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Medical Records: A Key to Success in Personal Injury Cases

November 24, 2024

Medical records represent the cornerstone of bodily injury cases, offering essential evidence to support claims of personal injury and causation. In our previous blog, we touched on the role of forensic experts and how they are used in personal injury cases; building on that understanding, the proper use of medical records can drastically enhance a case. This is a complete guide on using medical records to improve your personal injury claims.

Why Medical Records Are Critical?

Medical records provide evidence of the plaintiff's health history, their injuries, and how they were treated. In the system of personal injury cases, they play more than one critical role:

  • Documentation of Injuries: These reports enable objective documentation of injuries that have occurred and the medical treatments that were needed.
  • Proving Causation: They help connect the injuries to the accident, which is essential to showing liability.
  • Assessing Damages: They help determine the amount of money due for medical coverage, pain and suffering, and long-term effects.

Step 1: Requesting Comprehensive Medical Records

Before using medical records efficiently, the first step is to request the entire document set. This includes the records during post-initial treatment and follow-up visits, specialist consultations, and rehabilitation sessions.

Relevant Sources:
  • Emergency Room Records: Specific notes from the first emergency room visit can be vital in learning how quickly and why the injury symptoms developed.
  • Hospital Records: These are records of diagnostic test results, surgeries, and all the physician's notes from any hospital stay.
  • Primary Care Physician Records: Medical records showing treatment and any ongoing treatment or management of injuries.
  • Specialist Records: Reports from specialists, such as an orthopedic surgeon or a neurologist, who are experts in the particular area of injury.
  • Rehabilitation Records: These notes describe the course of recovery from physical therapy or other rehabilitative treatments.

Step 2: Reviewing and Analyzing Medical Records

Once you have obtained your client's medical records, it is time to establish a review process for analyzing them. This process entails understanding the medical terminology and what different entries mean.

Key Questions to Address:
  • Injury Descriptions: Nature of the injury, including location, severity, and any complicating features. Treatment Provided: Any specific treatment, including surgeries, medications, and other interventions.
  • Diagnostic Tests: X-rays, MRIs, CT scans, and other studies that show damage or injury to the parts of the body involved in the injuries.
  • Medical History: Any pre-existing conditions or previous injuries that may be relevant to this case.
  • Physician Notes: Thoughts and descriptions from the doctor that show what effect the injury has had and how likely it is for the patient to fully recover or not.

Step 3: Collaborating with Medical Experts

Medical experts are essential in interpreting medical records and providing testimony that can present complicated medical issues to the court. Their knowledge can help to bridge the divide between medical terminology and legal claims.

How to Collaborate Successfully?
  • Expert Consultation: Engage medical experts to review the records and provide an independent evaluation of injuries and consequences resulting from this action.
  • Report Preparation: With the help of experts, prepare detailed reports summarizing what they found and explaining why it supports your case.
  • Deposition and Testimony Preparation: Train your experts to handle depositions and courtroom testimony so they can adequately articulate their opinions.

Step 4: Integrating Medical Records into Legal Arguments

Medical records should be strategically integrated into legal arguments to support claims of injury and causation. This includes emphasizing core evidence and its importance in developing a case. Integration Strategies:

  • Narrative Building: Using medical records, create a compelling story about the injury, treatment, and recovery. This story should connect the injury to the incident.
  • Causation Evidence: Highlight entries that directly attribute the injuries to the incident, such as physician notes that say "consistent with a described accident."
  • Damage Calculation: Use expense records and medical history to prove future needs and how the injuries affected the plaintiff. This can be used to calculate both economic and non-economic damages.

Step 5: Addressing Defense Arguments

In personal injury cases, the defense might dispute the reality of the resulting injuries or claim that they are pre-existing conditions. It is crucial to be prepared for these arguments as well.

Combatting Defense Tricks:
  • Pre-existing Conditions: If the plaintiff had pre-existing injuries or health concerns, separate them from the new injuries resulting from the event. If there is an existing condition, demonstrate how the incident escalated it.
  • Consistency of Medical Records: Confirm that medical records are consistent and complete. The prosecution might argue that discrepancies or absences suggest the claim needs to be more credible.
  • Expert Rebuttal: Bring in medical experts who will contradict the defense theory and support the plaintiff’s case with authoritative opinions based on facts.

Linking with Forensic Experts

As discussed in our last blog, the effective use of medical records ties back to the role of forensic experts. Forensic professionals, including medical and biomechanical experts, can explain the relevance of medical records to a case. They can clarify how the injuries were sustained, their effect on the plaintiff's life, and the necessity of the treatments provided.

Conclusion

Medical records are essential in personal injury litigation. The collection of documents, review with medical experts, and integration within legal arguments allow attorneys to create a strong case. As discussed in our last blog, medical records can significantly enhance the likelihood of a favorable outcome for injured clients when combined with expert analysis and forensic testimony. The result is a comprehensive evaluation and presentation of the plaintiff's injuries and their implications.

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Maithili Salunkhe

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4 Years extensive experience in content creation to offer specialized legal writing services. A deep understanding of legal principles and the ability to translate complex…

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Ruchi Bhakhri Sharma

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25 years of combination of serving as a lawyer in India and paralegal support to US lawyers. Led a diverse team of legal professionals, project…

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