Emergency responders attending to a person lying on the ground during a medical emergency.

Expert Prehospital Case Review & EMS Legal Consulting

Ambulance on city street at night, illustrating EMS operations for case consulting and compliance analysis
Paramedic providing oxygen inside ambulance as part of EMS case review for litigation support.

Our Consulting Services

EMS Case Review & Expert Analysis

Detailed, defensible reviews of prehospital care for plaintiff and defense firms. We analyze clinical care, documentation, and operational decision-making to determine whether EMS standards of care were met.

Standard-of-Care Consulting

Expert evaluations of EMS protocols, scope-of-practice, and compliance across fire-based, municipal, and private systems. We identify deviations, contributing factors, and system failures to support legal strategy.

Merit Screening & Legal Support

Fast, accurate merit reviews to assess case viability. We equip attorneys and adjusters with clear insights for litigation strategy, settlement discussions, and expert witness preparation.

Clinical & Operational Analysis

In-depth review of medical errors, airway management, AMA/refusal cases, medication issues, delayed transport, and high-acuity events. We interpret patient care reports and operational decisions to clarify complex scenarios.

QA/QI-Based Consulting

Applying quality assurance and improvement frameworks to identify systemic issues, strengthen documentation practices, and align operations with protocols and regulations—supporting clear, defensible legal arguments.

About
our company

NPS Case Consulting provides expert EMS case review and standard-of-care consulting for plaintiff and defense firms. Led by Nate Sullivan, a retired Division Chief of EMS, Critical Care Paramedic, and nationally certified EMS instructor with nearly 30 years of frontline and executive leadership, we specialize in analyzing prehospital clinical care, documentation, and operational decision-making. Our services help legal teams understand whether standards were met, identify deviations or system failures, and build defensible strategies grounded in real-world EMS experience.

www.linkedin.com/in/npsullivan

Medical documents, including a patient care report and a narrative sheet, on desk with laptop, used for EMS case review and legal consulting.

Why choose us?

At NPS Case Consulting, we deliver more than opinions—we provide clarity, accuracy, and defensible analysis grounded in hands-on EMS experience and current standards of care. Our mission is simple: to help attorneys understand complex prehospital care issues and make informed, confident decisions.

Real-World EMS Insight: Practical experience informs every review.

  • Standards-Driven Analysis: Aligned with current protocols and best practices.

  • Clear, Actionable Findings: Complex medical details translated into plain language.

  • Timely, Reliable Service: Fast turnaround without compromising quality. 

FAQs

  • NPS Case Consulting reviews a wide range of EMS-related cases, including but not limited to:

    • Wrongful death and catastrophic injury claims involving airway management, medication administration, or transport decisions.

    • Protocol compliance disputes, such as deviations from state or agency clinical guidelines.

    • Documentation and charting issues, including incomplete or inaccurate patient care reports (PCRs).

    • Operational and system-level failures, such as delayed response times or communication breakdowns.

    • Training and competency insufficiencies, where inadequate education or failure to maintain certifications may have contributed to patient harm.

    • Multi-agency or complex incident reviews, requiring timeline reconstruction and evaluation of interagency coordination.

    Our analysis focuses on standards of care, accepted EMS practices, and jurisdiction-specific protocols, providing attorneys with clear, defensible insights for litigation or case strategy.

  • No. NPS Case Consulting focuses exclusively on case review and written analysis. We do not provide deposition or trial testimony. This approach allows us to dedicate all of our time and expertise to delivering thorough, litigation-ready reports and actionable insights for attorneys. By concentrating solely on case review, we ensure faster turnaround, deeper analysis, and uncompromised quality—without the scheduling and preparation demands that come with courtroom appearances.

  • Yes. NPS Case Consulting provides case reviews for multi-state and national cases. Our analysis is based on recognized EMS standards of care, national guidelines, and jurisdiction-specific protocols provided by the client. This means we can review cases from any state, and we tailor our findings to the applicable local regulations and policies. Our experience spans diverse EMS systems, including urban, rural, and critical care environments, so we’re equipped to handle cases nationwide.

  • NPS Case Consulting takes confidentiality and data security extremely seriously. All case materials, including documents containing Protected Health Information (PHI), are handled in strict compliance with HIPAA and industry best practices. We use secure, encrypted file transfer methods and never share client data outside the scope of the engagement. Access to files is limited to the consultant, and all devices used for review are protected by enterprise-grade security measures. Additionally, we maintain confidentiality agreements for every engagement and ensure that all reports exclude unnecessary identifiers while preserving the integrity of the clinical and operational analysis. Your sensitive information remains secure from start to finish.

Contact us

info@npscaseconsulting.com

(470)-222-3820