Medicolegal Case Review & Expert Opinion

Headshot of Ali Farzad, MD

Clear, practical medical insight that legal, clinical, and industry teams can rely on.

I provide independent medicolegal case review and expert opinion in emergency medicine, with particular expertise in cardiovascular emergencies, ECG interpretation, and time-sensitive clinical decision-making.

This work is intended for attorneys and legal teams seeking clinically grounded, defensible analysis rooted in contemporary emergency medicine practice and accepted standards of care.

Scope of Work

Medicolegal services may include:

  • Independent review of emergency department cases

  • Analysis of diagnostic reasoning and clinical decision-making

  • Evaluation of care involving cardiovascular emergencies and ECG interpretation

  • Written expert opinions and reports

  • Peer review and case screening

  • Deposition and trial testimony, when appropriate

Each engagement is defined by a specific scope and confirmed in writing prior to proceeding.

Areas of Focus

My medicolegal work most commonly involves cases related to:

  • Acute coronary syndromes and missed ischemia

  • Arrhythmias and ECG interpretation errors

  • Pulmonary embolism and thromboembolic disease

  • Aortic pathology

  • Decompensated heart failure

  • Cardiac arrest and post-resuscitation care

  • Diagnostic delay or failure in high-risk emergency presentations

This list is not exhaustive and does not guarantee availability for all case types.

Approach to Case Review

Case review is conducted with emphasis on:

  • Clinical realism in the emergency department setting

  • Standards of care as they existed at the time of the event

  • Documentation, decision points, and available data

  • Time pressure, uncertainty, and operational constraints

  • Clear articulation of assumptions and reasoning

Opinions are formed independently and are not contingent on case outcome or party position.

Engagement Process

Medicolegal inquiries follow a structured process:

  1. Submission of an initial case inquiry

  2. Conflict and scope screening

  3. Confirmation of availability and engagement terms

  4. Case review and deliverables

  5. Follow-up discussion, if appropriate

Not all inquiries result in acceptance of a case.

  • Medicolegal services are non-clinical and do not involve patient care

  • No physician-patient relationship is established

  • Initial review does not create an attorney-client relationship or expert engagement

  • Engagements proceed only after conflict screening and written agreement

  • I reserve the right to decline cases based on scope, conflict, or fit

Disclosures & Boundaries

Why Work With Me

  • Active emergency medicine practice

    Case review is informed by contemporary emergency department practice, including time pressure, uncertainty, and system constraints.

  • Cardiovascular and ECG expertise

    Fellowship training and focused academic work in cardiovascular emergencies and ECG interpretation.

  • Defensible reasoning

    Opinions emphasize standards of care as they existed at the time of the event, with explicit assumptions and documented reasoning.

  • Selective engagement

    Cases are accepted only when scope, expertise, and independence are appropriate.

Request Case Review

Attorneys or legal professionals seeking medicolegal case review or expert opinion may submit an inquiry using the form below. Please include a brief description of the case, jurisdiction, and timeline considerations.

For consulting related to health systems, industry, or technology, please return to the Consulting page.

For patient-related services, including concierge or personal injury care, please visit the Concierge & Private Care section.