June 26, 2008

Surgical Checklist For Reducing Errors

The World Health Organization issued its first guidelines on Tuesday aimed at reducing complications and deaths from the rising numbers of operations now being performed. Many who read the checklist will react by wondering why hospitals and surgeons have not been doing this for years.

The guidelines are a list of simple safety checks that the health organization said could halve the rate of surgical complications. The list is intended to improve anesthetic safety practices, avoid infections and improve communication among members of surgical teams.

One guideline calls for all members of the masked surgical team to identify themselves and their roles and ask simple questions like, “Does everyone agree that this is Patient X, undergoing a hernia repair?”

Other recommendations call for marking the correct site for surgery to avoid operating on the wrong patient or performing the wrong procedure; giving an antibiotic within 60 minutes of making an incision, to reduce infections; checking for allergies to drugs; inserting two intravenous lines for operations involving substantial blood loss; and counting sponges and needles to ensure that none are left in a patient.

The surgical guidelines grew out of a similar checklist aimed at reducing infections in hospitals. The infection guidelines were developed by Dr. Peter J. Pronovost of Johns Hopkins University, who borrowed the idea from the aviation industry.

Three countries — Britain, Ireland and Jordan — have said they will put the surgery guidelines in force in all hospitals, Professional groups endorsing checklists include the American College of Surgeons, the American Society of Anesthesiology and the Association of Perioperative Registered Nurses.

June 20, 2008

Truck Related Deaths in Georgia


Between 1982 and 2006, 5,473 people lost their lives in Georgia due to tractor-trailer accidents in this state. Nationwide, in 2006 alone, 4,995 died in large truck collisions. Between 1982 and 2006, on a nationwide basis, 126,107 people lost their lives. Although large trucks are only 3% of U. S. registered vehicles, according to the Insurance Institute for Highway Safety, they account for 13% of annual motor vehicle crash fatalities. When a car collides with a big truck, 98% of the people who die are in the small passenger vehicle.

These sobering statistics continue to demonstrate that people will continue to die due to large tractor-trailer accidents occurring in this state and elsewhere. In 2006, 232 people in Georgia were killed in large tractor-trailer accidents. These statistics demonstrate, in rather graphic fashion, that large trucks are a danger on the public roads and that everyone is a potential victim. As stated, there have been 5,473 Georgia victims between 1982 and 2006.

As we have blogged about previously, there are numerous safety regulations in effect which are designed to reduce and minimize the chances of serious injury or death caused by trucks. Unless these safety measures are enforced, however, they can have little impact on the staggering number of deaths. Moreover, the statistics we have cited herein are only deaths and do not include serious injuries which are far in excess of the death total. Thus, if anything can be stated with certainty, it is that we do not need more deregulation of the trucking industry but rather more regulation, particularly in the safety area. Until such safety regulations are enforced, on a strict basis, it is regrettable that litigation remains one of the best tools available to try to reduce the carnage on the roads. By holding irresponsible and negligent trucking companies financially liable for their acts of negligence, hopefully, money damages will serve as a deterrent to reduce the numbers in what is otherwise a continual state of deregulation. Without adequate regulation it appears that private lawsuits may be the most effective inducement for adherence to safety regulations by the trucking industry.

June 18, 2008

Bicycle Accidents and Road Hazards

Earlier this year our Atlanta attorneys settled a wrongful death case involving a bicycle accident which occurred inside the city limits. In that particular case, the bicycle rider, who lost his life, became entangled with loose utility wires hanging from a utility pole near a busy intersection on Peachtree Street. The evidence established that the utility wires had been in a state of disarray for several months but had not been repaired. Unfortunately, this wrongful death case is not an isolated incident. Just this past week, we were retained to represent an individual who may be paralyzed for life due to a road hazard apparently caused by the negligence of the general contractor, subcontractors and/or the Georgia Department of Transportation .

When roadways and bridges are designed by public authorities, obviously, where it is foreseeable that one riding a bicycle may use the roadway, it is necessary that precautions be taken to protect bicycle riders from serious injuries. As an example, a storm drain that runs parallel to the road is a hazard. If a bicyclist’s tires should fall into the storm drain and the drain runs parallel with the road, not perpendicular to it, obviously the cyclist could be thrown from his or her bike if the wheels of the bicycle fall into the drain. Similarly, if there are expansion joints in the road over bridges where there is a 1-3" gap in the road, the tire of a bicycle can fall into the gap again causing the bicyclist to fall and sustain serious injury. Thus, it is imperative that when roadways are designed that the safety of all users of the road be protected, particularly those who are the most vulnerable to serious injury which many times includes those riding bicycles and motorcycles.

Those riding bicycles know that when they go out on the road that they need to be extremely careful of other motorists. Drunk drivers abound and there are multiple hazards along the side of roadways. To find a hazard in the roadway or immediately adjacent to it, however, is not normally anticipated by the average rider. When a loose utility wire, an improperly installed storm grade or unguarded expansion joint is allowed to exist, serious injury and even death is foreseeable. Such conditions should not exist but sadly they do. Regrettably, it may very well be that litigation is the best tool available to address these safety failures. If significant money damages are awarded in such cases, those responsible for the safety hazards will be “hit in the pocketbook” and hopefully will be deterred from similar acts of negligence. Even if deterred from future acts this is little comfort for the present day victim of a preventable injury. Nonetheless, if it takes litigation to encourage safety reforms and prevent future injuries, so be it.

June 16, 2008

Truck Drivers, Safety Regulations and Civil Liability for Truck Companies

Our personal injury lawyers have written before about the Federal Motor Carrier Safety Regulations and how they impact the public safety when it comes to truck drivers operating tractor trailer rigs on our interstate highways. Obviously, before anyone can operate a tractor trailer rig, they must be physically able and qualified to drive. As an example, they must receive a certificate of a medical examination in which a doctor confirms that they are physically fit and able to operate a tractor trailer. See 49 C.F.R. § 391.43. A road test must be passed by the truck driver. See 49 C.F.R. § 391.31,.35. Drug testing must also take place on a pre-employment basis and anytime after an accident occurs. See 49 C.F.R. § 382.301,.303,.305.

In order to prevent driver fatigue, there are strict limits on the number of hours that a driver may stay on duty. See 49 C.F.R. § 396.3,.5. To documents that drivers do not go over the allocated hours, they must maintain accurate and up to date logs of their time of duty and time on the road. See 49 C.F.R. § 395.8. Truckers may not drive at all once a driver has been on duty seventy hours in any eight consecutive days. See 49 C.F.R. § 395.3.

Companies that do not monitor compliance with these safety regulations can be held liable for their failure to do so. Drivers may commit negligent acts that give rise to civil liability for money damages and their employers can be held independently liable if they do not do enough to prevent accidents caused by safety violations. In every truck case involving serious injury or death, the trucking company’s records should be subpoenaed to make sure that safety regulations were followed. If not, as is often the case, additional damages can be awarded against the trucking company for proven safety violations.

June 15, 2008

Georgia Courts Do Not Favor Consumers

Georgia Court Watch is a project of Georgia Watch, a nonprofit and nonpartisan group committed to strengthening the rights of consumers in Georgia. It has recently issued its annual report on Georgia appellate courts. The reports shows that, contrary to the statements of many politicians, the Georgia Appellate judges are not activists and not overly consumer friendly.

The report analyzed the activity on payday loan, insurance coverage, medical misdiagnosis, and other significant consumer issues. The “2007 Annual Report” identifies and profiles the most noteworthy consumer-related decisions released by the appellate courts throughout the year, and identifies emerging trends.

“Many of the decisions reached by the state Supreme Court and Court of Appeals significantly impact the rights that consumers have under law,” said Georgia Watch Executive Director Allison Wall. “Georgia Watch launched this project to provide ongoing, thoughtful, fact-based analysis.”

Notable consumer cases discussed include:

Glenn v. State, a case in which the court upheld Georgia’s Payday Lending Law. Two individuals convicted of issuing payday loans argued that the statewide ban on payday lending was unconstitutionally vague and did not specifically prohibit the schemes they utilized in issuing loans, such as a “sales-leaseback” of a cell phone or coffee maker. The lenders also claimed they were not subject to the ban because they were located out-of-state.

Kaminer v. Canas, in which the court upheld the two-year statute of limitations for medical misdiagnosis, regardless of futures failures to properly diagnosis, even in the presence of a patient’s additional or significantly worsened symptoms. In Georgia, a claim must be filed within two years of the date of the first misdiagnosis, whether or not the patient knows they have been misdiagnosed. In Kaminer v. Canas, the patient unsuccessfully argued that repeated misdiagnosis over a decade of treatment by multiple medical providers should have restarted the statute of limitations.

Dees v. Logan, in which the court established that insurance companies are prohibited from creating offset clauses to reduce the amount owed to drivers who purchased uninsured motorist (UM) insurance. Offsets deny policyholders benefits already purchased that are needed to cover medical and property damage resulting from an accident with an underinsured driver. The court ruled that insurance policies containing offsets for personal injury benefits are in conflict with Georgia’s Uninsured Motorist Act. This year, the Georgia General Assembly responded to this decision by passing Senate Bill 276, which expressly permits insurance carriers to use offsets for workers’ compensation benefits, effectively overturning part of this decision. SB 276 also expanded drivers’ access to UM coverage.


June 14, 2008

Truck Wrecks Caused by Negligent Hiring and Retention

Under the Federal Motor Carrier Safety Regulations, a truck driver may not be hired, nor may he operate a tractor trailer, unless certain employment criteria are met. One set of criteria deal with the prospective truck drivers qualifications to drive a truck. In this regard, a federal motor carrier must check the drivers driving records for the past three years in every state in which the driver has held a license. See 49 C.F.R. § 391.23((a)(1)). Prior employers for the past three years must be contacted, and the trucking company considering hiring the driver must ask about the driver’s employment status and quality of work. Written notes are required to be retained regarding each contact with each prior employer. See 49 C.F.R. § 391.23(d). Additionally, a road test must be passed by the truck driver. See 49 C.F.R. § 391.31,.35.

To ensure that truck companies hire safe truck drivers, all collected records about the driver must be maintained by the trucking company at the principal place of business of the motor carrier for as long as the driver is employed and for a minimum of three years after he is no longer employed. Obviously, the purpose of this requirement is to make sure that trucking companies not only hire safe drivers, or at least attempt to do so, but that they maintain their records documenting what they did to ensure that they comply with the law in this regard.

Those trucking companies that fail to verify what is required of them before they hire a driver can be sued for negligently employing an unqualified, unsafe or unfit driver. Punitive damages can also be imposed under Georgia law because a violation of a federal safety regulation is a crime, a misdemeanor punishable by up to one year in jail. If an unsafe driver causes injury to another and it can be established that the employer truck company failed to comply with federal safety regulations, the trucking company can be held liable for its own violations of the law as well as for the negligent acts of the driver. Thus, in any case involving serious personal injury or wrongful death in which a truck is involved, employment records should be subpoenaed to verify compliance with mandatory safety regulations.

June 12, 2008

The Importance of Uninsured Motorist Coverage

In our personal injury practice we are oftentimes astounded at the lack of understanding by the public of the important nature of uninsured motorist coverage. Many people do not know what uninsured motorist coverage is. Regrettably, many people learn what it is too late to benefit from such important insurance coverage.

In order to get license tags to lawfully operate a vehicle in Georgia, the motorist must have a minimum of $25,000.00 in liability insurance coverage per person, $50,000.00 per accident. What this means is that if a motorist runs a stop sign and injures an individual, they must have liability insurance coverage that will pay a minimum of $25,000.00 in damages to the injured individual. As anyone knows with today’s rising medical costs, however, if anyone is seriously injured, $25,000.00 will not be adequate to compensate the injured individual much less pay medical expenses. Thus, an uninsured motorist can even include those who are underinsured as the term uninsured motorist under Georgia law includes both motorists who have no insurance coverage whatsoever, that being their insurance policies have lapsed or have been cancelled or never procured to begin with and those who have minimal coverage but have far less coverage than is needed for damages caused by their negligent acts..

Uninsured motorist coverage applies to a situation where someone is injured by an at fault motorist who either has no insurance at all or has minimal insurance coverage which is insufficient to address the damages caused by the negligent acts. If a drunk driver is illegally driving with no insurance and seriously injures someone, there is no insurance through the drunk driver and there will be no insurance for the injured individual unless they were prudent enough to purchase uninsured motorist coverage to protect themselves. Uninsured motorist coverage protects the injured individual through their own policy as uninsured motorist coverage is a part of everyone’s policy should they choose to purchase it. While it is not required to be covered as part of one’s policy, under Georgia law it is very important that if the family’s budget can afford it, that optional uninsured motorist coverage should be purchased.

In a hypothetical case where a serious injury occurs and someone, say loses their leg, obviously, the medical expenses in such a serious case could be hundreds of thousands of dollars. Lost wages could amount to hundreds of thousands of dollars. Life altering serious injuries could result and far reaching financial implications, not to mention significant pain and suffering for the innocent victim. If the injured individual had a $1 million uninsured motorist policy, even if the person causing the limb amputation had no insurance or only had the minimum limits required by law, the injured individual could still recover up to $1 million in benefits through their own uninsured motorist coverage. Thus, whether uninsured motorist coverage be purchased at the rate of $50,000.00, $100,000.00, $250,000.00 or more the fact remains that such coverage can be very, very important for the individual who is seriously injured through the negligent acts of a third party such as the hypothetical drunk driver.

We would encourage all readers of this blog to meet with their insurance agents and go over the available costs attendant to procuring uninsured motorist coverage under their own insurance policies. It is very important that such coverage exists when serious injuries occur. Regrettably, we have seen far too many cases, including those involving wrongful death cases, where there is little or no insurance available through the insurance coverage for the at fault person and regrettably our client had no uninsured motorist coverage. We hope to see fewer of these cases in the future.

June 10, 2008

Tire Failures Related To Age

Our Atlanta car accident attorneys have been involved in numerous cases in which tire failures have resulted in serious injury and death. We are currently involved in a Georgia case in which a defective tire failed on a dump truck resulting in the death of our client’s wife.
Last week, the National Highway Traffic Safety Administration advised that the risk of a serious crash during hot weather can be heightened by tires that are worn out, under-inflated or too old.

NHTSA research shows that hot weather – and overloaded vehicles – can add significant stress to a tire, especially if it is not properly inflated. Old tires also are subject to greater stress, which increases the likelihood of catastrophic failure. Tire condition is important for all vehicles, but it is especially critical for those more prone to rollover when tires fail. That would include sport utility vehicles (SUVs), pickups or other vehicles with a higher center of gravity.

Some tire and vehicle manufacturers, including Ford Motor Company, have issued recommendations for replacing tires that range from six to ten years of age. Consumers are advised to check with their tire or vehicle manufacturer for specific guidance. The age of a tire can be determined by checking the identification number on the sidewall that begins with the letters "DOT". The last four digits represent the week and year the tire was manufactured.

Tire inflation can be checked with an inexpensive gauge, using the vehicle manufacturers’ recommended pressures, which are found on the driver’s side door pillar or in the owner’s manual.

To reduce the risk of a crash, NHTSA Administrator Nicole Nason urged motorists to have tires, including the spare, checked

June 9, 2008

Closed Head Injuries: More Serious Than Skull Fractures


Our personal injury lawyers have seen closed head injuries in every locale surrounding metropolitan Atlanta whether it be Austell, Snellville, Roswell, Alpharetta, Jonesboro, Sandy Springs or the other numerous locales near the city. Victims of closed head injuries oftentimes have the most serious injuries we confront due to swelling of the brain caused by the trauma. What we have learned from taking numerous medical depositions and researching these claims is that a serious head injury can have profound consequences for the victim in situation where there is no skull fracture, per se, but rather merely “a closed head injury.” A closed head injury occurs when the brain is shaken within the skull itself. The brain is subjected to trauma when the bicyclist falls off the bike onto the pavement and strikes his head or when the pedestrian is hit by the car and lands on the road, again striking their head. However an accident occurs, when a victim’s head is injured, if the skull is not fractured, all of the trauma is contained within the skull. This is why it is called a closed head injury, because there is no open wound or opening of the skull via a fracture. If the trauma to the head and skull are severe enough, the brain can swell inside the skull (with no place to go) which can cause permanent brain damage sometimes leading to a coma, a stroke or paralysis.

We have seen innumerable closed head injury cases which have had life altering consequences for the victims of such injuries. Sometimes these injuries are difficult to initially diagnose because there is no skull fracture or other obvious injury. However, if the victim begins manifesting problems with memory, speech and/or cognitive abilities, the medical profession then begins to investigate the cause of these problems which typically leads to an MRI of the brain. Sometimes the MRI will show the swelling and sometimes it will not. Sometimes a neuropsychological evaluation is necessary to make a proper diagnosis. The fact remains that head injuries can lead to serious brain injuries, which in turn, can lead to life altering consequences for the victims of “closed head injuries.”

If you or any loved one has been subjected to trauma due to the negligence of a third party and you have sustained a closed head injury, it is obviously imperative that you be seen by a doctor who has considerable experience in dealing with such cases. The same is true for any attorney employed to investigate and represent the victim of a negligent act which caused such an injury. If there is to be an adequate financial recovery in such cases, there must be an adequate understanding of the significance of the injury and the difficulty in treating it. In short, closed head injuries are usually very serious and must be investigated promptly and handled with the utmost care and diligence. Not only does one need competent medical assistance in these cases, if there is a claim to be brought against a negligent third party, competent legal counsel is also imperative for the victims of such injuries.

June 6, 2008

Pedestrian Personal Injury Cases On The Rise

In metropolitan Atlanta, our lawyers are seeing more and more pedestrian personal injury cases. Due to congested conditions caused by increasing population and more motorists on the road, as might be expected, there are more incidents involving pedestrians. Many cases involve situations where pedestrians are not in walking in crosswalks and are struck while crossing a road, sometimes in broad daylight. Other cases involve pedestrians crossing the road at night when they are difficult to see. Other cases involve joggers and people on sidewalks who are injured due to third party negligence. As might be imagined, these cases are typically very serious because when a pedestrian who has no protection is struck by a car, the injury is likely to be a very bad one.

In Georgia, every driver of a vehicle has duty to exercise due care to avoid colliding with any pedestrian upon a roadway and shall exercise proper precautions upon observing any child or obviously confused, incapacitated or intoxicated person. This law is found at O.C.G.A. § 40-6-93. The courts have held that this statute establishes that motorists on the highways must exercise ordinary care to both discover and avoid persons in the roadway.

Georgia is a comparative negligence jurisdiction which means that if the pedestrian fails to exercise proper care for their own safety then the jury can consider that in apportioning damages between the pedestrian and the at fault motorist. If a pedestrian is more negligent than the at fault motorist, the claim will be barred by the doctrine of contributory negligence. If the pedestrian is negligent but not as negligent as the motorist who causes the injury, then the negligent motorist can still be held liable but their liability is reduced by the percentage of the negligent pedestrian.

As these cases are always factually specific, it is imperative when serious injuries are involved that family members look after their loved ones by associating counsel at the earliest opportunity so that there can be an adequate investigation of the facts and so that witnesses with knowledge of the facts can be located and interviewed. These cases always turn on the facts so the more facts that are gathered, the better the analysis of the facts and the more likely it is that justice can be done either for the motorist who may or may not have been negligent and/or for the injured pedestrian.