Medical Case Development Series

ProjectWorks is launching a four-part Medical Case Development Series designed to support attorneys in understanding the nuances of some of common and complicated medical case types.
Over the next several weeks, we will break down four complex medical case categories that often drive long-term damages: brain injury, spinal cord injury, chemical exposure, and orthopedic complications.

For a high-level visual overview of each topic, head over to our LinkedIn to view the accompanying graphics.


Each installment will focus on the key medical indicators to watch for, the specialists typically involved, the long-term care needs that influence cost projections, and the documentation required to establish causation. The goal is simple. Early identification leads to better medical direction for the client and stronger case valuation for the attorney.

Brain Injury Overview

Brain injuries vary widely in presentation, and the mechanism of injury is often the first indicator that a traumatic or acquired brain injury may be involved. Does your case include:

  • Motor vehicle accidents

  • Falls

  • Electrocution

  • Chemical exposure

  • Poisoning

  • Ventilator or intubation events

  • Chemotherapy

  • Smoke inhalation

  • Facial or orbital fractures

  • Birth-related injury

  • Near drowning

  • Cumulative repetitive trauma


Typical Providers and Care Needs

Depending on severity, a TBI may require coordinated evaluation and treatment through many disciplines, including:

  • Neurosurgeon

  • Neurologist

  • Neuropsychologist

  • Physical Medicine and Rehabilitation

  • Speech therapy

  • Occupational therapy

  • Physical therapy

  • Case management

  • Diagnostics

  • Equipment

  • Medications

  • Spousal or agency home assistance

  • Home modification

  • Transportation support


Case Development Considerations

Establishing a brain injury and proving the causal connection to the precipitating event requires a comprehensive review of medical records, a detailed client interview, and direct communication with treating and specialty physicians for medical opinion and documentation.

Early recognition of brain injury in case development not only guides the client to appropriate care, it also sets the foundation for accurate damages modeling and negotiation parameters during settlement.