Dr. Terence McLoughlin

Dr Terence McLoughlin is a practising Emergency Medicine Consultant and experienced Expert Witness who has completed over 250 medico‑legal reports since 2022. He accepts instructions on behalf of Claimants, Defendants and as a Single Joint Expert in clinical negligence, personal injury, criminal and coronial proceedings.

A Consultant in Emergency Medicine since 2018, Dr McLoughlin’s core expertise lies in emergency department decision‑making, standards of care and breach of duty, medical causation, traumatic brain injury and concussion, acute neurological deterioration, delayed diagnosis, sepsis and high‑acuity emergency care.

He is currently instructed in the largest UK High Court group action concerning Chronic Traumatic Encephalopathy (CTE), preparing condition, prognosis and causation reports for former professional athletes, and holds the National Clinical Impact Award in recognition of his outstanding contribution to the NHS.

His medico‑legal practice focuses on complex emergency and acute care, including:

• Emergency medicine breach of duty and standards of care in acute and unscheduled presentations
• Delayed or missed diagnosis; failures to investigate, monitor, escalate or refer; premature discharge and inadequate safety‑netting
• Sepsis, acute deterioration, emergency resuscitation and escalation failures, including sepsis‑related death
• Complex trauma and multi‑system injury presenting to the emergency department
• Intoxication, altered consciousness, behavioural disturbance, restraint‑related collapse and police custody or detention medicine
• Drink‑driving related medical opinion, including impairment, alternative medical explanations and medical causes of apparent intoxication
• Condition and prognosis reporting after emergency presentations and traumatic injury, including functional impact and vulnerability
• Capacity, cognition and vulnerability assessments in the context of acute illness, intoxication, traumatic brain injury, dementia and neurodegenerative disease
• Coronial and inquest work following emergency or acute medical presentation, including sudden unexpected death, sepsis, trauma and intoxication‑related collapse

Within neurological injury, Dr McLoughlin has particular expertise in:

• Traumatic Brain Injury (TBI)
• Mild Traumatic Brain Injury
• Concussion and sports‑related concussion
• Post‑Concussion Syndrome
• Acute neurological deterioration
• Cognitive impairment
• Neuropsychiatric sequelae of injury
• Capacity following brain injury
• Chronic Traumatic Encephalopathy (CTE), including long‑term neurological outcome in former professional athletes

His criminal practice includes expert opinion in:

• Assault‑related injuries
• Head injury in criminal settings
• Intoxication and altered consciousness
• Restraint‑related collapse
• Police custody medicine
• Drink‑driving medical opinion (including causation of apparent intoxication and alternative medical explanations)
• Medical causation and contribution in criminal proceedings

Typical turnaround time is approximately 2–3 weeks from receipt of complete records and instructions, subject to case complexity. He is available for conferences with counsel, joint expert meetings, and attendance at court or inquest to give oral evidence.

Alongside his medico‑legal practice, Dr McLoughlin is Deputy Clinical Director of Research and Group Director of the Emergency Medicine‑led Research Departmental Unit (LEDRUS) at University Hospitals of Liverpool Group. He serves as Principal Investigator on multiple NIHR‑funded and international clinical trials involving traumatic brain injury, neurological injury, sepsis, emergency medicine and acute deterioration.

Dr McLoughlin has undertaken extensive specialist training in emergency medicine, trauma care and medico‑legal practice, underpinning the robustness of his expert evidence. He completed structured Emergency Medicine training in the UK, progressing to Fellowship of the Royal College of Emergency Medicine (FRCEM), and has since added advanced courses in trauma, sepsis, psychological resilience and workforce wellbeing. He holds senior instructional roles as Medical Director and Instructor for Advanced Life Support (ALS), and Instructor for Advanced Paediatric Life Support (APLS) and Prehospital Emergency Resuscitative Thoracotomy (PERT), reflecting his expertise in resuscitation and high‑acuity care. His medico‑legal competence is supported by formal training in medicolegal aspects of emergency medicine and recognised expert witness education, ensuring full understanding of court requirements, CPR Part 35 obligations and the duties of an independent expert.

Bond Solon trained Expert Witness. CPR Part 35 compliant. Available for conferences with counsel, joint expert meetings, court attendance and oral evidence.

Dr McLoughlin is fully registered with the General Medical Council (GMC 7072644) and is a Fellow of the Royal College of Emergency Medicine (FRCEM). He is President of the Emergency & Disaster Medicine Council at the Royal Society of Medicine, where he is also an Honorary Fellow and member. In addition, he is an Affiliate Member and Educational Supervisor within the Faculty of Pharmaceutical Medicine at the Royal College of Physicians, and is indemnified through membership of the Medical and Dental Defence Union of Scotland (MDDUS M182772).