MedLit Group

Medical Legal Consulting

Brian Rayl, MBA, BSN, RN
EMT- Paramedic, CCRN, CFRN

Professional Summary

Master’s-prepared Legal Nurse Consultant, Continuous Quality Improvement (CQI) Specialist, and dual-board-certified Critical Care/Flight RN and Paramedic (CCRN, CFRN, EMT-P) with 25+ years of clinical acumen and executive business expertise. Specialize in forensic medical chart auditing, standard-of-care deviation analysis, medical malpractice case screening, and law firm medical-legal operations optimization. Extensive experience analyzing complex medical records across adult and pediatric emergency, ICU, general medicine, EMS, and air/ground critical care transport settings.

Professional Experience

Principal and Founder | MedLit Group | 2024 – Present

  • Deliver legal nurse consulting services to litigation attorneys, performing in-depth medical malpractice and personal injury case merit screenings.
  • Construct comprehensive chronological medical timelines and narrative summaries dissecting complex hospital courses, clinical interventions, and outcomes.
  • Identify definitive standard-of-care deviations, charting omissions, and causation linkages to strengthen case positioning during settlement discussions or trial prep.
  • Assist with deposition outlines, interrogatory development, and expert/fact witness preparation.
  • Provide authoritative expert witness testimony on nursing standards of care and medical causation.
  • Improve firm operations through operational workflow audits, mitigating intake vulnerabilities, and implementing quality-control protocols to optimize case acquisition.

EMS Educator / CQI Specialist | Medical City – Plano, TX | 2023 – 2026

  • Clinical Excellence: Engineered an intensive training initiative that improved first-pass intubation rates by over 300%.
  • Quality Improvement: Reduced medical protocol deviations by 74% through rigorous record reviews and corrective action plans.
  • Program Development: Created and distributed proprietary training curricula to ensure regional compliance with advanced standards of care.

Flight Nurse / Paramedic | Air Methods Corp – Dallas, TX | 2022 – 2023

  • Field Training: Served as a Field Training Officer (FTO), mentoring new hires and standardizing high-pressure clinical decision-making protocols.
  • Stakeholder Relations: Acted as a central liaison between physicians, technologists, and families to ensure seamless care transitions.

Flight Nurse / Paramedic | Woman's Hospital of Texas – Houston, TX | 2021 – 2022

  • Clinical Collaboration: Awarded 2021 "Team Member of the Year" for outstanding multidisciplinary case management.
  • Quality Review: Provided critical documentation used for internal quality reviews and compliance audits.

Chief Operations Officer | Happy Grasshopper – Tampa, FL | 2020 – 2021

  • Churn Reduction: Orchestrated a 20% reduction in customer churn within 90 days by performing a 5-year data cohort analysis to identify retention triggers.
  • Cross-Functional Leadership: Integrated Support, Onboarding, and IT workflows; implemented automated "Early Warning" alerts via CRM triggers.
  • Systems Optimization: Overhauled operational processes using Asana and Infusionsoft/Keap to optimize productivity.

RN, Pediatric Emergency Room | Texas Children’s Hospital – The Woodlands, TX | 2018 – 2020

  • Crisis Triage: Worked independently as the primary point of contact for patients and families, requiring independent evaluation, rapid assessment, and prioritization of multiple patients.
  • Mentorship: Acted as a Preceptor, overseeing the training and integration of new staff into a high acuity environment.

Chief Operations Officer & Co-Founder | Home Value Leads – North Hollywood, CA | 2013 – 2017

  • Scale & Exit: Led the operational setup and maintenance of a real estate SaaS firm, culminating in a successful acquisition by a national firm.
  • Fiscal Stewardship: Managed a $750k annual operating budget and directed all aspects of customer support, sales, and marketing.

PICU RN & Charge Nurse | Children’s Medical Center – Dallas, TX | 2010 – 2018

  • Operations Management: Served as Relief Charge Nurse, responsible for evaluating patient care, prioritization, patient assignments, coordinating resources, and dispute resolution.
  • Quality Improvement: Conducted detailed medical documentation reviews to ensure alignment with hospital best practices.

Emergency Room & Critical Care RN | Mission Regional Medical Center – Mission, TX | 2007 – 2010

  • Critical Care: Managed high-acuity patients as a Triage Nurse, Charge Nurse, and Rapid Response Team member.

EMS  Paramedic, Clinical Educator, & FTO | Medcare EMS – McAllen, TX | 2000 – 2007

  • Training and QA Oversight: Led EMS training programs and medical chart reviews focusing on quality assurance and adherence to medical guidelines.

Executive Board Experience

Founder & Board Chair | Foundation for Humanity (501c3) | 2024 – Present

  • Organizational Governance: Recruited and lead a multi-person Board of Directors to provide fiduciary oversight, strategic vision, and legal/regulatory compliance for the umbrella foundation and its subsidiary initiatives.
  • National Chapter Architecture: Spearheaded the vision, design, and operational framework for the First Responder Relief Fund, establishing a nationwide charter system to support public safety personnel across the United States.
  • International Operational Scaling: Launched the Clean Coast Crew environmental initiative, successfully coordinating cross-functional volunteer teams to execute quarterly conservation operations across Texas, Florida, and international locations.
  • Strategic Vision: Leverage an executive background in operations and healthcare to cultivate a culture of compassion, driving scalable community initiatives that align public goodwill with measurable grassroots impact.

Education & Certifications

  • Master of Business Administration (MBA) | Western Governors University, 2023
  • Bachelor of Science in Nursing (BSN) | Western Governors University, 2018
  • Associate Degree in Nursing (ADN) | South Texas College, 2007
  • Certifications: Registered Nurse, CCRN (Critical Care), CFRN (Flight) 
  • EMS Credentials: Texas Paramedic, Texas Paramedic Instructor

Technical Proficiencies

  • Operations/CRM: HubSpot, Infusionsoft (Keap), Zapier, Google Workspace, Microsoft Office Suite
  • Financial/Billing: Chargebee, Stripe, Square, PayPal
  • Project Management: Asana, Trello, Microsoft Teams, Slack, Zoom, RingCentral