Pulm/CCMICUPlaintiff-side

Built for ARDS + VAP + central-line cases.
AI deposition trainer with ARDS Network + ATS/IDSA depth.

Pulm/CCM medmal cases concentrate around ARDS ventilator management (low-TV), central-line complications, VAP recognition, and ICU sedation/delirium. ARDS Network + ATS/IDSA + SCCM ABCDEF bundle define the floors.

Try the 2-min Pulm/CCM demo → All specialties

Pulm/CCM failure modes

cited guidelines

signature impeachment trap

Why a pulm/ccm-specific trainer matters

ICU cases turn on documented ventilator settings (6 mL/kg PBW for ARDS), CXR within hour of central-line placement, and within-hour empiric antibiotics for suspected VAP.

The 7 failure modes

Sev 10

ARDS — high tidal volumes

TV >6 mL/kg PBW or Pplat >30 contrary to ARDS Network; VILI.

"I was using 8 mL/kg — I find patients tolerate it better."

Sev 9

Central-line complication — recognition delay

Pneumothorax/arterial cannulation/malposition; post-procedure CXR delayed.

"I placed the line and we moved on."

Sev 9

PE — anticoagulation delay

Confirmed PE; empiric anticoag delayed.

"I was waiting for IR to consider thrombolysis."

Sev 8

VAP recognition + treatment delay

Suspected VAP; empiric antibiotics delayed per ATS/IDSA.

"We were going to wait for culture results."

Sev 8

Premature extubation

Extubated without full readiness; reintubation delayed.

"She didn't quite meet all the criteria."

Sev 7

Sedation/delirium — no ABCDEF bundle

Continuous sedation without SAT + CAM-ICU per SCCM.

"We keep him sedated because he's a difficult patient."

Sev 7

CLABSI — no CHG/bundle adherence

CLABSI; no documented IHI line-bundle adherence.

"We follow our usual line protocol."

The signature impeachment trap

"Patients tolerate higher TVs better" vs ARDS Network protocol

Lock the witness into "I find patients tolerate higher tidal volumes," then juxtapose against the ARDS Network protocol which is the standard of care regardless of patient tolerance.

"You find patients tolerate higher tidal volumes?" → "Yes."
"The ARDS Network protocol is the standard of care for ARDS ventilation?" → "Yes."
"The protocol calls for 6 mL/kg PBW, not 8?" → "Yes."
"You ventilated this patient at 8 mL/kg PBW."

Why this lands: witness has framed TV choice as patient comfort rather than the published standard.

The 3 cited guidelines

ARDS Network ARMA ProtocolLow-TV (6 mL/kg PBW) ventilation for ARDS

2016 ATS/IDSA HAP/VAP GuidelinesEmpiric antibiotic timing + lower-respiratory-sample standards

SCCM ABCDEF Bundle (PADIS Guidelines)Pain, agitation, delirium, immobility, sleep bundle for ICU

FAQ

Why does pulm/CCM need its own deposition trainer?

ICU cases turn on documented ventilator settings, line-placement timing, antibiotic timing, and sedation/delirium protocols. ARDS Network + ATS/IDSA + SCCM are real published floors.

What guidelines does the AI cite?

ARDS Network ARMA Protocol, 2016 ATS/IDSA HAP/VAP, SCCM ABCDEF Bundle.

Does it work for defense expert prep?

Yes. Expert-prep mode against your defense intensivist.

Pricing?

Bundled in MedLegal AI Pro ($49/mo), Professional ($249/mo), or Firm ($499/mo).

Start with the 2-minute pulm/ccm demo

No signup, no mic. Cross-exam transfers to pulm/CCM — lock witness into the ARDS Network protocol.

Run the 2-min demo → Start free 14-day trial

Built for ARDS + VAP + central-line cases.AI deposition trainer with ARDS Network + ATS/IDSA depth.