Biomechanics: A way to better understand mechanisms of injury and how the M.O.I. measures up with a claimant’s stated injury

Posted by on Mar 8, 2015 in AALNC, Best Practices, Legal Nurse Consultant, Legal Nurse Consulting, LNC, Medical Conditions/Terminology Blog Series, RN

By Danny Marshall, RN, EMT-P, CLNC What is biomechanics? It is a scientific discipline which applies principles studied in mechanics to the understanding of living organisms. So, what does this mean to the LNC? As a LNC we are challenged to determine if a claimant’s reported injury or injuries can be the result of the mechanism of injury he/she has reported. As a new LNC I have learned this is easier said than done. I am thankful for the LNC who has helped me edit the reports I have completed, she told me to study biomechanics. Studying biomechanics has helped me to better understand the relationship between the M.O.I and the claimant’s reported injuries much better. For example disk herniations are uncommon in front and side impact cars crashes that are severe enough to cause other serious spinal injuries. In laboratory testing, pure compression, torsion and flexion do not result in disk herniation. Only a combination of lateral bending, hyperflexion, and severe compression can cause a herniation. This is usually the result of heavy lifting, but rarely occurs anywhere in the spine during automobile accidents. In rear end collisions the neck is most likely to sustain injury and the thoracic and lumbar spine is less likely due to protection by the seat and restraints. Proper placement of the head rest would be an important piece of information to obtain because it can reduce the chance of whiplash injury to the neck. So a study in biomechanics and how it relates to the body when an injury occurs can be most beneficial to a LNC who is trying to see if the claimant’s reported injury or injuries are a result of the reported M.O.I. or related to another...

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To Clot or Not?

Posted by on Jan 6, 2011 in Blog, Case Management, LNC, Nursing, RN

Over my many years as a RN I have had multiple patients on anticoagulation medications.  As a result I am very comfortable in administering the medications as prescribed by physicians. In addition, I have worked on cases involving anticoagulation both as a Case Manager and a LNC, yet the complications and dangers of working with such medications cannot be stated enough or go underemphasized. In all of these roles, there are some cardinal rules- Extreme care with ALL aspects of dosing/administration Regular medical follow up Careful blood level monitoring (PT/INR) Thorough patient/family education I recently read a blog post detailing information about anticoagulation, potential problems/complications and improvements within the medical arena.  Areas like patient education, pharmacy/pharmacist involvement, patient compliance, new delivery systems and overall management improvements are being addressed throughout the medical communities- all of which are improving patient quality and continuing to help save lives.   Highlights: An anticoagulant is a substance that prevents coagulation; that is, it stops blood from clotting Anticoagulants are administered in oral or parenteral (injection) forms. Examples heparin, Coumadin (warfarin)  Anticoagulation medicines play a huge role in clinical medicine and help to save lives on a daily basis. Close management of the medications is necessary, and mistakes involving too much or too little medication can lead to severe complications. Law suits involving anticoagulation issues are fairly common. Other medications (i.e. aspirin) and/or food (dark green vegetables) have anticoagulation properties, so potential drug interactions must be identified and/or monitored. Anticoagulation is literally a LIFESAVER, but it also carriers with it severe and sometimes deadly complications that are associated with too much OR too little medication.  Better things are on the horizon, but caution when using/taking the medications still...

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What Am I?

Posted by on Nov 17, 2010 in Blog, Kari Williamson, Legal Nurse Consultant, LNC, MK Consulting, MKC, Nursing, RN

What Am I?   I am reviewer of records…all kinds of medical records from all kinds of providers. I am registered nurse with additional education in the legal field. amercially reasonable mannersame day loans bad credit no fees I have YEARS of being an active nurse provider in the clinical, insurance and legal arenas I know medical terminology, and can read and understand an operative report. I create medical summaries and chronologies. I help with causality issues and injury-medical relatedness questions. I search for medical/nurse experts across the country. I analyze medical records and documentation. I consult with adjusters and attorneys about liability issues. I use critical thinking and knowledge to help resolve claims and file issues.   I read and write reports….ALOT I do medical literature research I have to know and understand the insurance legal arenas …and the list goes on. What am I? A seasoned Legal Nurse...

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