Events
Event Information
Remote Event
Tue 06-Apr-2027, Microsoft Teams
INNEG invites you to this free lunchtime webinar with Professor Alok Tiwari, exploring the clinical and medico-legal considerations involved in vascular injury and limb loss in personal injury claims.

Vascular injuries can have life-changing consequences in personal injury claims, particularly where compromised blood supply leads to permanent tissue damage, complex surgical intervention or limb loss. Establishing the extent of injury, the potential for limb salvage and the long-term consequences can raise difficult questions around causation, prognosis and quantum.
In cases involving traumatic vascular injury, the timing of diagnosis and treatment can be critical. Disputes may arise over whether earlier intervention could have prevented irreversible damage, whether amputation was unavoidable, and how pre-existing vascular disease may have influenced the eventual outcome.
The session will examine how vascular surgeons assess traumatic injuries, the factors influencing limb salvage decisions, and the evidence required to establish causation. It will also consider the long-term implications of vascular damage and amputation, including rehabilitation, prosthetic requirements, functional limitations and future care needs, and how these factors inform prognosis and quantum.
This session will help you to:
- Understand how traumatic vascular injuries occur and the potential consequences of compromised blood supply.
- Identify the clinical factors influencing limb salvage, surgical intervention and amputation decisions.
- Assess causation issues, including whether earlier treatment could have altered the outcome and the relevance of pre-existing vascular disease.
- Interpret vascular expert evidence relating to permanent injury, prognosis and future complications.
- Appreciate the long-term impact of limb loss on mobility, independence, employment and rehabilitation needs.
- Strengthen quantum assessments by understanding how vascular injury and amputation can influence future care, prosthetic requirements and financial losses.
About the Speaker

Professor Alok Tiwari
Consultant Vascular and Endovascular Surgeon
Professor Alok Tiwari is a Consultant Vascular and Endovascular Surgeon at University Hospitals Birmingham and Visiting Professor of Vascular Surgery at Birmingham City University, with over 15 years of consultant-level experience. Professor Tiwari has undertaken medico-legal work since 2016, providing expert reports in both personal injury and clinical negligence claims. His expertise includes arterial and venous complications, surgical management, amputations and the assessment of vascular treatment outcomes. He has completed specialist medico-legal training, including Bond Solon's Excellence in Written Evidence course. His clinical expertise covers arterial and venous disease, with particular specialisms in acute limb ischaemia, lower limb bypass, limb salvage, amputations and open and endovascular surgery. His practice includes complex vascular reconstruction, angioplasty and the management of diabetic foot complications, with extensive experience in assessing and treating conditions that can lead to permanent vascular damage or limb loss.