in both the incidence and the recovery amount of verdicts involving general malpractice litigation. There are clearly high-risk emergency medicine categories responsible for most malpractice events, involving such commonly encountered conditions such as chest pain, abdominal pain, pediatric fever, central nervous system (CNS) bleeding, and abdominal aortic aneurysm (AAA).

Interestingly, there is a second peak of more minor emergencies, specifically wounds with neglected foreign bodies and missed fractures. Clearly, the largest dollar amount recovery still involves chest pain with subsequent missed transmural myocardial infarction (MI). Interestingly, there does not appear to be a strong correlation between adverse events, outcome and medicolegal risk. Likewise, there does not appear to be a strong correlation between socioeconomic status and a propensity to sue, but there were some defined links with physician profiles involving past malpractice history, as well as prior adverse relationships or communication skills to subsequent claims.

Interestingly, a significant association appears to be advertising placed by local law offices seeking to provide services. Lastly in the emergency medical services (EMS) realm, the single strongest correlate to malpractice was the likelihood of an ambulance accident and not related to care delivered itself. ....................

 

READ FULL ARTICLE HERE

 

Vukmir, RB: Medical malpractice: managing the risk. Medicine and Law 2004; 23(3):495-513.