Multiple Injury Compensation Claim Lawyers - Catastrophic Injury Law
A multiple injury lawyer is a specialist personal injury advocate with expertise in catastrophic injury compensation claims. Our multiple injury lawyers offer a wealth of experience and give free advice with no further obligation on liability and the potential value of a catastrophic injury claim. Payment for services is based on a contingency fee basis which means that our multiple injury lawyers only get paid when you get paid. If the case is lost there is nothing whatsoever to pay. There are time limits in all personal injury compensation claims and failure to take legal action within the limitation period can mean that the opportunity to claim compensation is lost forever.
Multiple Injuries - ABCNF Rule
Multiple injuries occur in a wide range of traumatic incidents including motor vehicle accidents, falls from height, occupational accidents and sports injuries. In many cases, there is a major life threatening injury and several other less serious injuries that are not life threatening. It is the responsibility of the emergency medical technician who is usually a member of the ambulance staff and subsequently the emergency room doctor to decide which injuries are those that need to be treated first. The process of making this decision is called triage.
Emergency medical personnel use the ABCNF rule [airway - breathing - circulation - neurological - fractures] to decide which injury to take care of first. The ones to take care of first are usually the injuries which are most likely to result in the death of the patient.
If the airway is obstructed by some trauma or foreign body, this must be managed before any other illness will be able to be treated. If the airway is opened, the emergency medical technician must make sure that the patient is actually breathing. The patient will usually be able to manage breathing on their own after enough medical therapy has happened.
Any injury that affects the airway is considered to be very serious. This can include a crushed larynx or a foreign body to the airway. Without immediate attention to this problem, the patient will not be able to breathe and will die. A tracheostomy may be carried out which punctures a hole in the larynx and allows the patient an opening through which to breathe.
The emergency department doctor must then pay attention to breathing. Some people have an open airway but for some reason, usually a brain injury, they are not breathing. A breathing tube is inserted into the airway to assist oxygenation with the assistance of the attending doctor, nurse or technician, until the patient is placed on a ventilator or can breathe on their own.
The doctor must next pay attention to circulation. While it seems this should be further up the triage tree, it actually makes sense to have an airway and to breathe before controlling hemorrhage. Hemorrhage can be visible, such as with a laceration or amputation. Hemorrhage can also be internal and represent internal bleeding. The liver, spleen and lung are major organs that can hemorrhage internally. Surgery is usually required to control this kind of bleeding and it should be done as soon as possible to save the person’s life.
The circulation becomes impaired if there is heavy blood loss, either externally to the outside or internally, such as bleeding in the brain, lungs or peritoneal cavity. Even bleeding in the brain, while slight, can cause catastrophic consequences and special measures must be taken to relieve the pressure from inside the skull.
The doctor must pay attention to the neurological system. Head trauma can be as mild as a concussion or as severe as bleeding within the brain. The neurological system is assessed by determining level of consciousness, speech, paralysis and reflexes. A person with a severe brain injury from multiple traumas needs the services of a neurologist or neurosurgeon to stop any bleeding in the brain and relieve pressure within the brain. The patient is supported with regard to their airway, breathing and circulation until the brain recovers. Only then can the trauma patient be able to breathe on their own.
Many people with major trauma will sustain some sort of head or neck injury. These lead to neurological difficulties and stroke. Stroke can be treated in some cases if treated within the first few hours but traumatic strokes are usually hemorrhagic, meaning excessive bleeding has happened within the brain and increased pressure is building up inside the cranial cavity.
Many inexperienced health professionals see the deformed joint and spend their time on that, rather than paying attention to the more serious aspects of multiple injuries. The emergency department specialist must of course pay attention to broken bones however this is last on the list when there are other issues as outlined above. Broken bones are serious but in comparison to the other problems, they are of less urgency. The emergency department doctor must make sure that the circulation beneath the level of the fracture is intact and, if it is, the bone can be set and casted. If the circulation below the level of the fracture is not intact, immediate surgery must be done in order to restore that circulation.
A patient with multiple traumas is best handled at a level I trauma center. This is a hospital that has been designated as having the highest standards in trauma management. They treat multiple patients with extensive trauma and often have surgical suites within the emergency rooms, onsite trauma surgeons, onsite respirator y therapists and other staff that can handle multiple trauma patients. X-ray is available in the immediate vicinity as is ultrasound, CT scanning and MRI scanning. This means the patient does not have to leave the emergency room to be evaluated and treated for their multiple traumas.
Multiple Injury Lawyer
Patients with multiple traumas have a high mortality and morbidity rate because they have so many things wrong with them. At least one of those things is bound to be incompatible with life. When you have an accident that leads to multiple traumas, you need to hire a multiple injury lawyer skilled in multiple trauma. This will be an experienced lawyer who can easily read through complicated medical documents, can weigh factors involved in negligence and can help decide how having these multiple traumas will affect you for the rest of your life.