Litigation Support

Advanced Practice Strategies, formerly the Demonstrative Evidence Group, has its roots in litigation support, and we're proud of our success in the courtroom. We've been providing the legal community with high-impact presentations for over a decade, and we continue with the tradition of quality, accuracy, and last-minute dependability.

United States v. Kristen Gilbert

APS provided all demonstrative evidence for the prosecution in the case against Nurse Gilbert, the notorious Angel of Death convicted of the murder of four patients she was supposed to be tending.
The judge who presided over the case described our contribution as follows: "This equipment, still rare in most courtrooms, made presentation of medical records, all of which had been electronically scanned, enormously easier. Direct testimony of the government's lead cardiologist unfolded with multicolored, animated diagrams of the heart, a tour de force presentation of expert testimony."

Reginald Lewis Estate v. Gilbert Mudge, M.D., et al

APS provided an interactive presentation bolstering the defense and helping the jury find for Dr. Mudge, the defendant in the case filed by the widow of the former Boston Celtics star.

Vaskas: Pulmonary Surgery with Complications

APS provided demonstrative evidence for the defense in a case of complicated anatomic anomalies. Through medical illustrations created directly with physicians, the defense attorneys were able to walk through the series of events that led to an unpredictable and unpreventable post-op complication of a necessary surgery. APS showed that post-op bleeding after a V.A.T.S. (video assisted thoracic surgery) procedure to remove a sequestration in the lung tissue was a well-known complication and that every attempt was made for the patient. APS successfully described complicated terms, such as P.E.E.P. (positive end-expiratory pressure), atelectasis, and fibronolysis, to assist the jury in understanding what surgeries were performed and the clinical rationale behind them. APS was pleased to be of assistance in the defense verdict for a very talented thoracic surgeon.

Lindor: Shoulder dystocia

APS provided demonstrative evidence for the defense in a case involving shoulder dystocia that resulted in the child developing Erb's Palsy. The plaintiff’s claim rested on the use of a vacuum extractor. Plaintiff attorneys claimed the device was used when the baby was too high in the maternal pelvis for safe delivery. The resulting child was born with Erb's Palsy, a form of brachial plexus injury. Through records and feedback from physicians, APS was able to create medical illustrations to educate the jury on proper placement of the vacuum and the optimal stations for its use. We also created illustrations to demonstrate how a brachial plexus injury could occur in utero, and to show that the different maneuvers used during delivery were accepted as the standard of care at that time.  APS was pleased to be of assistance in the defense verdict for a well-respected obstetrician.