IT Consulting


“Medically trained. Uniquely qualified. Justice Driven.”

I am armed and well equipped with a very UNIQUE & LUCRATIVE:
1. Patient
2. Parental &
3. Healthcare provider perspective.

This triad of experience has made me painfully aware of the hidden gaps within our failing healthcare system. The gaps that have failed many of the clients you serve. The gaps that failed many of the patients I cared for in Neuro ICU. And the same gaps that failed my son; ultimately leading to his brain injury and lifelong battle, forevermore. 

My ability to use:
1. Internal insight afforded from months upon months bedside with my son in the Intensive Care setting
2. Brain/ Neuro-specific expertise I gained working in Neuroscience Intensive Care
3. Medical/ nursing knowledge acquired with 10+ years in healthcare
4. Health system understanding as a Risk Management scholar and...
5. The joy I obtain from analyzing medical records (I saw you cringe) collectively affords the clients I serve- YOU- with an unmatched legal nurse consulting experience & outcome.

I am Your Brain Injury Expert and Certified Legal Nurse capable of:
1. Hearing words unspoken (this is where the substance resides)
2. Deciphering the illegible (muddied waters are no match for my insight)
3. Pinpointing the root cause (no place for irrelevant details)
4. Funneling what matters most (insightful and succinct)
5. Identifying deviations from SOC (& defensive rebuttals)
6. Assessing alleged damages/ injuries (from personal and professional insight)
7. Analyzing validity & reliability (from a defense frame of mind)
8. Formulating strategic & authoritative reports/ chronologies (from a defensive perspective)... and so much more!

For Brain/ Birth Injury Cases- We Are Second To None!

Elder woman and her caretaker

Why Us?

Unparalleled Experience When Results Matter Most!

The death of someone you love can be tremendously painful. The death of your child- some say is worse. The death of your child, at the hands of careless healthcare providers... unimaginable.

Medical malpractice first hand experience and legal process exposure.

As I held my lifeless 6-month-old son, possibly for the last time, I remember questioning, How does this happen? How does my neurotypical twin son, Austin, transition to an egregious diagnosis of "minimal brain activity," in a matter of minutes? The answer was revealed over time-Medical Malpractice.


Patient, parental, & healthcare provider (Registered Nurse) internal insight.

After experiencing, in real time, the devastation resulting from reckless deviations in "standards of care," I knew what I had to do. Our 5-month Pediatric Intensive Care inpatient hospital experience, combined with my 10 plus years as a healthcare professional, has afforded me an unparalleled, comprehensive, insider view of our failing health systems today.


You can confidently relinquish the burden of non-legal affairs.

From my patient, parental, and healthcare provider empirical experience, I composed our firm's variable of distinction, "The Trifecta Approach." This affords you, our attorney client, with the ability to confidently relinquish control of the medical aspects of your brain/birth injury cases, in order to make available the time and space you need to do what you do best. Our unique approach also affords the clients you serve with an incomparable, highly-specialized, and meticulous medical/nursing review of their case. 

32-Bed Neuro ICU/ Level I Trauma Ctr./ Nationally Designated Stroke Ctr. 

Serving as a healthcare provider at a Level I trauma center, nationally-designated comprehensive stroke center, and a 32-bed Neuroscience Intensive Care Unit, I found my true passion and purpose in healthcare- patient and family advocacy! Most of the patients I cared for were intubated (ventilator) and heavily sedated, following a significant brain injury (stroke, aneurysm, brain hemorrhage, trauma, tumors, etc.). 


An exemplary degree of competence in brain-related matters.

Their loved ones- distraught, often intimidated, and feeling helpless, drew strength from the confidence they found in my competence. This required me to step up, and be the advocate they needed me to be during some of the most uncertain, difficult, and terrifying moments of their lives. I didn't choose critical care nursing, it chose me.  

Relentless Tenacity Securing A Piece of Certainty For The Injured Nationwide

Following my son's significant watershed (brain) injury, I was unsure what to expect. I remember thinking, "Now what?" Well, now we wait. 72 hours later, Austin was off to MRI to determine the extent of his brain injury. 

Documented as follows: "Respiratory and Metabolic acidosis. Hypothermia. Hypotension. Glasgow coma scale (GCS) of 3. Significant global hypoxic injury. Austin is critically ill, secondary to severe organ failure: Neurologic, Circulatory, and Respiratory." 

Empathy from a place of true understanding 

In came the neurologist and attending physician, prefacing their doom and gloom delivery with, "We're so sorry..." continuing with, "Austin will likely never walk, talk,  if anything, he will be blind." Next came the discussion of potentially removing him from life support and "letting nature run its course."


Thankfully, moments later, Austin's toes began to wiggle. The next day his eyes spontaneously opened. And shortly following, was the sweetest, most reassuring smirk, with a distinct twinkle in his eye, as if to say, "Hang in there mama, my greater is coming!" And wouldn't you know it; I was told these movements were not purposeful- "just reflexes."

From the moment I saw that smirk, 2 things became clear:

1. Austin was going to be just fine

2. Both of our journeys had just begun. 

Passion for doing whatever it takes. Neither making, nor accepting excuses.

2 degrees, 7 advanced healthcare certifications, and 400+ philanthropic volunteer hours later, and I still was hungry for more. I began to research all there was to know about brain injuries, neuro rehabilitation, neuro pharmacology, neuroimaging, neurolinguistics, cognitive neuroscience, clinical neuroscience, behavioral neuroscience, and the list goes on.

I took a special interest in nutritional advances and the latest evidence based recommendations following brain injury/stroke and paired my acquired knowledge with an intensive Physical Therapy, Occupational Therapy, Speech Therapy, Feeding Therapy, Aquatic Therapy, etc., intensive rehabilitation regimen for Austin,- up to 25 appointments a month. 

Relentless pursuit of justice for the underdog.

Fast forward a couple years, and Austin is a lively, vivacious, walking, talking, charismatic, strong-willed... 4-year-old who has defied all odds, and has made a miraculous recovery from "Minimal brain activity," to "Completely normal brain activity!" We face challenges, and still have a ways to go, but man... talk about a second chance! It was obvious, Austin's resilience, and heartwarming persona, was impacting lives- globally! Little did I realize, my part of his story was doing the same.


Humble and hungry.

How fortunate I am, to be afforded a career path, as your brain injury expert; not only doing what I'm passionate about, but also what is purposeful. It's a humbling and honorable experience, each and every time I am afforded the opportunity to assist you and the clients you serve.


This journey...

From "significant widespread (brain) injury,to significant widespread impact,

...has afforded me the opportunity to scale a revolutionary business, establish sincere long-term partnerships, truly make a positive- lasting imprint on the lives of many, and earn the respect and trust of highly esteemed lawyers and law firms, nationwide.

With gratefulness overflowing,


Saundra Smyrski 

Your Brain Injury Expert


Legal Nurse Consulting Services

  • Screening cases for merit and eliminating non-meritorious cases

  • Defining relevant standards of care and analyze deviations

  • Assessing alleged damages / injuries

  • Identifying factors that caused / contributed to alleged damages / injuries

  • Coordinating and attending independent medical examinations

  • Organizing and interpreting medical records

  • Identifying and recommending potential defendants

  • Interviewing clients, witnesses, and experts

  • Conducting research and analyzing validity and reliability

  • Consulting with healthcare providers

  • Identifying, locating, and interfacing with testifying experts

  • Serving as a liaison between attorney and healthcare providers, experts, and other consultants

  • Preparing interrogatories, deposition, and trial (cross or direct) questions

  • Developing written reports for use as study tools for attorneys

Professional Memberships and Affiliations:
  • American Association of Legal Nurse Consultants

  • American Association of Nurse Attorney’s

  • American Association of Nurse Executives

  • American Organization of Nursing Leadership

  • American Academy of Neurology

  • American Association of Neuroscience Nurses

  • American Association of Critical Care Nurses

  • American Psychiatric Nurses Association

  • The American Journal of Nursing

  • Pediatric Neurology Journal 

  • American Psychiatric Nurse Association

  • American Society for Healthcare Risk Management

  • Certified Legal Nurse Consultant

  • Registered Nurse- FL. Board of Nursing

  • Bachelor of Science in Nursing

  • Advanced Cardiac Life Support

  • Pediatric Advanced Life Support

  • Advance Trauma Treatment for Child and Adolescents

  • Clinical Pediatric Palliative Care

  • Certified Compassion Fatigue Professional 

Medical Malpractice

  • Birth Injury

    • Cerebral Palsy​

    • Hypoxic/ Anoxic

    • Hypoxic Ischemic Encephalopathy

    • Periventricular Leukomalacia

    • Intracranial Hemorrhage

    • Cerebral Dysgenesis

  • Traumatic Brain Injury

  • Stroke

  • Cardiac Arrest

  • Surgical Errors & Complications

  • Medication Errors


Personal Injury

  • Assault & Battery

  • Bicycle Accident 

  • Boating Accident

  • Bus Accident 

  • Car Accident 

  • Child Injured at School

  • Child Sexual Abuse/ Assault

  • Construction Site Accident

  • Drowning Accident

  • Motorcycle Accident

  • Nursing Home Abuse

  • Pedestrian Accident 

  • Slip and Fall

  • Swimming Pool Accident

  • Traumatic Brain Injury

  • Workers Compensation

Wrongful Death

**Not an exhaustive list. 

Medical and Nursing Malpractice/ Wrongful Death
Elder Care or Abuse
  • Home Health Care

  • Long-Term Care

  • Assisted Living Facilities

  • Caretakers

Personal Injury 
  • Slips/falls

  • Dog bites

  • High-stacking injuries

  • Auto accidents

  • Watercraft accidents

  • Aviation cases

  • Sports injury

Criminal Case- Related Injuries
  • Physical Assault

  • Sexual Assault

  • DUI

  • Healthcare Providers/ Facilities

  • HIPAA violation

  • Medicaid/ Medicare fraud

Worker's Compensation
  • Work-related injuries

  • Cumulative trauma disorders

Nonmedical Device Cases
  • Children’s toys and products

  • Motor vehicle, automobiles, and vehicle parts

  • Consumer/Household products

  • Personal hygiene products

  • Food

  • Any case involving a victim of a violent crime

  • Psychiatric defenses and psychiatric issues

  • Excessive use of force by law enforcement personnel