Expert Consulting Services, LLC

5 on the ECS panel

Wound care and pressure injury expert witness

Pressure injury cases turn on a technical question that general clinicians often answer poorly: was this wound avoidable? The federal standard at F686 does not ask whether a wound developed. It asks whether the facility evaluated the resident, implemented interventions consistent with need, monitored them and revised them when they failed.

A wound-certified expert also settles classification disputes that decide both liability and damages. Deep tissue injury, unstageable eschar, moisture-associated skin damage, arterial and venous ulcers and skin failure at end of life are different findings, and mislabeling happens on both sides.

What this expert addresses

  • Avoidability under F686, step by step against the chart
  • Staging accuracy and progression, using measurements, descriptions and photographs
  • Adequacy of treatment orders, support surfaces and repositioning
  • Nutrition's contribution to healing and the facility's response to weight loss (F692)
  • Distinguishing pressure injuries from mimics, including end-of-life skin changes
  • Whether infection and sepsis followed from the wound

Retain this discipline when

  • The central dispute is avoidable versus unavoidable
  • Staging or classification is contested
  • The facility relies on comorbidities or end-of-life skin failure

What they will ask you for

  • Braden scores over time
  • Weekly wound measurements and photographs
  • Treatment administration records
  • Support surface orders and delivery records
  • Dietitian notes and weights
  • Hospital records describing the wound on arrival

Read: Pressure injury litigation: avoidable or unavoidable, records and expert selection

How to vet one

Ask for these with the CV. ECS sends the CV and fee schedule within 24 hours and testimony history on request.

  1. The specific wound credential and the certifying body behind it
  2. Hands-on wound practice in long-term care, not only acute care
  3. Whether they are a nurse or a physician, since causation may need the latter
  4. Testimony history, requested with the CV

Panel members in this discipline

Availability and conflicts are confirmed on the call.

Need this kind of expert?

CVs and fee schedules inside 24 hours.

Call nowFree case screening