Jul 11, 2020

Car Accidents, Hemorrhaging, and Getting Paid.


Traffic Accidents and Internal Bleeding - The Less Visible, Yet Scary Injury that Kills.

A Multi-disciplinary rescue team, consisting of paramedics, fireman and a police officer tending to the victim of a car crash
A Multi-disciplinary rescue team, consisting of paramedics, fireman and a police officer tending to the victim of a car crash

What is Internal Bleeding?

Internal bleeding is medically known as "internal hemorrhage." In a nutshell, it happens when blood leaks from one or more blood vessels. But unlike a cut or laceration that visibly bleeds and clots externally out of the skin tissue, here, the blood might spill into other organs and internal cavities, as follows:

Like all cases when an artery or other parts of the circulatory system becomes damaged or destroyed, internal bleeding requires immediate emergency medical assistance to prevent hemorrhagic shock and fatality. Only medically trained personnel can diagnose the extent of the severity of the bleed. And most EMTs will know right away if the bleeding rate and location will require prompt contingency surgery and medical evacuation. Also, a trained medic will know how to stabilize the wound victim's head, legs, arms, neck, etc., for transportation.

A person whose internal organs have started to bleed due to an accident needs immediate medical attention, especially if they suffer genetic sickle cell anemia issues, such as many African Americans. At the same time, the victim's relatives should get in touch with a lawyer as soon as possible. That way, they can receive the proper compensation for the damages from the offending party.

And whether it's high speed or low-speed is not always the determining hurt factor. Just as scary, you might have been hit by a big truck instead of a smaller electric car, or motorcycle, for example. As will be discussed, a car crash can happen to anyone, any time, at any given place, in the blink of an eye. For some victims, some accidents may seem scarier than to other people. Traffic accidents can take people’s lives or make them disabled permanently. Sometimes these surface accidents can result in the death of a person. People who manage to survive such horrific accidents end up facing a stunning array of new challenges in their lives.

They might become disabled and remain unable to live their lives as they used to before the injuries. Internal bleeding is one of the ultimate injuries that can cause a person to become disabled or paralyzed for life. A low impact fender bender can reactivate old injuries, or set off a pre-existing condition that triggers uncontrollable bleeding, for example.

True. Generally, the severity of occupant injuries in motoring accidents depends on variables like vehicle speed, and the angle of the collision, and other potential biomechanics. But a collision's end result is not always mere broken bones or whiplash. Sometimes it is the case that internal bleeding results. And sometimes, internal bleeding can be caused by a simple bumper strike at low speed for some anemic occupants, as will be discussed.

Eggshell Skull and Sickle Cell Anemia?

When we think of discrimination, we never think of auto accidents as an equal opportunity employer of misery. But motoring collisions don't discriminate! Car accidents can be dangerous for anyone. But for some, the damages can be far worse for the simplest bump. And believe it or not, even simple bruising is a form of internal bleeding. What you see under the skin are broken, ruptured, torn, or damaged blood vessels that have pooled blood underneath your skin.

Usually, in a car accident, you will notice bruises on your head, elbows, and legs, where these extremities flailed around and struck hard objects inside the vehicle. Bus passengers are known to get hit by flying luggage during a car crash, for example. All of this can cause bruising. And for most normal people, bruises will heal in time. Why is this important?

Well, for one, a person with sickle cell anemia can literally die from just a small bruise! So imagine the medical emergency faced by an anemic person in a bad crash who is bleeding internally and externally.

The most common blood disorder in the United States, sickle cell impacts more than 70,000 Americans. Understanding the genetic coding that leads to this disease might one day help scientists prevent it altogether. Using a promising lesson, scholars view the gene sequence change and observe an animation of the body's reaction to it to better understand sickle cell anemia. (Source).

Eggshell Skull - Is the Person Who Caused the Accident Liable for Any Complications Caused By Sickle Cell Anemia?

Yes. Under the eggshell skull theory, discussed here, you take the plaintiff (accident victim who is making a car accident insurance claim, or filing the lawsuit) as you find him. So though a tiny bruise would not usually kill a healthy person, it doesn't matter legally. Under tort law, the defendant is liable for the detrimental complications of sickle cell.

And this remains true even if the car accident victim suffering from this genetic disease dies as a result. People, especially insurance adjusters, need to be educated on the topic of internal bleeding. They must know when their loved ones are in danger of this problem.

Expertise, Authority, and Trust of the Author, Michael Ehline?

I am attorney Michael Ehline. As a car accident victim myself, and as a highly-skilled and awarded personal injury lawyer, I know the ins and outs of these legal claims. I have hundreds of positive on and offline reviews from past clients of my law firm and am the recipient of many Super Lawyers Rising Star Awards. Also, my firm was featured in the Los Angeles Daily Journal, California Lawyer, Newsweek, Forbes, Cruise Addicts, and Hollywood Weekly Magazine. I am an expert in law and medicine and have practice personal injury law over 15 years.

In the process, my aggressive staff and I have passionately helped severely injured clients win over $100 million in verdicts and settlements for car, truck, bus, motorcycle, and other accident claims all over California. I am presenting the below information to help car accident victims who are suffering from the effects of internal bleeding and horrible bruising and lividity. At the end of this article, if you have further questions, I  have included additional relevant legal information about internal bleeding and how to contact a personal injury attorney.


Even Light Impacts Cause Internal Bleeding?

A high-speed car accident often results in trauma, internal and external bleeding to a person. However, even small bumps can create this type of bleeding. So getting a doctor’s immediate help is always highly recommended.

What are the Main Causes Of Internal Bleeding?

Here are the common impacts that could result in internal bleeding:

  • Trauma From Blunt Force?

Examples include getting hit in the head by a flying chunk of rubber tread that exploded into your traffic lane from a blown big rig truck's retreaded tire at a very high speed.  Other ways people suffer internal bleeding could be a false arrest or an arrest that exceeded the use of force. Perhaps the handcuffs were so tight that the bleeding victim ended up with nerve damage to their wrists etc. So civil rights violations and assaults can also result in internal bleeding injuries. Anytime a blunt object hits someone with force, it can damage tissue and organs under the skin, and dangerously leak blood into the surrounding tissue. This bleeding is because it causes an organ of the body to become compressed. The compression of the organ causes bleeding inside the organ. So if the lining of the organ gets punctured, the blood will enter the abdominal areas. In short, this is a severe type of internal bleeding that needs immediate medical attention.

  • Impacts Due To Sudden Stops?

When a vehicle has an accident, it comes to a stop all of a sudden. But human bodies do not have excellent resistance to such sudden stops. Sometimes these rapid stops cause the brain, floating inside the skull, to hit the cranial walls with pressure. So internal bleeding could be the result. Internal bleeding in the head or brain is considered severe damage and can result in brain swelling. So it needs to be addressed with utmost promptness to avoid any permanent injuries or death to the person.

  • Penetrating Trauma: Sometimes, an object in the car like a shifter, or steering wheel can break off during a violent motor vehicle collision. Because of this violence, sometimes at freeway speeds, coupled with perhaps, a manufacturing defect, these broken, sharp, spearlike pieces of the vehicle's interior, can act like lances or spears. So the car itself can puncture and deeply penetrate a lung, belly, or another body part. But don't rule out a broken-off piece of a freshly crashed motorcycle, or a brick being thrown as the cause of the accident leading to internal bleeding. A BLM protester or another flying object from some other source can break your safety glass, tear and penetrate your body just as easily as a vehicle collision.
  • Injury Caused By Medication?

People who take a lot of medicines and potent drugs for a variety of reasons. Some of them possess strong side effects. One such potential side effect can be internal bleeding inside the organs. Such side effects of medication can arise when the doctor diagnoses the patient for the wrong condition after your car accident. And the patient ends up having the wrong medicine as a result. So now, your vehicle accident just turned into a medical malpractice case.


How Would You Know Internal Bleeding Has Occurred?

A person with internal bleeding will show several signs. However, as noted above, under the eggshell skull section, these signs can be different in different people. This difference is because the conditions causing internal bleeding remain unique for certain classes of people.

Most commonly noticed signs of internal bleeding are as follows:

  • Clammy skin can be a sign of internal bleeding. It might be coupled with a sudden drop in blood pressure. The pulse will also increase to a high degree.
  • Sometimes you will notice bruises on the skin of the person who had an accident because the blood inside travels to the outermost layers of the skin.
  • Feelings of dizziness are also signs of internal bleeding. This dizziness is often felt when a person stands up.
  • Bleeding from nose and ears is also a big sign of internal bleeding taking place in a person.
  • If an area of the body is looking inflamed and the person can feel pain upon touching, this could be a sign of internal bleeding too.

When internal bleeding takes place, it takes a toll on other parts of your body as well. For example, the brain and eyes are bodily organs that get affected by internal bleeding a lot.

If you or someone you know has internal bleeding, then the effects on the brain would be something like:

  • One side of the body might start to feel weak and numb.
  • Noticeable slur while speaking.
  • Tiredness and lethargy.
  • Nauseating sensation.
  • Vomiting.
  • Seizures.
  • Fainting.
  • Coma.

When internal bleeding takes its toll on eyes, the symptoms are as follows:

  • The person will notice floating objects in the vision while looking at things.
  • The person might completely lose his/her eyesight.
  • The vision is blurred, smoky, or hazy.

First Aid - How Will You Medically Treat Internal Bleeding?

First, if you have noticed any of the signs mentioned above, emergency evacuation of the patient to the emergency room is highly recommended. If possible, the ER doctors and general physicians may try to fix the problem using a combination of diet, exercise, prescription pills, and tablets. However, the damage can be severe at times. And any ruptures, punctures, and compressions that can’t be taken care of with conventional methods are repaired through surgery.

Above, we covered car accidents and blood vessel damage. We also included complications that can arise, such as sickle cell anemia, causes, stabilization, tips, and treatment. Next, we will discuss what you need to do to protect your legal rights as a victim.

Day in the Life Videos, Pictures, and Journaling.

Evidence is the single most important component of personal injury cases. Once the plaintiff proves that the defendant's breach of duty was the cause of the plaintiff's blood vessel damage, that is only the first step in getting paid. That is called the "liability" phase of the personal injury lawsuit. Now comes the time for asking the jury for money. You get to ask for reimbursement of past medical charges, and other expenses, as well as for pain and suffering for the hassle and trauma you have and will experience until your average life expectancy.

  • By Far the Biggest Chunk of Change in a Car Accident Case Comes From The Pain and Suffering?

Generally, there are two types of damages:

  • Economic losses and other special damages like your bills, and other costs.
  • General losses for emotional and physical pain and suffering and loss of consortium.
  • Punitive Damages are discussed here.

For the most part, gathering proof of economic loss is easy. Subpoena your bills and get expert witness testimony for a jury or insurance adjuster. So that is rather straightforward. But there is a more nuanced and almost theatrical approach necessary to enhance the empathy of others. That is the best and more proven method of convincing an inconvenienced jury to see you as an ordinary person who gets out of bed every day just like you. Most of the great trial lawyers will tell you that is how to win a jury and in turn, win clients vast amounts of money for past, present, and future pain and suffering. But this is a Perry Mason, or Clarence Darrow like art and there is no guarantee of a windfall in every case.

Most of all, placing the jury and adjuster in your daily life with a progression of videos, images, and a written journal of how your life has been inconveniently altered is a huge part of your case. And this why I am covering this in so much detail. 

TIP: Document how you are affected by your injuries on a day to day basis, from hour to hour  —  Anemics and others with immunodeficiency disorders can have drastically greater amounts of pain and suffering than a similarly situated person. But sometimes it is hard for a perfectly healthy insurance worker or a juror who has never ruptured a blood vessel, for example, to relate. So journaling and documenting the days in your life can be a great equalizer. Now you can proffer up slideshows and PowerPoint presentations of before and after pictures, newspaper clippings of achievements, etc. Most of all, this tangible evidence helps place a dollar amount on the intangible fear you faced when you almost died, and then the pain you are suffering during the healing process. And this is especially in the case of patients healing from a TBI, who are not very responsive compared to before. To recap, one of the highly effective methods of overcoming pain and suffering ambiguity documenting the unambiguous ways the car accident has affected by your life and sanity.

What Are Some Examples of What a Day in the Life Journal or Other Content Should Contain?

  • Journal your medical appointments, times, and places as well as the conversations you had with your doctors and others at the hospital.
  • Document the time it took you to drive to appointments and all the additional hours spent getting physical therapy, picking up prescriptions, and other related inconveniences.
  • Keep a section in your journal documenting "1 through 10" pain levels throughout the day. (e.g., on a scale of one through ten, with ten being the worst agony, what is your level of pain right now?)
  • Make notes about activities you must now pay someone else to do, like washing dishes. Another example might be paying an Uber or Lyft to drive you, or paying for a rental car while your car or motorcycle gets repaired or replaced. Or maybe you can never drive again, or need a special van for a wheelchair. Document all of this! And make notes about things you can't do at work, like typing, for example.
  • Make notes about missed graduations, weddings, and birthdays of your kids, grandkids, and other family members. Include copies of invitations and proof that you didn't just make up all of this stuff.
  • Document times you couldn’t get any sleep due to worrying about your house payment, or how you will feed your kids now that you are disabled. Talk about the chronic fear your face in a worsening of your delicate and guarded condition. Correlate how chronic pain and fear have harmed your relationships and may have even led yo a divorce or suicide in your family

To recap, maintaining a daily journal can help demonstrate to the holder of the purse strings the many risks he or she faces in letting a decider of facts award a runaway verdict. Another important part of journaling is the healing process attendant with documenting your life, the good and the bad. Healing is also a time for reflection.

Getting Law On Your Side.

It does not matter how big or small the accident was that caused internal bleeding. If internal bleeding is taking place, you will have to visit a doctor, get surgery, stay at the hospital, and spend thousands of dollars to get the treatment. That’s where the law and Ehline's bigger than life lawyers come in.

They provide you with the legal representation that you need to obtain full compensation. Lawyers can help you in ways you might not have imagined. Don't delay in speaking to a legal expert. If you live in Los Angeles, California, and have had such a case, knock on the door of Ehline Law Firm Personal Injury Attorneys, APLC.