NEGLIGENT AMBULANCE TRANSPORT RESULTS IN TRAGIC WRONGFUL DEATH OF CLIENTS’ 21 YEAR OLD SON

Ambulance and EMT Wrongful Death CaseOur clients’ son was only 21 years old at the time of his tragic and avoidable death. For privacy purposes, let’s call him Drew.

Our clients are Drew’s mother and father. They asked that we share this tragic story about what happened to their son so that this does not happen to another family. Because many consumers are not aware of the artificial MICRA caps, they also wanted to bring this harsh reality to the attention of other California consumers. At their request of balancing privacy issues with what happened to their beautiful son, here’s their story…

This is a case brought by our clients, Drew’s parents, for the wrongful death of their son. They allege, among other things, that a local ambulance company and its EMTS negligently restrained and transported Drew in the back of its ambulance resulting in his death. The defendants are the ambulance company and the two EMTs.

The jury trial in this case was set for last Monday. Because there were no available courtrooms in Orange County, the case was continued to July. What you read below is what happened to our clients and their family

Drew’s Story

After graduating from a local high school as a multisport star athlete and academic All American football player, Drew attended college and during this time, began to experience severe levels of anxiety and depression. Drew’s mom and dad asked him to come home so they could help him and make sure he was safe. Drew did and the family managed the situation as best they could.

One evening, our clients were at the mall holiday shopping. Drew was worried something was going to happen to him and so he called his mom and dad and asked them to come home.

After arriving home our clients’ realized Drew wasn’t there. Worried for his safety, they called 911. About the same time the police arrived at our client’s home, their son returned. Pursuant to Welfare & Institutions Code Section 5150 and, at the request of our clients, Drew was taken to a local hospital without incident. At the hospital, Drew was medicated and cooperative.

Around 6 a.m. the following morning, our clients’ received a phone call from a nurse at the hospital advising them that Drew was doing much better and that he would be transported to another hospital that had more beds. When Drew’s father offered to come down to the hospital and help coordinate Drew’s relocation to the new hospital, he was told in no uncertain words by the nurse, “We’ve got it all taken care of.”

Before hanging up the phone, the nurse advised our clients they could visit Drew around 2 pm. that afternoon. Non-emergency interfacility transport was coordinated between the two hospitals with the defendant ambulance company.

The Ambulance EMTs Arrive at the Hospital

The defendant EMTs arrived at the hospital where Drew was located. They met with the nurse in charge who discussed Drew’s condition. She also provided the EMTs with Drew’s medical chart and 5150 documents. The EMTs were told Drew reported hearing evil voices and also having suicidal thoughts of jumping off a bridge. Despite the fact that Drew was not medicated, calm and cooperative, they were advised that Drew continued to be at risk of harming himself. The EMTs were placed on written notice via a checked box on the 5150 documents of this fact.

ambulance emt negligence victim

The EMT’s then went to Drew’s hospital room and found him friendly and cooperative. At their request, Drew stood up, walked over and sat in the gurney in a semi Fowler’s position (reclined position). Drew was taken outside to the ambulance and loaded without incident. After being loaded, the defendants’ applied soft wrist restraints on each of the Drew’s wrists.

EMT #1 rode in the back of the vehicle with Drew who was positioned such that he was looking towards the rear of the vehicle. EMT #1 was seated on a side bench providing him with full view and access to observe Drew and the soft restraints during the transport. Defendant EMT #2 drove the vehicle.

After about 5-10 minutes, the Drew asked EMT #1 to move behind him. EMT #1 complied and moved to the airway seat behind Drew. At all times, Drew was still in the raised Fowler’s position. His body, seatbelts and soft restraints were now blocked from the view of EMT #1.

According to EMT #1, shortly thereafter he observed Drew sit up and slide his feet off of the gurney. After a brief struggle, Drew exited the almost stopped vehicle and ran several times across multiple lanes on one of Southern California’s busiest freeways.

Drew was eventually grabbed by off-duty Orange County Sheriff Deputy. After a minute or two, Drew broke away from the Deputy and was immediately struck and killed by an oncoming truck. To this day, the defendants’ have refused to accept any responsibility for Drew’s death.

The Claim and Litigation

The triable issues in this case are those relating to whether or not the defendants negligently and carelessly restrained, monitored, and transported the decedent. Our clients’ EMT expert believes that the soft restraints should NEVER have come loose and were not applied correctly. Furthermore, had the EMT continued monitoring Drew from the position on the side bench, he would have been able to easily observe and prevent Drew from releasing himself from the soft restraints.

During the defendant EMT’s pre-trial depositions, both admitted they were responsible for Drew’s care and safety during the non-emergency transport.

During their depositions, the EMTs also admitted they were taught that constant observation of a 5150 patient was necessary to protect the patient.

The EMT’s further testified they were taught to sit at the foot of the side bench seat next to a patient such as Drew, so they could maintain a visual observation of the patient and soft restraints.

The EMT’s also admit that they, and not the patient, are in charge and in control of what happens in the back of the vehicle.

When EMT #1 applied the soft restraints to Drew’s wrists, he testified during his deposition that he knew that Drew was a danger to himself. He also testified that he and his partner were in charge of Drew’s safety.

During his deposition, EMT #1 was asked if he would do anything different if he had another chance to do this all over again. He answered under oath, “I would have paid more attention. I would have been on the bench seat.”

Plaintiffs’ expert testified during his deposition and is expected to testify at trial that the defendants failed to properly apply and monitor the Drew’s soft restraints. Furthermore, that EMT #1 and EMT #2 were a team and both were responsible for the safe care and transport of a 5150 patient such as Drew.

These soft restraints should never come undone and this fact alone means that onre or both of the soft restraints were not applied correctly in the first place.

Even the defendants’ EMT expert agreed during his deposition that this was a non-emergency transport. He testified that he is not aware of any information indicating anything other than Drew being “calm” during the transport. He also confirmed that it was the defendants’ job to properly apply the soft restraints to Drew’s wrists and to monitor him during the attempted transport.

A new trial date has been set for July. We’ll let you know what happens.

EMT negligence causes wrongful death during ambulance transportFinal Thoughts

The defendants dropped the ball in this case and it ended up costing Drew his life. Our hearts go out to our clients and their family. We have done and will continue to do all we can to help them find justice.

The bottom line in this case is that had the soft restraints been properly applied and monitored, Drew would have been safely delivered to the hospital.

Unfortunately, what most consumers are not aware of and something our jurors are not allowed to hear, is the fact that the damages in this case are artificially capped by MICRA (California’s Medical Injury Compensation Reform Act). MICRA artificially caps the non-economic damages in this case to only $250,000.

This law was enacted in 1975 in response to a perceived but later discredited crisis in the rising cost of premiums for medical malpractice insurance. MICRA caps compensation for what are known as “non-economic” damages – including life-altering situations such as the loss of limbs or mobility, severe disfigurement, loss of vision or fertility, ongoing pain, loss of a parent or spouse or child.

It is noted that even after MICRA took effect, the insurance premiums continued to substantially rise. It was only after passage in 1988 of Proposition 103, which gave the state the power to regulate premium increases, that healthcare providers had the assurance they would not be gouged by malpractice insurers.

The way MICRA works is that even if a jury awards our clients substantial damages for their loss of Drew’s love, society and affection (wrongful death damages), after the jury is discharged the trial judge will reduce those damages to the $250,000 limit. This law really doesn’t give the defendants’ any financial incentive to do the right thing and pay the claim. Instead, defendants across the state simply deny these claims and roll the dice with conservative jurors. After all, the worse that can happen is to have their insurance company pay $250,000 on what might otherwise be a multimillion dollar case.

If you’d like to learn more about MICRA, click here. If you’d like to find out how the trial of this tragic wrongful death turns out, follow our blog. We’ll post updates.

Missouri Supreme Court Strikes Down Cap on Medical Malpractice Awards

attorneys in orange countyThe Missouri Supreme Court struck down on Tuesday an artificial $350,000 limit on jury awards for ‘pain and suffering’ in medical malpractice cases, saying the law violates a patient’s right to a jury trial. (In California the artificial cap is $250,000).

The cap on malpractice awards was established by a 2005 state law that was championed by Republicans as part of a ‘tort reform’ push.” The court held in a 4-3 decision that the cap “infringes on the jury’s constitutionally protected purpose of determining the amount of damages sustained by an injured party.”

The ruling was praised by plaintiffs’ attorneys, who had opposed the 2005 law while warning that it could leave injured, ill and disabled residents without enough money to compensate them for their dramatically altered lifestyles. Kansas City attorney Tim Dollar, president of the Missouri Association of Trial Attorneys, is quoted as saying, “Everyone who believes in the constitution should be thrilled with this decision.”

In the ruling, Chief Justice Richard Teitelman argued that the Missouri constitution established “the right to a trial by jury” and that “include[s] a jury’s deciding how much the damages would be.”

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Note to California consumers- In 1975, an artificial cap of $250,000 (MICRA) was enacted after a massive lobbying effort by the insurance industry. For 37 years, hard working consumer lawyers have been trying to increase this cap or have it deemed unconstitutional. It is noted that at no time has this artificial cap ever been increased to take inflation into consideration and many insurance defense attorneys tell us privately that the cap should be closer to $750,000-$1,000,000 or eliminated completely.

Your thoughts?

Flesh-Eating Bacteria (necrotizing fasciitis)

An Emergency Room Visit Gone Bad

Our client started experiencing a medical problem and was seen in the emergency room. After 3-4 attempts, an IV was successfully placed in her arm. Within hours her symptoms, in no way connected with her hand or arm, were resolved and she was allowed to go home.

Later that night, our client awoke to pain in the exact area she received her IV. When she turned on the light she was horrified to see her hand, wrist and lower arm swollen to almost twice its size. The pain was almost unbearable.

She was immediately taken back to the emergency room and diagnosed with necrotizing fasciitis (NF) also known as the flesh-eating bacteria. Doctors immediately ordered our client transported to another hospital where she received emergency surgery.

After all the necessary tests were run, the necrotizing fasciitis diagnosis was confirmed. The initial surgery and follow-up procedures saved our client’s arm and life. Our consulting experts determined that the bacteria was introduced in to our client’s system via the IV needle that pricked her arm several times before being correctly inserted. As you can see from the pictures, the NF was substantial and despite being immediately treated and operated on, the surgeries left a life-long scar.

As you probably know, our client is not the only victim of the flesh-eating bacteria.

Across the country, a highly publicized NF case involving a Georgia graduate student, Aimee Copeland, made the evening news. According to reports, Aimee’s infection was caused by water-borne bacteria she contracted after falling from a zip-line into a river and gashing her leg. Unfortunately, Aimee lost her left leg, right foot and hands to NF.

In South Carolina, Lana Kuykendall, contracted the flesh-eating bacterial infection shortly after giving birth to twins. She was hospitalized after noticing a painful spot on her leg that quickly grew larger. After more than 20 surgeries on her legs, including skin graphs, she is now recovering. Fortunately, Lana did not require any amputations.

So what is necrotizing fasciitis?

Well, NF is generally considered a rare but very severe type of bacterial infection. If not immediately treated, it can destroy the muscles, skin, and underlying tissue. The word “necrotizing” refers to something that causes body tissue to die.

Causes, incidence, and risk factors

While many different types of bacteria can cause this infection, a very severe and usually deadly form of necrotizing soft tissue infection is due to Streptococcus pyogenes, which is commonly referred to as the “flesh-eating bacteria.”

NF develops when the bacteria enters the body. As with Aimee Copeland, this can happen through a minor cut or scrape. With our client, experts were ready to testify that the NF was introduced into our client’s system via an unclean IV procedure.

We’ve seen health care providers try to avoid accepting responsibility for exposing patients to NF. But the fact of the matter is that with all of the bacteria floating around in emergency rooms and hospitals, NF is a know risk to patients seeking care in hospitals.

In any case, once in the body, the bacteria begins to grow and release harmful substances (toxins) that kill tissue and affect blood flow to the area. As the tissue dies, the bacteria enters the blood and rapidly spreads throughout the body.

Some of the symptoms you may notice with NF include a small, red, painful lump or bump on the skin; changes to a very painful bruise-like area and grows rapidly, sometimes in less than an hour; the center may become black and die; and the skin may break open and ooze fluid. Other symptoms might include feeling ill; fever; sweating; chills; nausea; dizziness; weakness; and shock

If you have NF, several treatment plans, to prevent death, include powerful, broad-spectrum antibiotics given immediately through a vein (IV); surgery to drain the sore and remove dead tissue; special medicines called donor immunoglobulins (antibodies) to help fight the infection. Other treatments may include: skin grafts after the infection goes away to help your skin heal and look better; amputation if the disease spreads through an arm or leg; 100% oxygen at high pressure (hyperbaric oxygen therapy) for certain types of bacterial infections

NF can and is severe and may be life threatening. It’s important you contact your health care provider immediately if you have any of the above symptoms.

If you have questions or concerns about what caused your NF, coordinate your investigation with competent legal counsel and independent medical experts. In our experience, that’s the only way you’ll truly know what caused your infection.

Mitch Jackson and Jeff Milman Talk About California Medical Malpractice on Spreecast…

What is MICRA? What exactly is involved when you bring a California medical malpractice case? If you’re injured by a defective medical product, do you have any rights? What’s the difference about bringing a claim in State or Federal Court?

California Medical Malpractice Victims are NOT Being Fully Compensated for their Injuries!

Jury trial personal injury and wrongful death lawyers in orange county californiaCalifornians who have been harmed through medical negligence should be fully compensated for their injuries.   Even many medical malpractice defense attorneys agree with us on this one.  After all, if you saw even half the malpractice cases that come to our offices, you’d feel the same way!

Look, the fact of the matter is that this doesn’t happen now because of a 35-year-old state law, the Medical Injury Compensation Reform Act, commonly referred to as MICRA.  Under MICRA, malpractice victims may receive no more than $250,000 for pain, suffering, reduced quality of life and other factors not directly tied to medical expenses or lost income.

That $250,000 figure has never been indexed for inflation and has remained unchanged since the law was passed in 1975; $250,000 then would be the equivalent of more than $1 million today, yet victims are limited to a quarter of that amount.  The reality is that even $1 million is not adequate compensation when it comes to severe injury cases like paralysis and death.

This artificial limit on damage payments is particularly unfair to children, the elderly, the disabled, stay-at-home parents and working class Californians.  Because of the costs involved in pursuing a medical malpractice case, the damage cap prevents many Californians who have been harmed through no fault of their own from even being able to seek justice, because of the reduced potential award.

By the way, there is one group that benefits tremendously from MICRA: insurance companies.  And they have a lot of clout at the state legislature.  That’s why it’s important for you to get involved.

Lawmakers, the media and the voting public need to help protect the real people who have suffered as a result of this unfair law.   It’s time for a change and the MICRA limit needs to be substantially increased.  Even better, the arbitrary cap needs to be eliminated completely.

Local Hospitals Fined $5.3M

Hospital mistakes in Orange County CaliforniaWith an artificially low MICRA medical malpractice cap of only $250K, we’re not surprised that three OC hospitals were fined $5.3M by California for medical errors likely to cause serious harm or death to patients.

Issues included but were not limited to inoculating 1,500+ babies with ineffective Hepatitis B vaccines and putting a right knee replacement in the left knee.

Legal warning to all:  Be careful and ask questions when it comes to your health care.

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