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MKC Medical Management’s legal nurse consultants have been helping attorneys and claims representatives with complex, medically-related cases for nearly 20 years.
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Under Kari's leadership, MKC Medical Management has grown from one nurse to a seamless, nationwide network
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From The Blog
A guide to 8 of the most common kinds of falls and the 14 questions you should ask Editor’s note: This is the third and final post in a series on evaluating fall-related claims and cases. The first installment covered why it’s critical to understanding the mechanism of injury and the resulting bodily injury that happen during a fall. The second explored the reasons why we fall. Not all falls are created equal. The injury from a slip, for instance, could be completely different from a stumble or a trip. Knowing how the fall initially occurred will give you a foundation for what body part struck the ground or another object first. According to literature, there are multiple kinds of falls. Rotational, same level, elevated level, tumble, free fall, trip, stumble and slip are among them. Many overlap in dynamics and biomechanic identifiers. Here are some of the more common types of falls we have seen over the past 20 years in our practice and their associated hallmarks. Elevated This is a fall from heights such as a roof, scaffolding, platforms or ladders. These falls usually results in severe injuries such as fractures and head trauma. Many are fatal. Elevated falls usually lead to a very costly case involving medical, rehabilitation and home health costs. Permanent physical damage often results. Early medical involvement such as case management and early evaluation, including an accurate claims reserve, are recommended. Same level falls These are falls that occur on a surface that is fairly level, including walkways, floors, sidewalks and stairs. The fall occurs when, for whatever reason, there’s a disruption in the step, gait or center of gravity. However, the mechanism of the “kinds” of same level falls varies. Each has a fairly predictable mechanism of injury signature. Understanding...
A primer on why we fall – and why everybody is at risk Editor’s note: Last week, we covered the importance of fully understanding the mechanism of injury and the resulting bodily injury that happens during a fall. Today, we cover why people fall and how it’s not just because of missteps or slippery surfaces. This is the second installment of three installments. It’s easy to understand why construction workers or retail workers, who are working in unsafe environments or are constantly on their feet, are more likely to fall than other workers. Seniors also are at risk because they may have lower body weakness; vision problems; foot pain; or use medicines that could make them less sure-footed. But science – and experience – shows us that just about anybody can be prone to a fall for all kinds of reasons – wet flooring, uneven sidewalks or improper footwear. For most of us, walking is something we do without much thought. In reality, the simple step of putting one foot in front of the other requires a complex partnership between our muscles and our central nervous system. Regarding slips and falls, a 2013 report in the Encyclopedia of Forensic Sciences shows that there are two important phases to consider: Soon after the heel meets the ground and when the front part of the shoe or foot is touching the ground. And there are plenty of factors that impact our stability. The farther apart our feet are as we stand, for instance, the more stability we have. And our center of gravity as compared to that base of support or, foot spread, also is critical. An article on HumanKinetics.com summed it up this way: “High stability (low mobility) is characterized by a large base of support, a low center of...
Why there is always more to the story when assessing fall-related claims, cases Editor’s note: This is the first in the three-part series on evaluating fall-related claims and cases. A misstep. A wobble. And, then, bam. In a millisecond, a trip, slip or fall can lead to life-changing injuries, along with bulging medical files, an insurance claim and, often, a court case. Indeed, the business behind fall-related insurance claims and court cases is big. At home, at businesses and at work, falls cause thousands of injuries and hundreds of deaths each year, leading to billions of dollars in workers’ compensation costs and medical claims. Here at MKC Medical Management, attorneys and insurance adjustors regularly hire us to review and advise on cases that involve a fall. In fact, our practice has reviewed hundreds of claims involving various kinds of falls during the past 20-plus years. We aren’t biomechanical engineers. But, as legal nurse consultants and clinicians, we have a fundamental understanding of fall mechanics. Claim strategies are often based on understanding the mechanism of injury and the resulting bodily injury. Without that expertise, you risk missing out on critical details of a case and have less control over its final outcome. Always more to the story Environmental hazards – icy sidewalks, uneven curbs, bumpy pathways – typically drive personal injury and property casualty claims. But, for insurance adjusters and attorneys, when it comes to determining what caused a fall injury, there’s always more to the story than the weather report and emergency department records. The challenge when evaluating most falls is determining the validity of the allegation: Was it really the rain-soaked tiles that caused the fall or could there be another reason – the claimant’s high heels or a chronic illness that makes the person unsteady on their...