Serious Personal Injury Cases -- What Every Consumer Needs to Know
John D. Winer, San Francisco
A. What Is a Serious Personal Injury?
In California, legal cases can be brought for personal
injury. Although there is no special definition for “serious
personal injury,” these type of injuries are generally thought
to have long term or permanent consequences that involve
physical, psychological or economic disability or a
significant impact on a person’s life.
Most broken bones, herniated discs, significant burns and
injuries involving surgery would fall into the category of
“serious.”
Injuries to the brain or spinal cord are almost always
considered “serious” personal injuries. Certainly the loss of
a limb or an essential organ would qualify.
B. Who Can Recover in a Serious Personal Injury Case?
Any person, child or adult, is entitled to recover damages
in a serious personal injury case as long as they can prove
that another person or entity is at fault and caused their
injury. One does not need to be a resident of California or
even a resident of the United States to qualify.
In cases in which the victim is a child under 18 or
incompetent, the law provides special protections and requires
that a guardian be appointed for the purposes of the
litigation. That guardian then oversees the case and, along
with the Court, approves any settlement. The settlement funds
are then either put into a protected trust account or paid
over time to the victim until he or she becomes a competent
adult, unless the settlement proceeds are needed earlier to
cover health expenses.
The spouse of the injured plaintiff can also bring their
own lawsuit for loss of consortium damages; that is, damages
for the loss of society, comfort and care of the injured
plaintiff. See the section on Damages in this article.
C. Does There Have to be Fault to Recover Damages for
Serious Personal Injury?
In California, to recover in a personal injury lawsuit, a
person must establish the fault of another person, entity or
corporation. California is not a no-fault State. (However,
under California Worker’s Compensation law, if an employee is
injured at work, he or she can bring a Workers’ Comp. case
regardless of fault although the damages awarded in such a
case are extremely limited.)
The wrongdoing for which a person can recover can either
be negligent or intentional. In certain cases, such as an
injury caused by a defective product, no fault need be proven.
D. Can a Plaintiff Recover in a Serious Personal Injury
Case Even If They Are Partially at Fault?
A plaintiff can recover even if he or she is also at
fault. California is a comparative negligence State in which
a negligent plaintiff can recover damages; however, their
monetary recovery is reduced by the amount of their fault.
For instance, if a court or jury finds that a plaintiff’s
damages should be valued at a $1,000,000, but finds the
plaintiff 25% at fault, his or her recovery would be reduced
by $250,000 to $750,000.
E. What Damages Are Recoverable in a Serious Personal
Injury Case?
In a serious personal injury case, plaintiff can recover
for past medical expenses, future predicted medical expenses,
past wage loss, future predicted wage loss and for past and
future pain and suffering.
The medical expenses are determined by the testimony of
physicians or other health care providers. Frequently, an
economist or an expert in the industry determines the amount
of future wage loss; however, no expert can testify to the
value of pain and suffering.
Pain and suffering is typically the most significant
element of a plaintiff’s damage and it includes emotional
distress. Contrary to popular belief, there is no formula for
pain and suffering awards and it varies greatly from case to
case depending upon the location of the case, the seriousness
of the injury and how well the case is presented.
F. Punitive Damages.
Under California law, if a plaintiff can prove that the
conduct of the wrongdoer was fraudulent, malicious or
despicable, he or she is entitled to recover punitive damages
which are intended to punish the wrongdoer and provide an
example for the rest of society. The focus of this type of
case is generally on the wrongdoing of the defendant as
opposed to the injury to the plaintiff. The amount of
punitive damage will vary depending upon the heinousness of
the defendant’s misconduct and its economic status. The law
recognizes that large companies have to pay more money in
punitive damages to be adequately punished than small
companies or individuals. In motor vehicle cases, punitive
damages are most frequently awarded against drunk drivers.
G. Claim for Loss of Consortium.
A plaintiff’s spouse can also sue and recover damages for
‘loss of consortium.” A spouse is allowed to recover damages
for the loss of society, comfort and care that result from the
injured spouse’s unavailability due to their injury and having
to watch the plaintiff suffer. In order to recover these
damages, a spouse must be named as a party to the lawsuit and
must have been married to the plaintiff at the time of the
injury.
There are advantages and disadvantages to filing a loss of
consortium claim that should be discussed with an attorney
before filing.
H. Should Experts Be Utilized in Serious Personal Injury
Cases?
In almost every serious personal injury case, expert
witnesses are utilized to prove fault and damages. Good law
firms generally retain many different types of engineers and
liability experts in cases where there is disputed liability
(i.e., fault). Also, if there is an issue as to whether an
accident caused serious personal injury, the attorney should
retain biomechanical engineers and biomedical engineers to
prove that the traumas plaintiff was subjected to was capable
of causing a severe bodily injury. Further, it is generally
important to retain expert physicians and psychotherapists to
describe the details of an injury to a judge, jury, insurance
adjuster or defense attorney. The use of highly qualified
experts can be expensive and add to the cost of the case;
however, it generally leads to a more likely and higher
recovery on behalf of the plaintiff.
I. Insurance Coverage.
Unless the defendant in a case is a large corporation or
an individual with significant assets, insurance coverage
becomes particularly important. Although a plaintiff can sue
an individual or company for more than the insurance coverage,
collecting in such a case can sometimes be very difficult.
Unfortunately, many people in California are uninsured or
carry very minimal insurance; therefore, sometimes a victim
has to look to his or her own insurance policy to provide or
supplement insurance proceeds. In the case of a motor vehicle
or pedestrian accident, this will result in an uninsured or
underinsured motorist case where the plaintiff can sue his or
her own insurance company up to the insurance policy’s limits.
Further, this is a reason why there needs to be a thorough
investigation to determine if there are other potential
defendants who are better able to pay a plaintiff’s damages.
Under California law, if a driver in an automobile does
not have his or her own insurance policy, he or she is not
entitled to recover damages for pain and suffering against the
other driver.
J. Punitive Damages.
Under California law, if a plaintiff can prove that the
conduct of the wrongdoer was fraudulent, malicious or
despicable, he or she is entitled to recover punitive damages
which are intended to punish the wrongdoer and provide an
example for the rest of society. The focus of this type of
case is generally on the wrongdoing of the defendant as
opposed to the injury to the plaintiff. The amount of
punitive damage will vary depending upon the heinousness of
the defendant’s misconduct and its economic status. The law
recognizes that large companies have to pay more money in
punitive damages to be adequately punished than small
companies or individuals.
K. How Soon Must a Serious Personal Injury Case Be
Brought After an Accident?
Although there are a few exceptions, generally speaking in
California a case for serious personal injury must be brought
within one year of the date of the accident/incident. In rare
cases, that time period is extended to one year from the date
of the discovery of a wrongdoing and/or an injury. However,
be careful. If the case is against a public entity, the claim
must be brought within six months of the date of the accident.
Except in medical malpractice cases and cases against public
entities, minors have until their 19th birthday to bring a
case.
L. Investigation in a Serious Personal Injury Case.
The more serious the injury, the more important it is for
a plaintiff attorney to perform a thorough investigation.
Whether the injury is caused by negligent or intentional
misconduct, an early investigation should be performed, if at
all possible, to establish liability, causation and,
sometimes, damages.
If the serious personal injury was caused by an accident,
the accident scene must be carefully investigated, whether it
involves a car accident, construction accident, dangerous
condition of property, defective product, pedestrian accident,
bicycle or motorcycle accident.
Whatever physical evidence can be maintained, should be
maintained. For instance, if a serious bodily injury occurred
in a motorcycle accident, the motorcycle should be maintained
in the same condition as it was found immediately after the
accident.
The accident scene should be combed for any evidence which
gives any hint as to how the accident happened. Videos and
photos should be taken documenting the condition of the
instrumentality(ies) of the serious bodily injury and the
scene of the injury. Accident scenes can change dramatically
over time; therefore, it is important to document what the
scene was like at the time of the accident as soon as possible
after the accident.
Witnesses should be contacted and statements should be
taken from favorable witnesses.
Records should be obtained and searched thoroughly.
In a serious bodily injury case, the wrongdoer who is most
obviously responsible for the injury may not have enough
insurance or assets to cover the plaintiff’s losses.
Therefore, the investigation should include an explanation of
other potential defendants who were at fault for causing
plaintiff’s serious personal injury.
M. What Should Be Considered in the Settlement of a
Serious Bodily Injury Case.
Determining the value of a serious personal injury case is
something of an art form. No two cases have the same value.
Generally speaking, the two best ways to determine the
value of a serious bodily injury case are to look at jury
verdict reports from some other similar cases that have been
tried in the past and to perform a mock trial/focus group in
which the case is presented in a modified form to a number of
people who act like prospective jurors and give their thoughts
on the case and sometimes the amount of money that they would
award if they were jurors in the case.
It is critical that a plaintiff’s attorney completely and
thoroughly works up a serious bodily injury case for
settlement. Too many attorneys simply collect the records and
bills, order a report from the treating doctor and attempt to
settle this case. This practice if fine in the case of a
minor injury; however, it is wholly inadequate in a serious
personal injury case.
In a serious injury case, the attorney should first make
sure that every expert that is needed to pin down liability is
promptly retained.
Once liability has been pinned down, the plaintiff’s
attorney should consider whether or not there will be any
issue as to whether or not the subject trauma caused the
serious personal injury and in those cases, hire a biomedical
engineer or biomechanical engineer to testify.
For instance in a traumatic brain injury case, there will
generally be an issue as to whether or not there was enough
force in the accident to cause a brain injury. A biomedical
or biomechanical engineer can study the forces involved in the
accident and give an expert opinion as to whether or not there
was enough force to cause a traumatic brain injury. This
technique can also work in other injury cases.
Further, the damage aspects of the case should be
thoroughly worked up.
A treating doctor or psychotherapist may be in a position
to best describe the plaintiff’s injuries or they may not.
Plaintiff’s attorney should consider retaining the best
specialists available to speak to the extent of the
plaintiff’s injury. For instance, in a knee injury case, the
treating orthopaedist may have been perfectly adequate to
perform a knee repair surgery. However, plaintiff attorney
may be able to retain a knee specialist who will testify that
the nature of the injury will require multiple surgeries in
the future which will, of course, greatly increase the value
of the plaintiff’s case.
In addition, even in a case involving a significant
physical injury, plaintiff attorney should consider retaining
a psychologist or psychiatrist to evaluate the patient and
speak to the extent of the plaintiff’s emotional distress.
Further, the case may call for a vocational expert to be
retained to testify to the plaintiff’s loss of earning ability
and capacity, and what the value of that loss will be.
Finally, an economist should be usually be retained in a
serious personal injury case to perform calculations and
testify to the present value of plaintiff’s future losses.
Unfortunately, a thorough work up of a serious personal
injury case like indicated above may cost $30,000 to $100,000
or even more. However, the money is well spent because it
should increase the settlement value of the case far beyond
the dollars spent on the work up.
Most good plaintiffs attorneys will advance the costs of
the litigation and know the importance of spending money to
make money at settlement or trial.
1. Most legal questions require complex answers. The answers
provided here may not be complete or fully accurate but attempt
to provide consumers with abbreviated answers. For more
detailed answers to these questions, a consumer should check out
other articles in this section of this web site, research other
legal articles and texts on the subject matter or consult with an
attorney.
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